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Outcomes of arthroscopic repair using the all-inside inter-leaf vertical suture technique for horizontal meniscal tears sustained in sports.
Atsumi, Satoru; Hara, Kunio; Arai, Yuji; Kamitani, Aguri; Nakagawa, Shuji; Inoue, Hiroaki; Kubo, Toshikazu.
Affiliation
  • Atsumi S; Department of Orthopedics, JCHO Kyoto Kuramaguchi Medical Center.
  • Hara K; Department of Orthopedics, JCHO Kyoto Kuramaguchi Medical Center.
  • Arai Y; Department of Sports and Para-Sports Medicine.
  • Kamitani A; Department of Orthopedics, JCHO Kyoto Kuramaguchi Medical Center.
  • Nakagawa S; Department of Sports and Para-Sports Medicine.
  • Inoue H; Department of Orthopedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.
  • Kubo T; Department of Orthopedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.
Medicine (Baltimore) ; 99(41): e22609, 2020 Oct 09.
Article in En | MEDLINE | ID: mdl-33031317
The aim of the study was to evaluate the outcomes of arthroscopic repair using the all-inside inter-leaf vertical suture arthroscopic technique for sports-related horizontal meniscal tears.The inter-leaf vertical suture procedure was performed to repair sports-related horizontal tears in the middle and posterior segments of the medial (11 cases) and lateral (2 cases) menisci in 13 patients (mean age: 30 ±â€Š14 years). Pre- and post-operative Barrett criteria, Lysholm scores, and patient ability to resume sports were assessed. Magnetic resonance imaging (MRI) grades and signal intensity changes near the joint capsule were evaluated in the 9 cases among which pre- and post-operative MRI images were available.All Barrett criteria items were negative following surgery; Lysholm scores increased from 70.2 ±â€Š13.1 before surgery to 98.9 ±â€Š2.64 after surgery (P < .01). All patients were able to resume their sport. Preoperative MRI grade of tears was 3 for all patients; postoperative MRI grades were 1 in 3 cases, 2 in 4 cases, and 3 in 2 cases (P < .05). Importantly, MRI signal intensity at the repaired menisci near the joint capsule was reduced in 8 of these 9 cases postoperatively.The inter-leaf vertical suture procedure is associated with good outcomes for horizontal tears in the middle and posterior segments of the medial and lateral menisci. The procedure is useful and convenient.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Arthroscopy / Athletic Injuries / Tibial Meniscus Injuries Type of study: Observational_studies / Risk_factors_studies Limits: Adolescent / Adult / Female / Humans / Male / Middle aged Language: En Journal: Medicine (Baltimore) Year: 2020 Document type: Article Country of publication: Estados Unidos

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Arthroscopy / Athletic Injuries / Tibial Meniscus Injuries Type of study: Observational_studies / Risk_factors_studies Limits: Adolescent / Adult / Female / Humans / Male / Middle aged Language: En Journal: Medicine (Baltimore) Year: 2020 Document type: Article Country of publication: Estados Unidos