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Arthroscopic Meniscal Root Repair Using a Novel Suture Passing Device

March 15, 2015

Contributors: Michael J Stuart, MD; Bruce A Levy, MD; Mark A. McCarthy, MD; Aaron J Krych, MD; Andrew J. Blackman, MD; Andrew J. Blackman, MD

Meniscal root injuries can compromise knee function and lead to early degenerative changes. Numerous techniques have been described for meniscal root repair; however all require use of a posterior portal or a curved suture shuttling device, which can be difficult to maneuver in the posterior knee. This video demonstrates a technique for meniscal root repair using a novel suture passing device, which is designed for use in the knee, thereby facilitating a single portal repair technique that does not require a posterior portal. Additionally, the double locking loop suture configuration demonstrated in this technique has been shown to be biomechanically superior to simple and mattress sutures. The technique can be used to treat meniscal root avulsion injuries or full thickness radial tears near the root attachment. Specific steps include suture passage in the double locking loop configuration, tibial socket preparation, suture shuttling into the tibial socket, and tensioning and final fixation. In addition to reviewing the repair technique, this video provides an overview of biomechanical and clinical results of meniscal root repair.

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