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An Arthroscopic Oblique Ripstop Technique in Medial Meniscal Root Repair
Hafizz Sanitsakul1, Wachiraphan Parinyakhup1, Tanarat Boonriong1
1Department of Orthopedics Faculty of Medicine Prince of Songkla University Hat Yai Songkhla Thailand.
Arthroscopy Techniques
|August 14, 2026
Summary
A new modified ripstop technique for arthroscopic medial meniscal root repair enhances suture security in poor-quality tissue. This method aims to prevent suture cut-through, improving repair outcomes for meniscus root tears.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Sports Medicine
Background:
- Arthroscopic medial meniscal root repair is crucial for preserving knee function.
- The pull-out technique is standard but risks suture cut-through in poor-quality meniscal tissue.
Purpose of the Study:
- To introduce and describe a modified oblique ripstop technique for arthroscopic medial meniscal root repair.
- To enhance suture security and prevent cut-through in compromised meniscal tissue.
Main Methods:
- A modified oblique ripstop technique incorporating a horizontal mattress stitch was developed.
- This stitch is oriented to reinforce the meniscal root and resist pull-out forces.
Main Results:
- The modified technique provides reinforcement perpendicular to the cinch stitch.
- It is designed to enhance resistance to pull-out forces, particularly in compromised tissue.
Conclusions:
- The modified oblique ripstop technique is a simple and reproducible method.
- It may offer biomechanical advantages for arthroscopic medial meniscal root repair in patients with poor-quality tissue.