An Arthroscopic Oblique Ripstop Technique in Medial Meniscal Root Repair

Arthroscopic medial meniscal root repair is essential for restoring native meniscal function in patients with root tears, especially when the articular cartilage remains intact. The pull-out technique is commonly used; however, suture cut-through remains a concern when the meniscal tissue is of poor quality. To address this issue, we describe a modified oblique ripstop technique, which incorporates an obliquely oriented horizontal mattress stitch to reinforce the meniscal root and prevent suture cut-through. This configuration aligns the ripstop suture perpendicular to the cinch stitch, thereby enhancing resistance to pull-out forces. This technique is simple, reproducible, and may offer biomechanical advantages in compromised meniscal tissue conditions.