Medial Meniscus Posterior Root Tear Repair Using a 2-Simple-Suture Pullout Technique

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Knee Arthroscopy

Background:

• Medial meniscus posterior root tears are often underestimated knee injuries.
• These tears have significant consequences if not treated effectively.
• Preserving native knee joint longevity is a key goal in treating such injuries.

Purpose of the Study:

• To describe a simple 2-suture pullout technique for medial meniscus posterior root tears.
• To evaluate the efficacy of this technique in achieving anatomic reduction.
• To highlight the importance of tool selection and tibial tunnel parameters.

Main Methods:

• A 2-simple-suture pullout technique was employed.
• Arthroscopic anterior knee portals (anterolateral viewing, anteromedial working) were utilized.
• A 7-mm tibial tunnel was created from Gerdy tubercle to the medial meniscus posterior root bed.
• Sutures were retrieved, tensioned, and secured over a washer.

Main Results:

• The technique allowed for effective reduction of the meniscus posterior root to its anatomic position.
• Proper tool selection and tibial tunnel direction facilitated suturing and tensioning.
• No iatrogenic articular cartilage injury or meniscal tissue loss was observed.
• Intraoperative arthroscopy and postoperative MRI confirmed anatomic reduction.

Conclusions:

• The described 2-suture pullout technique is effective for treating medial meniscus posterior root tears.
• This technique can help maintain native knee joint longevity.
• Careful attention to surgical technique details is essential for successful outcomes.