Suture fixation technique for subluxatedposterior chamber IOL through stab wound incision

1984 ◽  
Vol 10 (4) ◽  
pp. 477-480 ◽  
Author(s):  
Sanford L. Moretsky
Author(s):  
Hongsheng Wang ◽  
Tony Chen ◽  
Albert Gee ◽  
Ian Hutchinson ◽  
Kirsten Stoner ◽  
...  

Complete removal of the meniscus (meniscectomy) often leads to early-onset of osteoarthritis due to changes in contact mechanics 1,2. To counteract these changes, the removed meniscus is often replaced with an allograft. Many variables can affect the surgical outcome of meniscal transplantation (bone geometry, graft size, fixation technique, level of activity, limb alignment, etc.) 3,4,5. Among them, the method of fixation is the most readily controlled. Two commonly used techniques are: (i) trans-osseous suture fixation via bone plugs, where bone plugs are machined at the anterior and posterior horns of the graft and implanted into appropriately sized tibial bone tunnels, and (ii) suture fixation at the meniscal horns, where the sutures are drawn through tibial bone tunnels and tied over a bone-bridge. But the mechanical consequences of these fixation techniques, specifically, how they affect knee mechanics are unclear.


2021 ◽  
Vol 11 (10) ◽  
pp. 1977-1982
Author(s):  
Dong Zheng ◽  
Jianjian Yin ◽  
Long Han ◽  
Jianchao Gui

This study aimed to present and evaluate a new arthroscopic technique that uses two-point suture fixation for anterior cruciate ligament (ACL) tibial avulsion fractures. A total of 15 patients diagnosed with ACL tibial avulsion fracture underwent arthroscopic suture fixation from November 2018 to October 2019 and were treated using two-point suture fixation. The patients were followed up and evaluated according to Lysholm scores, International Knee Documentation Committee (IKDC) subjective scores, Tegner activity level scales, anterior drawer testing, and KT-1000 arthrometer testing. The mean follow-up period was 18 months (12 to 24). All patients had a negative Lachman test and anterior drawer test at final follow-up and showed the radiological union of avulsion fracture at 12-week postoperative radiograph. The Lysholm score improved significantly postoperatively with a mean score of 94.26±3.63 (87 to 98; p < 0.001). The Tegner score improved significantly postoperatively from 3.61 ±1.37 to 7.14±1.51 (P < 0.001). The KT-1000 measured value decreased significantly postoperatively from 7.3±1.5 to 1.4 ±1.2 (P < 0.001). The IKDC category was abnormal or severely abnormal preoperatively, and all patients improved to normal or nearly normal at final follow-up. Arthroscopic treatment using the two-point suture fixation technique is effective for ACL avulsion fracture and can restore the function and stability of the knee joint.


2016 ◽  
Vol 2 (3) ◽  
pp. 231
Author(s):  
Prashant Vilas Bhandari ◽  
Punarvasu Rajeev Jagtap ◽  
Suyog Prakash Burgute ◽  
Vijay Vasant Nemade

2005 ◽  
Vol 10 (1) ◽  
pp. 33-40 ◽  
Author(s):  
Kayoko Ohtsuki ◽  
Masatoshi Ohnishi ◽  
Masayuki Yoshida ◽  
Takeshi Nakamura ◽  
Hiroko Ichikawa ◽  
...  

2017 ◽  
Vol 38 (5) ◽  
pp. 2183-2186
Author(s):  
Remzi Karadag ◽  
Bahar Gunes ◽  
Veysel Aykut ◽  
Halit Oguz ◽  
Ahmet Demirok

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Xin Hu ◽  
Bo Zhao ◽  
Haiying Jin

Purpose. We describe a minimally invasive suture fixation technique for four-point fixation of intraocular lenses (IOLs) in the treatment of aphakic eyes, namely, the intrascleral suture anchoring technique. Neither scleral flaps nor large conjunctival dissections are required. Methods. This study included 11 eyes (11 patients). After looping the eyelets on the IOL haptics and externalizing the threads, the curved needle attached to the externalized thread was started with two sequential intrascleral passes from the first fixation point to reach the second fixation point. The same procedure was performed for the other side of the IOL. A fixation knot was created in the sclerotomy by the two ends of the thread to close the suture loop for IOL fixation. Another knot was created about 2 to 3 mm from the exiting point and was intrasclerally anchored by the aid of the attached curved needle. Results. The mean postoperative follow-up period was 9.7 ± 5.8 months (range 5–15 months). The IOLs of all eyes remained well positioned and stable postoperatively. The postoperative visual acuities were improved. No suture erosion, suture loosening, hypotony, scleral atrophy, chronic inflammation, retinal tear, and/or detachment were observed within the follow-up period. Conclusion. The present technique is an alternative, flapless method for the four-point suture fixation of IOLs. It provides both minimal surgical trauma and reliable stability.


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