Arthroscopy Techniques (Aug 2020)

Peripheral Stabilization Suture to Address Meniscal Extrusion in a Revision Meniscal Root Repair: Surgical Technique and Rehabilitation Protocol

  • Robert S. Dean, B.S.,
  • Nicholas N. DePhillipo, M.S., A.T.C., O.T.C.,
  • Jill K. Monson, P.T., O.C.S.,
  • Robert F. LaPrade, M.D., Ph.D.

Journal volume & issue
Vol. 9, no. 8
pp. e1211 – e1218

Abstract

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Meniscal root tears are an increasingly recognized condition. These tears can cause the meniscus to become extruded outside the joint, which can diminish the biomechanical functionality of the meniscus. Anatomic repair of the meniscal root has previously been described, but this surgical procedure may not adequately address severe extrusion of the meniscal tissue. Additionally, when a primary anatomic repair fails, meniscal extrusion can increase, which can possibly accelerate joint degeneration if untreated. Therefore, the purpose of this Technical Note is to describe our surgical technique for revision medial meniscal root repair with a peripheral stabilization suture to address medial meniscal root tears with severe meniscal extrusion.