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Medial Meniscus Posterior Root Repair Using a Transtibial Technique

February 10, 2018

Contributors: Aaron J Krych, MD; Rohith Mohan, BA; Michael J Stuart, MD; Isabella Tianwen Wu, BA; Jarret Murray Woodmass, MD; Jarret Murray Woodmass, MD

The meniscal roots are critical to maintaining the normal shock-absorbing function of the meniscus. Meniscal root tears that are not managed may lead to meniscal extrusion, rendering the meniscus nonfunctional and eventually resulting in degenerative knee arthritis. Meniscal root repair via a suture anchor technique is technically challenging, requiring a posterior portal and a curved suture passing device, which may be difficult to manipulate in the knee. This video demonstrates posteromedial meniscus root repair with the use of three sutures (one leader, two cinch), standard arthroscopy portals, and transtibial fixation. Overall, this technique simplifies a challenging procedure and allows for familiarity and efficiency.

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