Skip to main content
Log in

Arthroscopic pullout repair of posterior root tear of the medial meniscus: the anterior approach using medial collateral ligament pie-crusting release

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Posterior root tears of the medial meniscus are frequently encountered and should be repaired if possible to prevent osteoarthritis of the medial compartment. Various surgical techniques have been proposed to repair posterior root tears. The anterior arthroscopic approach can cause an iatrogenic chondral injury due to the narrow medial joint space. The posterior approaches might be technically unfamiliar to many surgeons because they require the establishment of a posteromedial or trans-septal portal. This paper describes the medial collateral ligament pie-crusting release technique for arthroscopic double transosseous pullout repair of posterior root tears of the medial meniscus through the anterior approach to provide the good visualization of the footprint and sufficient working space.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Ahn JH, Wang JH, Yoo JC, Noh HK, Park JH (2007) A pull out suture for transection of the posterior horn of the medial meniscus: using a posterior trans-septal portal. Knee Surg Sports Traumatol Arthrosc 15:1510–1513

    Article  PubMed  Google Scholar 

  2. Bin SI, Kim JM, Shin SJ (2004) Radial tears of the posterior horn of the medial meniscus. Arthroscopy 20:373–378

    Article  PubMed  Google Scholar 

  3. Choi NH, Son KM, Victoroff BN (2008) Arthroscopic all-inside repair for a tear of posterior root of the medial meniscus: a technical note. Knee Surg Sports Traumatol Arthrosc 16:891–893

    Article  PubMed  Google Scholar 

  4. Jo CH, Yoon KS, Lee JH, Kang SB, Han HS, Rhee SH, Lee MC (2009) Under-meniscal portal: an alternative portal for an easy access to the medial and lateral menisci. Knee Surg Sports Traumatol Arthrosc 17:1344–1346

    Article  PubMed  Google Scholar 

  5. Kim JH, Shin DE, Dan JM, Nam KS, Ahn TK, Lee DH (2009) Arthroscopic suture anchor repair of posterior root attachment injury in medial meniscus: technical note. Arch Orthop Trauma Surg 129:1085–1088

    Article  PubMed  Google Scholar 

  6. Kim YM, Rhee KJ, Lee JK, Hwang DS, Yang JY, Kim SJ (2006) Arthroscopic pullout repair of a complete radial tear of the tibial attachment site of the medial meniscus posterior horn. Arthroscopy 22:795 e791–795 e794

    Google Scholar 

  7. Lee JH, Hwang BY, Lim YJ, Kim KH, Song JH (2009) Radial tears in the roots of the posterior horns of both the medial and lateral menisci combined with anterior cruciate ligament tear: a case report. Knee Surg Sports Traumatol Arthrosc 17:1340–1343

    Article  PubMed  Google Scholar 

  8. Lee JH, Lim YJ, Kim KB, Kim KH, Song JH (2009) Arthroscopic pullout suture repair of posterior root tear of the medial meniscus: radiographic and clinical results with a 2-year follow-up. Arthroscopy 25:951–958

    Article  PubMed  Google Scholar 

  9. Leon HO, Blanco CE, Guthrie TB (2001) Arthroscopic decompressive medial release of the varus arthritic knee: expanding the functional envelope. Arthroscopy 17:523–526

    Article  PubMed  CAS  Google Scholar 

  10. Lerer DB, Umans HR, Hu MX, Jones MH (2004) The role of meniscal root pathology and radial meniscal tear in medial meniscal extrusion. Skeletal Radiol 33:569–574

    Article  PubMed  CAS  Google Scholar 

  11. Lyu SR (2008) Arthroscopic medial release for medial compartment osteoarthritis of the knee: the result of a single surgeon series with a minimum follow-up of four years. J Bone Joint Surg Br 90:1186–1192

    PubMed  Google Scholar 

  12. Ozkoc G, Circi E, Gonc U, Irgit K, Pourbagher A, Tandogan RN (2008) Radial tears in the root of the posterior horn of the medial meniscus. Knee Surg Sports Traumatol Arthrosc 16:849–854

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hong-Kyo Moon.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Park, YS., Moon, HK., Koh, YG. et al. Arthroscopic pullout repair of posterior root tear of the medial meniscus: the anterior approach using medial collateral ligament pie-crusting release. Knee Surg Sports Traumatol Arthrosc 19, 1334–1336 (2011). https://doi.org/10.1007/s00167-011-1435-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-011-1435-y

Keywords

Navigation