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Posterior knee arthroscopy facilitates the safe and effective all-inside repair of locked bucket-handle medial meniscal tear using a suture hook technique



This study reported the outcomes of locked bucket-handle medial meniscal tear (BHMMT) repairs using an arthroscopic posterior approach during anterior cruciate ligament (ACL) reconstruction.


Between 2011 and 2014, 48 patients with BHMMTs and ACL tears who met the eligibility criteria were enrolled in the present study. BHMMTs were assessed using a posterolateral transseptal portal and repaired using a posteromedial portal. Transportal ACL reconstruction was performed using hamstrings autograft. Patients were assessed based on their IKDC and Lysholm scores and Tegner activity level. Meniscal healing was clinically evaluated based on the absence of swelling, joint line tenderness, locking, and catching; McMurray test results; and the need for meniscectomy.


According to follow-up assessments, the average IKDC and Lysholm scores improved significantly after 3–5 years (P < 0.001)


 Excellent clinical outcomes were obtained when locked BHMMTs were repaired using an all-inside suture technique that employed posteromedial and posterolateral transseptal portals.

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Author information




SK designed the study and was the main surgeon of the patients. He carried out the post-operative visits and drafted the manuscript and has given final approval of the version to be published. MS conveinced of the study and parcipitated in its drafting and design. RV helped to draft the manuscript and revisied the study design. FA hepled Keyhani during surgery and post-opeative visits and participated in data gathering. MM carried out data acquisition and analysis and interpretation of data. He revised the manuscript critically for important intellectual content. MK conveinced of the study and parcipitated in its design. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Sohrab Keyhani.

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All authors declared no conflict of interest.

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The study protocol was reviewed and approved by the local Ethics Committee.

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Written informed consent was obtained from all patients before initiation of the study.

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Keyhani, S., Soleymanha, M., Verdonk, R. et al. Posterior knee arthroscopy facilitates the safe and effective all-inside repair of locked bucket-handle medial meniscal tear using a suture hook technique. Knee Surg Sports Traumatol Arthrosc (2021).

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  • Bucket-handle medial meniscal tears
  • Posterolateral portal
  • Posteromedial portal
  • Transseptal portal
  • Meniscal repair
  • Medical meniscus