A Make-Use Loop-Through-Loop Technique of Meniscal Root Repair: A Controlled Reduction and Traction Method

The menisci play an important role in knee stability and uniform distribution of load across the knee joint. The posterior and anterior roots anchor the meniscus to the tibia. A complete root tear results in meniscal extrusion and loss of normal meniscus function, predisposing the knee to early degenerative changes. During surgical repair, a proper amount of traction force is necessary at the meniscus-suture interface. A loose construct cannot maintain the contact of the root to bone, whereas a tight construct predisposes to a cheese-wire effect. The aim of this technical note is to describe a modification of the transtibial suture pullout technique that uses a sliding knot so that a desired amount of reduction and traction can be applied to the root.