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. 2014 Oct 27;3(5):e643-6.
doi: 10.1016/j.eats.2014.07.006. eCollection 2014 Oct.

Arthroscopic Meniscal Root Repair Using a Ceterix NovoStitch Suture Passer

Andrew J Blackman  1 , Michael J Stuart  1 , Bruce A Levy  1 , Mark A McCarthy  2 , Aaron J Krych  1
Affiliations

Arthroscopic Meniscal Root Repair Using a Ceterix NovoStitch Suture Passer

Andrew J Blackman et al. Arthrosc Tech. .

Abstract

Meniscal root injuries can compromise knee function and lead to early degenerative changes if not appropriately treated. Numerous techniques have been described; however, the technical difficulties in performing these repairs are well known. Furthermore, the relative strengths of various repair techniques have been examined. This article describes a single-working portal meniscal root repair technique using a double-locking loop suture configuration with a novel suture-passing device that offers a strong, reproducible repair construct.

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Figures

Fig 1
Fig 1
Arthroscopic image showing a posterior root medial meniscal avulsion with retraction of the torn end (double-headed arrow) in a right knee, viewing from the anterolateral portal.
Fig 2
Fig 2
Double-locking loop suture configuration. (A) Three passes are made (each free end [1 and 2] and looped mid portion [3]). (B) After the loop is retrieved from the joint and the free ends are placed into the loop, tension on the free ends will cinch the suture into its final configuration.
Fig 3
Fig 3
Arthroscopic images of tibial socket preparation (right knee, viewing from anterolateral portal). (A) The meniscal root footprint is marked (dashed circle) with the radiofrequency probe. (B) A low-profile anterior cruciate ligament tibial guide is placed over the mark. (C) A 6-mm FlipCutter is drilled into the joint, after which a 6 × 10–mm socket is reamed.
Fig 4
Fig 4
Arthroscopic image after meniscal root repair using the double-locking loop suture showing reduction of the meniscal root and elimination of peripheral extrusion of the meniscus in a right knee, viewing from the anterolateral portal.
See this image and copyright information in PMC

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