How to Avoid Iatrogenic Saphenous Nerve Injury During Outside-In or Inside-Out Medial Meniscus Sutures

Lampros Gousopoulos; Charles Grob; Philip Ahrens; Yoann Levy; Thais Dutra Vieira; Bertrand Sonnery-Cottet

doi:10.1016/j.eats.2021.09.012

How to Avoid Iatrogenic Saphenous Nerve Injury During Outside-In or Inside-Out Medial Meniscus Sutures

Arthrosc Tech. 2022 Jan 13;11(2):e127-e132. doi: 10.1016/j.eats.2021.09.012. eCollection 2022 Feb.

Authors

Lampros Gousopoulos¹, Charles Grob¹, Philip Ahrens², Yoann Levy¹, Thais Dutra Vieira¹, Bertrand Sonnery-Cottet¹

Affiliations

¹ Centre Orthopédique Santy, FIFA Medical Center of Excellence, Hôpital Privé Jean Mermoz, Groupe GDS-Ramsay, Lyon, France.
² OrthoPlus Munich, Munich Germany.

Abstract

Medial meniscal sutures using outside-in or inside-out techniques are very popular. Nevertheless, a saphenous nerve entrapment may occur with these techniques. This Technical Note describes a modified outside-in medial meniscus suture without any additional skin incisions. By dissecting the space between the subcutaneous and the capsule, which is performed by grasping and knotting the sutures through the anteromedial portal, iatrogenic saphenous nerve injury is avoided.