Modified Centralization Technique of Tibial Side Capsulodesis for Radial Tear of Incomplete Discoid Lateral Meniscus
An incomplete discoid lateral meniscus is often associated with radial tears, which cause meniscal extrusion and result in poor healing outcomes. Centralization has recently been used as a surgical method to reduce extrusion. However, various repair techniques use single point of fixation sutures ex...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-11-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724002123 |
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| author | Kazuya Nishino, M.D., Ph.D. Yusuke Hashimoto, M.D., Ph.D. Shuko Tsumoto, M.D. Ken Iida, M.D. Takuya Kinoshita, M.D., Ph.D. Hiroaki Nakamura, M.D., Ph.D. |
| author_facet | Kazuya Nishino, M.D., Ph.D. Yusuke Hashimoto, M.D., Ph.D. Shuko Tsumoto, M.D. Ken Iida, M.D. Takuya Kinoshita, M.D., Ph.D. Hiroaki Nakamura, M.D., Ph.D. |
| author_sort | Kazuya Nishino, M.D., Ph.D. |
| collection | DOAJ |
| description | An incomplete discoid lateral meniscus is often associated with radial tears, which cause meniscal extrusion and result in poor healing outcomes. Centralization has recently been used as a surgical method to reduce extrusion. However, various repair techniques use single point of fixation sutures exclusively on the femoral side, potentially hindering healing. In this study, a method is devised in which 2 anchor sutures are placed on the tibia and guided out of the capsule from the tibial side of the meniscus, and another anchor is placed distally to tighten the meniscotibial ligament in a plane. This method supports the repaired site against hoop stress by tightening the meniscotibial ligament and is considered a physiological repair because the sutures are confirmed to the tibial side of the meniscus rather than on the femoral side. Furthermore, an inside-out suture of the torn area with a fibrin clot derived from the bone marrow aspirate, rich in tissue-healing components, is also performed. |
| format | Article |
| id | doaj-art-0e3db871b6a94f7c84f1162dcac56489 |
| institution | Kabale University |
| issn | 2212-6287 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-0e3db871b6a94f7c84f1162dcac564892024-11-16T05:11:05ZengElsevierArthroscopy Techniques2212-62872024-11-011311103095Modified Centralization Technique of Tibial Side Capsulodesis for Radial Tear of Incomplete Discoid Lateral MeniscusKazuya Nishino, M.D., Ph.D.0Yusuke Hashimoto, M.D., Ph.D.1Shuko Tsumoto, M.D.2Ken Iida, M.D.3Takuya Kinoshita, M.D., Ph.D.4Hiroaki Nakamura, M.D., Ph.D.5Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, JapanDepartment of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan; Address correspondence to Yusuke Hashimoto, M.D., Ph.D., Department of Orthopaedic Surgery, Osaka Metropoloitan University, 1-4-3 Asahi-Machi, Abeno-ku, Osaka 545-8585, Japan.Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, JapanDepartment of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, JapanDepartment of Orthopaedic Surgery, Osaka Saiseikai Nakatsu Hospital, Osaka, JapanDepartment of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, JapanAn incomplete discoid lateral meniscus is often associated with radial tears, which cause meniscal extrusion and result in poor healing outcomes. Centralization has recently been used as a surgical method to reduce extrusion. However, various repair techniques use single point of fixation sutures exclusively on the femoral side, potentially hindering healing. In this study, a method is devised in which 2 anchor sutures are placed on the tibia and guided out of the capsule from the tibial side of the meniscus, and another anchor is placed distally to tighten the meniscotibial ligament in a plane. This method supports the repaired site against hoop stress by tightening the meniscotibial ligament and is considered a physiological repair because the sutures are confirmed to the tibial side of the meniscus rather than on the femoral side. Furthermore, an inside-out suture of the torn area with a fibrin clot derived from the bone marrow aspirate, rich in tissue-healing components, is also performed.http://www.sciencedirect.com/science/article/pii/S2212628724002123 |
| spellingShingle | Kazuya Nishino, M.D., Ph.D. Yusuke Hashimoto, M.D., Ph.D. Shuko Tsumoto, M.D. Ken Iida, M.D. Takuya Kinoshita, M.D., Ph.D. Hiroaki Nakamura, M.D., Ph.D. Modified Centralization Technique of Tibial Side Capsulodesis for Radial Tear of Incomplete Discoid Lateral Meniscus Arthroscopy Techniques |
| title | Modified Centralization Technique of Tibial Side Capsulodesis for Radial Tear of Incomplete Discoid Lateral Meniscus |
| title_full | Modified Centralization Technique of Tibial Side Capsulodesis for Radial Tear of Incomplete Discoid Lateral Meniscus |
| title_fullStr | Modified Centralization Technique of Tibial Side Capsulodesis for Radial Tear of Incomplete Discoid Lateral Meniscus |
| title_full_unstemmed | Modified Centralization Technique of Tibial Side Capsulodesis for Radial Tear of Incomplete Discoid Lateral Meniscus |
| title_short | Modified Centralization Technique of Tibial Side Capsulodesis for Radial Tear of Incomplete Discoid Lateral Meniscus |
| title_sort | modified centralization technique of tibial side capsulodesis for radial tear of incomplete discoid lateral meniscus |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724002123 |
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