All-inside Arthroscopic Meniscal Repair Technique Using a Midbody Accessory Portal

Area of Science:

• Orthopedic Surgery
• Knee Biomechanics
• Sports Medicine

Background:

• Meniscal tears are common knee injuries impacting joint health.
• Suture repair aims to preserve meniscal tissue but presents technical challenges.
• Current all-inside devices have limitations and risks of iatrogenic injury.

Purpose of the Study:

• To describe a novel, simple all-inside meniscal repair technique.
• To enhance the reproducibility and reliability of meniscal repair procedures.
• To minimize collateral damage to the meniscus and articular cartilage.

Main Methods:

• Utilized an accessory midbody meniscal portal.
• Employed a surgical probe for precise mattress suture placement.
• Technique adaptable for medial and lateral meniscus repairs with various fixation methods.

Main Results:

• Ensured accurate placement of mattress sutures in a reduced meniscus.
• Significantly reduced the risk of injury to the meniscus and surrounding cartilage.
• Demonstrated adaptability to different meniscal tear locations and fixation types.

Conclusions:

• The described technique offers a reliable and reproducible method for all-inside meniscal repair.
• This approach improves safety by minimizing iatrogenic damage.
• It provides a versatile option for surgeons treating meniscal tears.