Arthroscopic all-inside repair of tears of the anterior horn of the lateral meniscus

Abstract

Presently, the outside-in or inside-out meniscal repair techniques are recommended for the repair of tears of the anterior horn of the lateral meniscus. However, an incision about 1 to 2 cm or more in length is needed, and the biomechanics of the lateral meniscus may be altered during motion. We have developed a new alternative repair technique to prevent this skin incision and preserve the normal biomechanics of the lateral meniscus during motion. We use 3 portals: a lateral patellofemoral axillary portal, a standard anterolateral portal, and an extreme far medial portal. We perform all-inside repair for tears of the anterior horn of the lateral meniscus using suture hooks.