Lateral Meniscus Repair Using Posterolateral Portal: Suture Hook Technique

Area of Science:

• Orthopedic Surgery
• Knee Arthroscopy
• Meniscus Repair

Background:

• Lateral meniscus lesions disrupt hoop stresses, potentially causing lateral compartment overload and early degenerative changes.
• Arthroscopic suture repair is a recognized treatment for meniscus tears, yielding favorable long-term outcomes.
• Posterior vertical tears in the peripheral meniscus present significant technical challenges for surgeons.

Purpose of the Study:

• To describe a novel suture hook technique for repairing lateral meniscus posterior vertical tears.
• To introduce the use of an accessory posterolateral portal for enhanced surgical access.
• To present a safe and effective method for addressing difficult meniscus tear locations.

Main Methods:

• A technical note detailing the suture hook technique for lateral meniscus repair.
• Utilizing an accessory posterolateral portal to access posterior tear regions.
• Step-by-step description of the arthroscopic procedure.

Main Results:

• The described suture hook technique is presented as a safe and effective method.
• The technique facilitates the repair of full vertical tears in the lateral meniscus.
• Improved access to challenging posterior tear locations is achieved.

Conclusions:

• The suture hook technique with an accessory posterolateral portal is a viable option for lateral meniscus posterior vertical tear repair.
• This method addresses the technical difficulties associated with repairing peripheral meniscus tears.
• The technique offers a safe and effective approach to restore meniscus function and prevent degenerative changes.