Arthroscopic Centralization of an Extruded Lateral Meniscus

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Arthroscopic Centralization of an Extruded Lateral Meniscus Hideyuki Koga, M.D., Ph.D., Takeshi Muneta, M.D., Ph.D., Kazuyoshi Yagishita, M.D., Ph.D., Toshifumi Watanabe, M.D., Ph.D., Tomoyuki Mochizuki, M.D., Ph.D., Masafumi Horie, M.D., Ph.D., Tomomasa Nakamura, M.D., Ph.D., Atsushi Okawa, M.D., Ph.D., Ichiro Sekiya, M.D., Ph.D. Arthroscopy Techniques Volume 1, Issue 2, Pages e209-e212 (December 2012) DOI: 10.1016/j.eats.2012.08.001 Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 1 Preoperative magnetic resonance imaging (left knee, coronal view) showed that the mid body of the lateral meniscus (arrow) was extruded after anterior cruciate ligament reconstruction and partial meniscectomy of the lateral meniscus at another hospital. In this case, the reconstructed anterior cruciate ligament was lax, and revision anterior cruciate ligament reconstruction was also planned. Arthroscopy Techniques 2012 1, e209-e212DOI: (10.1016/j.eats.2012.08.001) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 2 Arthroscopic findings. (A) Arthroscopic view of the lateral meniscus in a left knee from the anterolateral portal in the figure-of-4 position. Displacement of the lateral meniscus (arrow) was confirmed by pushing the mid body of the meniscus out of the rim of the lateral tibial plateau with a probe. (B) A JuggerKnot Soft Anchor was inserted on the lateral edge of the lateral tibial plateau. (C) A Micro Suture Lasso Small Curve (arrowhead) with Nitinol Wire Loop was inserted and penetrated the meniscus from superior to inferior at the margin between the meniscus and the capsule. (D) The displaced meniscus was centralized after stabilization of the mid body of the lateral meniscus (arrow) by 2 anchors (arrowheads). Arthroscopy Techniques 2012 1, e209-e212DOI: (10.1016/j.eats.2012.08.001) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 3 Magnetic resonance image at 3 months postoperatively showed that the mid body of the lateral meniscus (arrow) was well positioned without extrusion. Arthroscopy Techniques 2012 1, e209-e212DOI: (10.1016/j.eats.2012.08.001) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions