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Medial Meniscus Posterior Root Repair Using a Transtibial Technique.

ABSTRACT: The meniscal roots are critical in maintaining the normal shock absorbing function of the meniscus. If a meniscal root tear is left untreated, meniscal extrusion can occur rendering the meniscus nonfunctional resulting in degenerative arthritis. Two main repair techniques are described: (1) suture anchors (direct fixation) and (2) sutures pulled through a tibial tunnel (indirect fixation). Meniscal root repair using a suture anchor technique is technically challenging requiring a posterior portal and a curved suture passing device that can be difficult to manipulate within the knee. We present a technique for posterior medial meniscus root repair using 3 sutures (1 leader, 2 cinch), standard arthroscopy portals, and transtibial fixation. Overall, this technique simplifies a challenging procedure and allows for familiarity and efficiency.

SUBMITTER: Woodmass JM

PROVIDER: S-EPMC5494976 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature

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Medial Meniscus Posterior Root Repair Using a Transtibial Technique.

Woodmass Jarret M JM Mohan Rohith R Stuart Michael J MJ Krych Aaron J AJ

Arthroscopy techniques 20170501 3

The meniscal roots are critical in maintaining the normal shock absorbing function of the meniscus. If a meniscal root tear is left untreated, meniscal extrusion can occur rendering the meniscus nonfunctional resulting in degenerative arthritis. Two main repair techniques are described: (1) suture anchors (direct fixation) and (2) sutures pulled through a tibial tunnel (indirect fixation). Meniscal root repair using a suture anchor technique is technically challenging requiring a posterior porta ...[more]

PMID: 28706793

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