caa a22 4500 605456127 CHVBK 20210128100216.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00167-013-2421-3 doi (NATIONALLICENCE)springer-10.1007/s00167-013-2421-3 Abdelkafy Ashraf Orthopaedic Surgery and Traumatology Department, Faculty of Medicine, Suez Canal University, Circular Road, 41522, Ismailia, Egypt aut The concept of three-dimensional hold of both circumferential and radial collagen fibres of the meniscus [Elektronische Daten] [Ashraf Abdelkafy] Collagen fibres of the meniscus arrange into two main orientations: circumferential fibres parallel to the long axis of the meniscus and radial fibres perpendicular to the long axis of the meniscus. Meniscal sutures are placed either in vertical or in horizontal orientations. Vertical sutures better hold circumferential fibres because it encircles them like a rope holding a bunch of tree branches. In the same manner, horizontal sutures better hold radial fibres. The "Simplified Cruciate Suture” consists of two vertical oblique sutures. Placing two vertical sutures in an oblique orientation captures greater meniscal tissue volume, holds and grasps both circumferential and radial collagen fibres of the meniscus into a three-dimensional plane with eventual high fixation strength of the repaired meniscal tear. Simplified cruciate suture is indicated for the repair of long bucket handle tears where it is placed in the middle of the tear like an anchor, and additional vertical and horizontal sutures are placed anterior and posterior to it as needed. Level of evidence V. Springer-Verlag Berlin Heidelberg, 2013 Arthroscopic mensical repair nationallicence Simplified cruciate suture nationallicence Ultimate tension load nationallicence Circumferential collagen fibres nationallicence Radial collagen fibres nationallicence Collagen fibres nationallicence Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 20-25 0942-2056 23:1<20 2015 23 167 https://doi.org/10.1007/s00167-013-2421-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 brief-communication jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2421-3 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Abdelkafy Ashraf Orthopaedic Surgery and Traumatology Department, Faculty of Medicine, Suez Canal University, Circular Road, 41522, Ismailia, Egypt aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 20-25 0942-2056 23:1<20 2015 23 167