title: Arthroscopic pullout repair of a complete radial tear of the tibial attachment site of the medial meniscus posterior horn.
abstract: We developed an effective arthroscopic pullout technique for repairing complete radial tears of the tibial attachment site of the medial meniscus posterior horn (MMPH). In our technique, the torn meniscus is reattached to the tibial plateau immediately medial or anteromedial to the posterior cruciate ligament (PCL) using two No. 2 Ethibond sutures (Ethicon, Somerville, NJ). After a complete radial tear of the tibial attachment site of the MMPH and its reparability were confirmed, using a Caspari suture loaded with a suture shuttle, one No. 2 Ethibond suture is placed through the meniscus, through the red-red zone, 3 to 5 mm medial to the torn edge of the MMPH, and the other is passed through the meniscocapsular junction 3 to 5 mm medial to the torn edge of the meniscus. Then, a tibial tunnel, 5-mm in diameter, is made from the anteromedial aspect of the proximal tibia to the previously prepared tibial plateau, immediately medial or anteromedial to the PCL, and the two No. 2 Ethibond sutures are pulled out through the tibial tunnel and then fixed to the proximal tibia using a 3.5-mm cortical screw and washer. Firm reattachment of the torn meniscus was confirmed arthroscopically.
authors.affiliation: Department of Orthopaedic Surgery, Chungnam National University College of Medicine, Jung-gu, Daejeon, Korea. osdr69@cnu.ac.kr
authors.forename: Young-Mo
authors.initials: YM
authors.lastname: Kim
authors.forename: Kwang-Jin
authors.initials: KJ
authors.lastname: Rhee
authors.forename: June-Kyu
authors.initials: JK
authors.lastname: Lee
authors.forename: Deuk-Soo
authors.initials: DS
authors.lastname: Hwang
authors.forename: Jun-Young
authors.initials: JY
authors.lastname: Yang
authors.forename: Sung-Jae
authors.initials: SJ
authors.lastname: Kim
mesh_terms: D001182:Arthroscopy / Q000379:methods*; D006801:Humans; D022125:Lacerations / Q000601:surgery*; D008592:Menisci, Tibial / Q000601:surgery*; D011093:Polyethylene Terephthalates; D019651:Plastic Surgery Procedures / Q000379:methods*; D013536:Suture Techniques; D013537:Sutures; D000070600:Tibial Meniscus Injuries
chemical_list: C014534:Ethibond; D011093:Polyethylene Terephthalates