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. 2021 Dec 7;1(6):26350254211044513.
doi: 10.1177/26350254211044513. eCollection 2021 Nov-Dec.

Meniscal Root Repair

John R Matthews  1   2 , Ryan W Paul  3 , Sommer Hammoud  4
Affiliations

Meniscal Root Repair

John R Matthews et al. Video J Sports Med. .

Abstract

Background: Meniscal root tears typically result from a hyperflexion/squatting injury or are in conjunction with ligamentous knee injury. Once a complete tear occurs, the meniscus is unable to convert axial loads to transverse hoop stresses which result in increased tibiofemoral contact pressure and osteoarthritis. The goal of a meniscal root repair is to anatomically reattach the meniscal root to the tibia plateau. Complete and partial healing occurs in over 93% of cases with retear rates ranging from 0% to 7%.

Indications: We present a case of a highly active 21-year-old male collegiate soccer play that sustained a medial meniscal root tear after slipping on ice.

Technique: An anatomic medial meniscal root repair was performed using a transtibial guide and 2 loop sutures tied over a button.

Results: Full anatomic footprint coverage was able to be achieved intraoperatively and gentle range of motion from 0 to 90° of flexion did not result in gap formation.

Discussion/conclusion: Successful outcomes with full anatomic footprint coverage of the medial meniscal root can be achieved with 2-loop suture button configuration.

Keywords: knee; medial meniscus; meniscal root; meniscal root repair; meniscus.

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Conflict of interest statement

The authors declared that they have no conflicts of interest in the authorship and publication of this contribution. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto.

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