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Meniscal Root Repair With Centralization.

Lydia McKeithan1, Cassandra A Lee1

  • 1Department of Orthopaedic Surgery, University of California Davis, Sacramento, California, USA.

Video Journal of Sports Medicine
|June 25, 2026
PubMed
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Transtibial meniscal root repair with centralization restores hoop stress and reduces extrusion, improving knee function. This technique offers durable relief and joint preservation for appropriate patients.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomechanical Engineering

Background:

  • Meniscal root tears disrupt knee joint mechanics, increasing contact pressures and osteoarthritis progression.
  • Prompt diagnosis and treatment are crucial to prevent degenerative changes after root tears.

Purpose of the Study:

  • To describe and evaluate the efficacy of anatomic transtibial meniscal root repair with centralization.
  • To assess the technique's ability to restore meniscal function and prevent extrusion.

Main Methods:

  • Anatomic transtibial repair using luggage-tag sutures and knotless anchors.
  • Meniscus centralization technique with a mid-coronal tibial plateau anchor to prevent extrusion.
  • Knee flexion at 90° for suture tensioning and fixation.
Keywords:
joint preservationmeniscal centralizationmeniscal repairmeniscal root tearroot repair technique

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Main Results:

  • The technique restores hoop stresses and reduces meniscal extrusion.
  • Patients report improved pain, function, and activity levels post-repair.
  • Outcomes are superior compared to meniscectomy or nonoperative management.

Conclusions:

  • Transtibial meniscal root repair with centralization is a reproducible technique for joint preservation.
  • The method effectively restores meniscal function, minimizes extrusion, and delays osteoarthritis.
  • Durable symptom relief and joint preservation are achievable in appropriately selected patients.