Posterior Meniscal Root Repair Using a Meniscal Suture Device

José Leonardo Rocha de Faria; Douglas Mello Pavão; Igor Stefano Menescal Pedrinha; Eduardo Branco de Sousa; João Matheus Guimarães; Berliet Assad Gomes; Alan de Paula Mozella

doi:10.1016/j.eats.2020.03.006

Posterior Meniscal Root Repair Using a Meniscal Suture Device

Arthrosc Tech. 2020 Jun 9;9(7):e905-e912. doi: 10.1016/j.eats.2020.03.006. eCollection 2020 Jul.

Authors

José Leonardo Rocha de Faria¹, Douglas Mello Pavão¹, Igor Stefano Menescal Pedrinha¹, Eduardo Branco de Sousa¹, João Matheus Guimarães², Berliet Assad Gomes³, Alan de Paula Mozella^{1

3}

Affiliations

¹ Knee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, Rio de Janeiro, Brazil.
² Research and Teaching Division, National Institute of Traumatology and Orthopedics of Brazil, Rio de Janeiro, Brazil.
³ Orthopedics Discipline, Medical Science Faculty, State University of Rio de Janeiro, Rio de Janeiro, Brazil.

Abstract

A greater understanding of the deleterious consequences that a meniscal root tear brings to the knee joint and how its surgical repair can be advantageous over the previously used treatment strategies brings the need for the development of surgical techniques that make the procedure less complex and more reproducible. When meniscal root rupture occurs, a mechanical overload occurs in the affected compartment similar to a total meniscectomy. Several authors have concluded that meniscal root reinsertion significantly improves postoperative outcomes and patient satisfaction, regardless of age or laterality of the meniscal injury. The Meniscus 4 A-II device (Rio de Janeiro, Brazil) allows stitching at the root of the medial and lateral menisci. In this article, we describe the surgical repair technique for posterior-medial and -lateral meniscal root tears using this meniscal suture device. This technique is fast and effective.