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

Area of Science:

• Orthopedic surgery
• Biomechanics
• Sports medicine

Background:

• The menisci are crucial for knee stability and load distribution.
• Tears of the meniscal roots (anterior and posterior) lead to extrusion and dysfunction.
• Proper traction force during surgical repair is vital to prevent construct failure.

Purpose of the Study:

• To describe a modified transtibial suture pullout technique for meniscal root repair.
• To introduce a sliding knot modification for controlled reduction and traction.
• To address the challenges of achieving optimal fixation in meniscal root avulsions.

Main Methods:

• Modification of the standard transtibial suture pullout technique.
• Incorporation of a sliding knot at the meniscus-suture interface.
• Application of controlled reduction and traction force to the meniscal root.

Main Results:

• The modified technique allows for adjustable reduction and traction.
• A sliding knot facilitates precise control over the construct's tightness.
• This method aims to optimize the contact between the meniscal root and the tibia.

Conclusions:

• The described sliding knot modification offers a valuable tool for meniscal root repair.
• This technique may improve fixation security and prevent complications like the cheese-wire effect.
• Optimized reduction and traction are key for restoring meniscal function and knee stability.