How to Avoid Iatrogenic Saphenous Nerve Injury During Outside-In or Inside-Out Medial Meniscus Sutures.

Gousopoulos, Lampros; Grob, Charles; Ahrens, Philip; Levy, Yoann; Vieira, Thais Dutra; Sonnery-Cottet, Bertrand · Arthrosc Tech · 2022

expert_opinion · Level V

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Abstract

Medial meniscal sutures using outside-in or inside-out techniques are very popular. Nevertheless, a saphenous nerve entrapment may occur with these techniques. This Technical Note describes a modified outside-in medial meniscus suture without any additional skin incisions. By dissecting the space between the subcutaneous and the capsule, which is performed by grasping and knotting the sutures through the anteromedial portal, iatrogenic saphenous nerve injury is avoided.