Reparación Meniscal con Técnica Dentro-Fuera
Keywords:
Meniscus, Meniscal Repair, Inside OutAbstract
It is well known that meniscectomy leads to the early development of knee arthritis, that is the reason that nowadays we favour meniscal repair rather than meniscectomy. The Inside-out meniscal repair technique has proven to be effective, has passed the test of time and has withstanded as the gold standard of meniscal repair techniques. Even when the All-inside technique has improved the inside-out offers advantages like the possibility of repairing all tear patterns and the chance of using several stitch configurations and different kinds of sutures. The main disadvantage is that it requires an extra incision and some deep dissection to tie the knots against the capsule. We describe the technique we currently use.
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McDermott ID, Amis AA. The consequences of meniscectomy. J Bone Joint Surg Br. 2006 Dec;88(12):1549–56.
Bryceland JK, Powell AJ, Nunn T. Knee Menisci. Cartilage. 2017 Apr;8(2):99–104.
Lutz C, Dalmay F, Ehkirch FP, Cucurulo T, Laporte C, Le Henaff G, et al. Meniscectomy versus meniscal repair: 10 years radiological and clinical results in vertical lesions in stable knee. Orthop Traumatol Surg Res. 2015 Dec;101(8 Suppl):S327-31.
Stein T, Mehling AP, Welsch F, von Eisenhart-Rothe R, Jäger A. Long-term outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears. Am J Sports Med. 2010 Aug;38(8):1542–8.
Henning CE. Arthroscopic repair of meniscus tears. Orthopedics. 1983 Sep 1;3(9):1130–2.
Brown GC, Rosenberg TD, Deffner KT. Inside-out meniscal repair using zone-specific instruments. Am J Knee Surg. 1996;9(3):144–50.
Shelton WR. Arthroscopic Meniscus Repair: Inside-Out Technique. In: Chow JCY, editor. Advanced Arthroscopy. New York, NY: Springer New York; 2001. p. 335–8.
DePhillipo NN, Cinque ME, Kennedy NI, Chahla J, Geeslin AG, Moatshe G, et al. Inside-Out Repair of Meniscal Ramp Lesions. Arthrosc Tech. 2017 Aug 14;6(4):e1315–20.
Chahla J, Serra Cruz R, Cram TR, Dean CS, LaPrade RF. Inside-Out Meniscal Repair: Medial and Lateral Approach. Arthrosc Tech. 2016 Feb 15;5(1):e163-8.
Anderson AW, LaPrade RF. Common peroneal nerve neuropraxia after arthroscopic inside-out lateral meniscus repair. J Knee Surg. 2009 Jan;22(1):27–9.
Atbaşı Z, Erdem Y, Neyişci Ç, Yılmaz B, Demiralp B. An anatomical examination of iatrogenic nerve injury during inside out meniscus repair with flexion and extension of the knee. Ulus Travma Acil Cerrahi Derg. 2019 Oct;25(6):555–60.
Cruz-López F, Trueba C, Almazán A, Sierra L, Francisco P, Villalobos-Cordova E, et al. Meniscal repair using the inside-out technique with cross stitch. Sports Med Arthrosc. 2012 Jun;20(2):101–5.
Noyes FR, Barber-Westin SD. Arthroscopic repair of meniscal tears extending into the avascular zone in patients younger than twenty years of age. Am J Sports Med. 2002 Aug;30(4):589–600.
Higuchi H, Kimura M, Shirakura K, Terauchi M, Takagishi K. Factors affecting long-term results after arthroscopic partial meniscectomy. Clin Orthop Relat Res. 2000 Aug;(377):161–8.
Cinque ME, DePhillipo NN, Moatshe G, Chahla J, Kennedy MI, Dornan GJ, et al. Clinical Outcomes of Inside-Out Meniscal Repair According to Anatomic Zone of the Meniscal Tear. Orthop J Sports Med. 2019 Jul 25;7(7):2325967119860806.
Elmallah R, Jones LC, Malloch L, Barrett GR. A Meta-Analysis of Arthroscopic Meniscal Repair: Inside-Out versus Outside-In versus All-Inside Techniques. J Knee Surg. 2019 Aug;32(8):750–7.
Chahla J, Dean CS, Matheny LM, Mitchell JJ, Cinque ME, LaPrade RF. Outcomes of Inside-out Meniscal Repair in the Setting of Multiligament Reconstruction in the Knee. Am J Sports Med. 2017 Jul;45(9):2098–104.
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Copyright (c) 2020 Arturo Almazán Díaz, Anell Olivos Meza, Francisco Cruz López, Clemente Ibarra Ponce de León

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This work is published under a Creative Commons Attribution–NonCommercial–ShareAlike 4.0 International License (CC BY-NC-SA 4.0). The authors retain the copyright.



