Associate Sales Representative at Smith & Nephew | Sports Medicine | Medical Device | Supporting Orthopedic Surgeons with Innovative Surgical Solutions
As the latest data continues to shift the paradigm from resection to repair regarding horizontal cleavage tears (HCTs) in the meniscus, the optimal repair technique to treat HCTs is still up for debate. Considering the criteria of healing for HCTs, two techniques have become increasingly popular among the orthopedic community. The conventional all inside anchor based capsular technique. OR The all inside circumferential compression stitch technique. Both techniques come with their respective advantages and drawbacks all of which are inherently patient and tear pattern specific but don’t take my word for it. Check out Dr. Justin Saliman, MD 's deep dive into repairing HCTs with his revolutionary technique involving the circumferential compression stitch and the device he created the NOVOSTITCH Pro! Comment below with YOUR preferred repair technique for symptomatic HCTs! #savethemeniscus #meniscusmonday #kneesurgeon #sportsmedicine #orthopedicsurgeon #orthopedics nicholas colyvas MD, FAAOS Justin Saliman, MD Amit Momaya Scott Sigman MD William Arroyo, MD, FAAOS, FAANA Dimitri Thomas Christian N Anderson Robert LaPrade
Devon Burton you bring up a great point. Many surgeons using there anchor based all inside repairs for these. It’s quick and easy. It does however provide a more vertical compression force on a horizontal tear. The circumferential technique is technically more difficult and time consuming and provides a more biomechanically favorable horizontal compression force on the tear, and little safer, so is my choice. No studies I’m aware of compare outcomes at this point. Either way it’s good that the appropriate HC tears are being repaired.
Co-Founder, CMO Native Orthopaedics | Sports Medicine Surgeon at Tennessee Orthopaedic Alliance
4moHi Devon. I agree with nicholas colyvas MD, FAAOS . The circumferential compression stitch is rock solid and has a bonus of no peek implants. I like to trim about 10% of the central edge of the both the top and bottom leafs since they tend to bunch and are the least likely part to heal. I’ve started placing stitches closer together over time for optimal stability and compression. Downside is the knot stack, but with good technique it can be placed on the peripheral aspect of the meniscus. Once I get anterior then I switch to outside in stitches.