Repairing Complete Radial Tears of the Lateral Meniscus: Arthroscopic All-Inside Double Vertical Cross-Suture Technique Is Effective and Safe With 2-Year Minimum Follow-Up

Editorial Commentary: All-Inside Double-Vertical Cross-Suture is an Effective Technique for Knee Meniscus Radial Tear Repair, but There is No Gold-Standard Evaluation Tool for Evaluating Healing and Function of the Repaired Meniscus

“…After returning to sports, meniscal status may change; thus longer-term outcomes on MRI are required to assess whether this technique is useful for preventing degenerative changes. As the healing rate of this MRI result was very high compared to the previous arthroscopic result, 4,6 a definite MRI evaluation method seems to be established.…”

“…Ó 2021 by the Arthroscopy Association of North America 0749-8063/211784/$36.00 https://doi.org/10.1016/j.arthro.2021.12.031 double vertical cross-suture technique seems to be a more useful suture method. 4 In addition, biomechanical tests revealed that the double vertical cross technique showed superior properties in load to failure and stiffness than double vertical or double horizontal sutures. 8 Magnetic resonance imaging (MRI) examination as an assessment of healing status was performed only at 6 months after operation in this study, 4 and longer-term image analysis has not been shown.…”

“…4 In addition, biomechanical tests revealed that the double vertical cross technique showed superior properties in load to failure and stiffness than double vertical or double horizontal sutures. 8 Magnetic resonance imaging (MRI) examination as an assessment of healing status was performed only at 6 months after operation in this study, 4 and longer-term image analysis has not been shown. After returning to sports, meniscal status may change; thus longer-term outcomes on MRI are required to assess whether this technique is useful for preventing degenerative changes.…”

“…In this respect, the postoperative schedule was reasonable in this study. 4 After the meniscus is repaired, meniscal function can be evaluated on the basis of several aspects, such as clinical symptoms/findings, radiographic examination, MRI, and arthroscopy. 5,9 Representative clinical symptoms of meniscal tears include pain, catching, and locking, and physical findings include ballottement, joint line tenderness, McMurray test, and restriction of range of motion.…”

Arthroscopic Repair of Radial Tears in the Junction of the Anterior Horn and Body of the Lateral Meniscus Using an All-Inside Device

“…Yeh et al. 7 proposes a cross-suture double-vertical all-inside technique for radial tears of the lateral meniscus. Although this technique has favorable healing rates at 2 years and comparable functional outcome scores, this technique requires an accessory portal, and the suture pattern is complicated, which requires skills in suture passing and suture management.…”