How to Avoid Iatrogenic Saphenous Nerve Injury During Outside‐In or Inside‐Out Medial Meniscus Sutures
Lampros Gousopoulos, Charles S. Grob, Philip Ahrens, Yoann Levy, Thaïs Dutra Vieira, Bertrand Sonnery‐Cottet
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.
Topics & Concepts
MedicineSaphenous nerveMedial meniscusSurgeryFibrous jointMeniscusIatrogenic injuryNerve injuryCapsuleOsteoarthritisBotanyPhysicsPathologyBiologyOpticsIncidence (geometry)Alternative medicineOrthopedic Surgery and RehabilitationKnee injuries and reconstruction techniquesShoulder Injury and Treatment