Sutura Meniscal Artroscópica con Técnica Fuera Dentro. Evaluación de Resultados Funcionales

Abstract

Introduction: The purpose of this study was to retrospectively evaluate the functional results of a series of patients with meniscal lesions treated by arthroscopic meniscal suture with the outside in technique and describe the surgical technique.
Material and Methods: 49 arthroscopic meniscal knee sutures were retrospectively analyzed. Forty were isolated and 9 associated with ACL ruptures. Thirty-two were men and 17 women with an average age of 24 years (12-40), and with an average follow-up of 58 months. Thirty-six patients were treated only with outside in technique and in 13 patients a hybrid technique was used combining a suture outside inside with devices all inside. A clinical evaluation was performed with the Lysholm score and the International Knee Documentation Committee (IKDC) in the preoperative and in the last control.
Results: A re-rupture is observed in 7 patients (15%), 6 traumatic during a sport activity, and a spontaneous one. Medial meniscus and bucket handle repairs have a major failure rate, without significant difference. No clinical differences were observed when comparing the group of patients with outside in technique and in those who performed a hybrid technique.
Conclusion: Meniscal preservation surgery with the outside in technique allows us to obtain favorable functional results in selected cases.

Type of study: Case series
Level of evidence: IV