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Peer-reviewedCC BYArthroscopy techniques

Modified Suture-Gripping Technique for Arthroscopic Meniscal Suturing.

  • Ryo Sasaki1,2,3
  • Naoki Muroya1
  • Taichi Nishimura1
  • Teppei Hayashi1
  • Kazuya Kaneda2
  • Masaki Nagashima3
  • Shu Kobayashi2
  • Hideo Morioka1
  1. 1Department of Orthopaedic Surgery NHO Tokyo Medical Center Meguro-ku Tokyo Japan.
  2. 2Department of Orthopaedic Surgery Keio University School of Medicine Shinjuku-ku Tokyo Japan.
  3. 3Department of Orthopaedic Surgery International University of Health and Welfare Mita Hospital Minato-ku Tokyo Japan.
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Abstract

Meniscal preservation is essential for the maintenance of knee function. The suture-gripping technique, using a suture shuttle, enables accurate needle insertion from inside the joint and flexible withdrawal of the suture from outside the capsule, thereby facilitating meniscal repair of the anterior segment. Using a continuous suturing technique with this method is possible, and we described a modified approach. We recently recognized that ARTHRO-PIERCE, a device originally designed for hip arthroscopy, can be used to perform the same suture-gripping technique principles for meniscal repair. The ARTHRO-PIERCE has a sharper tip-when compared with a suture shuttle holding a suture at its tip-that improves penetration, a more rigid shaft that improves reach and trajectory toward the anterior horn and anterior body, and robust suture grasping without relying on a loop mechanism than a conventional suture shuttle. Here, we describe the step-by-step surgical technique. This technique expands the versatility of the suture-gripping technique for anterior meniscal suturing with improved device handling and secure suture control.

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Cite

BibTeXRIS
BibTeX
@article{sasaki2026modified,
  title = {{Modified Suture-Gripping Technique for Arthroscopic Meniscal Suturing.}},
  author = {Ryo Sasaki and Naoki Muroya and Taichi Nishimura and Teppei Hayashi and Kazuya Kaneda and Masaki Nagashima and Shu Kobayashi and Hideo Morioka},
  journal = {Arthroscopy techniques},
  year = {2026},
  month = oct,
  doi = {10.1002/atn2.70374},
  url = {https://europepmc.org/article/MED/42953373},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Modified Suture-Gripping Technique for Arthroscopic Meniscal Suturing.
AU  - Ryo Sasaki
AU  - Naoki Muroya
AU  - Taichi Nishimura
AU  - Teppei Hayashi
AU  - Kazuya Kaneda
AU  - Masaki Nagashima
AU  - Shu Kobayashi
AU  - Hideo Morioka
PY  - 2026
DA  - 2026/10/28
JO  - Arthroscopy techniques
DO  - 10.1002/atn2.70374
UR  - https://europepmc.org/article/MED/42953373
AB  - Meniscal preservation is essential for the maintenance of knee function. The suture-gripping technique, using a suture shuttle, enables accurate needle insertion from inside the joint and flexible withdrawal of the suture from outside the capsule, thereby facilitating meniscal repair of the anterior segment. Using a continuous suturing technique with this method is possible, and we described a modified approach. We recently recognized that ARTHRO-PIERCE, a device originally designed for hip arthroscopy, can be used to perform the same suture-gripping technique principles for meniscal repair. The ARTHRO-PIERCE has a sharper tip-when compared with a suture shuttle holding a suture at its tip-that improves penetration, a more rigid shaft that improves reach and trajectory toward the anterior horn and anterior body, and robust suture grasping without relying on a loop mechanism than a conventional suture shuttle. Here, we describe the step-by-step surgical technique. This technique expands the versatility of the suture-gripping technique for anterior meniscal suturing with improved device handling and secure suture control.
SN  - 2212-6287
ER  -