Use of the fascia sheath coverage and exogenous fibrin clot in the treatment of complex meniscal tears

摘要: In a previous series, complex meniscal tears, including double flap, longitudinal, and radial there was reported high failure rate (14 of 58 repairs, 24%) when treated by conventional arthroscopic repair tech niques. There only one tear in the anterior middle one-third lateral meniscus this group. The use fascia sheath to cover repaired area improves healing rates an additional 17% (from 75% 92%) with these classifications, exception split tears meniscus. present technique includes rasp abrasion parameniscal synovium, peripheral white rim, surface handle fragment. is sutured fully diverged sutures. A rec tangle from distal anterolateral thigh, trimmed 25 x 35 40 mm, prepared double-armed suture run along opposite sides. One or two "hold-down" sutures are tied superior inferior main four ...