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Simplified Centralization Technique With Dual-Tunnel Meniscal Root Repair
Justin Jabara1, Marcus Trotter1, Jamie E Confino1
1Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, U.S.A.
Arthroscopy Techniques
|September 12, 2025
Summary
Meniscal extrusion, a risk factor for osteoarthritis, can be treated by repairing the meniscotibial ligament. This simplified technique uses all-inside devices to reduce the meniscus, potentially restoring knee function and preventing arthritis progression.
Area of Science:
- Orthopedic Surgery
- Biomechanics
- Sports Medicine
Background:
- Meniscal extrusion is a significant risk factor for knee osteoarthritis development.
- Failure of the meniscotibial ligament complex is the primary cause of meniscal extrusion.
- Current centralization techniques can be technically demanding.
Purpose of the Study:
- To present a simplified technique for meniscal centralization.
- To restore meniscus function in dissipating hoop stresses.
- To repair the meniscotibial ligament using all-inside devices.
Main Methods:
- A simplified meniscal centralization technique was developed.
- All-inside meniscal repair devices were utilized.
- Repair involved reducing the meniscus to its footprint via a transtibial tunnel.
Main Results:
- The technique simplifies the reduction of extruded meniscus.
- It addresses the meniscotibial ligament complex failure.
- Potential to restore normal knee biomechanics and reduce osteoarthritis progression.
Conclusions:
- This simplified technique offers a viable option for meniscal extrusion repair.
- It may improve outcomes for patients at risk of osteoarthritis.
- Further studies are warranted to evaluate long-term efficacy.
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