Results of Zone Specific Repair

Rosenberg and his colleagues have evaluated the type of suture used for repair. This group found that the use of nonabsorbable sutures did not abrade or damage the articular cartilage on second look arthroscopy. Further, the group established that in many cases these sutures broke several months after repair. Because of these findings, Rosenberg does not recommend the use of absorbable sutures for routine meniscal tears. Capsular tears that heal quickly may be amenable to the use of absorbable sutures.

Brown et al. stated that 92% of meniscal tears with a rim of less than 4 mm had clinically successful outcomes using the signs of meniscal pathology return to sport and the lack of radiographic changes as outcome measures. Several other studies have also reported good success with this technique.

The gold standard for results can be identified by a series that uses second-look arthroscopy as an outcome measure. Rosenberg et al.

Figure 6.18. The cannula is placed in the contralateral portal, while viewing from the ipsilateral portal.
Figure 6.19. The completed suture repair with over- and undersutures.

reviewed a series where 24 out of 29 repairs had healed by three months, with the other 5 patients described by his group as partially healed. In the latter group 4 out of 5 of the knees were ACL deficient at the time of repair and second-look arthroscopy.

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