Repair of a Horizontal Cleavage Tear of the Lateral Meniscus with Circumferential Compression Stitches and Marrow Venting Augmentation

The “Under, Over” Technique for Repair of a Peripheral Bucket-Handle Meniscus Tear With Circumferential Compression Stitches

“…Early studies have demonstrated successful repair of other tear patterns using the NOVOSTITCH PRO device, including meniscal root tears, horizontal cleavage tears, and radial tears. 13 , 18 , 19 , 20 , 21 All-inside techniques have also been shown to reduce operative time and lower the risk of nerve injury complications compared with inside-out repair. 22 Furthermore, the NOVOSTITCH PRO device can be used for circumferential compression sutures, which biomechanical studies show reduce gap formation at high cyclic loading and provide the highest load to failure of all repair techniques.…”

Meniscus Injuries in Soccer

“…If the patient experiences medial or lateral joint line pain or mechanical symptoms, it is considered a positive test inside" circumferential compression sutures have shown promise as a fixation construct for horizontal cleavage tears and provide theoretical advantages most notably, more uniform compression from the top down across torn leaflets (reduced gapping, higher load to failure). 63 Incomplete radial tears, that start in the innermost avascular zone and do not reach the periphery, can be treated with arthroscopic partial meniscectomy as they are unlikely to heal (Fig. 3A), whereas complete tears that transverse the circumferential fibers can result in meniscal extrusion and abnormal load transmission equivalent to total meniscectomy and should be repaired.…”

“…Some have argued that horizontal cleavage tears can be seen in young patients with a traumatic mechanism and that these tears should be repaired up to the avascular zone when able 62 . As opposed to conventional “all-inside” or “inside-out” techniques, “all-inside” circumferential compression sutures have shown promise as a fixation construct for horizontal cleavage tears and provide theoretical advantages most notably, more uniform compression from the top down across torn leaflets (reduced gapping, higher load to failure) 63 …”