Outside-In Meniscus Repair Using a Bidirectional Device for Anterior Horn Tears and Its Applicability to Bucket-Handle Tears: A Technical Note.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 40936550.
- Also identified by DOI 10.1016/j.eats.2025.103694 and PMC identifier 12420607.
- Licence recorded as CC BY-NC-ND.
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Abstract
The outside-in technique is widely preferred for anterior horn tears because of its direct access. However, conventional methods require manipulation of multiple instruments in a limited working space. We introduce a specialized needle with a bidirectional groove at its tip, allowing single-handed antegrade and retrograde suture passage. This simplifies the procedure and reduces operative time. The device is also applicable to bucket-handle tears via a hybrid approach that combines all-inside suture passage and outside-in retrieval, achieving fixation comparable with that of the inside-out technique.