Lateral Meniscal Tears Can be Safely Repaired "All-Inside" Without Peroneal Nerve Injury: Case Series and Literature Review.

Eric M Lassiter, N Chase Farmer, Anderson Lee, Rayanne Mustapha, David Yatsonsky, David Sohn
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Abstract

Introduction: The menisci are a pair of fibrocartilaginous structures important for the normal biomechanical function of the knees. Tears are common, and multiple approaches have been used to repair meniscal tears. Of the approaches, the all-inside approach has historically been avoided for tears to the posterior aspect of the lateral meniscus (LM) due to the risk of popliteal and common peroneal neurovascular injury.

Case report: We reviewed the electronic medical records of all patients who underwent all-inside LM repair by our senior author from August 2022 through August 2023. Demographic, injury, and surgical data were collected to characterize surgical success and any complications attributed to the surgical approach. A literature review of MEDLINE was performed to investigate the current data regarding the all-inside approach and identify methods for improving safety and efficacy. Two cases were identified (one male and one female) who underwent all inside repair of the LM. No surgical complications were attributed to suture selection or placement, and no damage to the popliteal neurovascular structures was identified.

Conclusion: The all-inside approach is a safe arthroscopic approach for the repair of the LM. The current literature demonstrates multiple considerations and guidelines to mitigate the risk of neurovascular injury and supports the efficacy of the all-inside approach when compared to other surgical approaches.

外侧半月板撕裂可以安全地“全内”修复而不损伤腓神经:病例系列和文献回顾。
半月板是一对纤维软骨结构,对膝关节的正常生物力学功能很重要。撕裂是常见的,有多种方法用于修复半月板撕裂。在所有入路中,由于腘窝和腓总神经血管损伤的风险,对于外侧半月板(LM)后侧撕裂,历来都避免采用全内入路。病例报告:我们回顾了资深作者从2022年8月至2023年8月期间所有接受全内腔LM修复的患者的电子病历。收集了人口统计学、损伤和手术数据,以确定手术成功和手术入路并发症的特征。我们对MEDLINE的文献进行了回顾,以调查有关全内法的当前数据,并确定提高安全性和有效性的方法。2例患者(1男1女)均行LM内修复术。没有手术并发症归因于缝线的选择或放置,没有发现腘神经血管结构的损伤。结论:全内入路是关节镜下修复LM的安全入路。目前的文献证明了减轻神经血管损伤风险的多重考虑和指南,并支持全内入路与其他手术入路相比的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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