Outcomes of Arthroscopic All-Inside Repair Are Improved Compared to Transtibial Pull-Out Repair of Medial Meniscus Posterior Root Tears

Arthroscopic Lateral Meniscus Root Repair With Reverse Suture Anchor Technique

“… 25 Nevertheless, a study indicated that all-inside repair yielded improved functional outcome scores compared to transtibial pullout repair in the treatment of meniscus posterior root tears. 7 Moreover, biomechanical evaluation of transtibial pullout meniscal root repair highlighted the importance of recognizing the bungee effect, as there was substantial displacement of the posterior medial meniscal root repaired using the transtibial pullout technique under a cyclic loading protocol simulating postoperative rehabilitation. 26 Additionally, a biomechanical comparison between suture anchor and transtibial pullout repair for posterior medial meniscus root tears suggested that the suture anchor technique offers superior biomechanical properties compared to the transtibial pullout repair technique.…”

“…The technique of anchor repair is similar to the reported technique of transtibial pullout repair in terms of positioning and suturing. 7 The location of the posterior root attachment point is determined, and a bone curette (Smith & Nephew) or plasma scalpel (Smith & Nephew) can be used to create a fresh cartilage surface for better healing ( Fig 2 ). Subsequently, a tibial targeting device of the ACL reconstruction instrument (Smith & Nephew) is positioned at the site of the torn attachment point with the affected limb while maintaining the knee in flexion, raising the foot position, and having a guide angle of 55°, and the attachment point can be determined through grasping the torn meniscus to the footprint with relatively low tension ( Fig 3 ).…”

“…Transtibial pullout repair has been widely used, while a study demonstrated that all-inside repair resulted in better functional outcomes compared to transtibial pullout repair, both clinically and radiologically. 7 Besides, anchor sutures can achieve more favorable biomechanical properties, so for PLMRT, they might be beneficial for healing of the repaired posterior meniscus root and restoration of meniscus function compared with transtibial pullout repair. 8 Nevertheless, anchor sutures always need more portals and may pose operational challenges.…”

Delta-Grip Stitch for Medial Meniscus Posterior Root Repair

“… 1 , 3 , 4 However, despite these advantages, second-look arthroscopies often reveal inadequate healing after MMPRT repair. 1 , 4 , 5 Consequently, numerous repair techniques 6 , 7 , 8 , 9 , 10 and reconstruction methods using autografts have been reported. In our practice, we have been performing a relatively simple locking-suture technique, utilizing all-inside suture passers for MMPRT repair.…”