Medial Meniscus Radial Tear: A Transtibial 2-Tunnel Technique

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Presentation transcript:

Medial Meniscus Radial Tear: A Transtibial 2-Tunnel Technique Marco Nitri, M.D., Jorge Chahla, M.D., David Civitarese, B.A., Sanjeev Bhatia, M.D., Samuel G. Moulton, B.A., Christopher M. LaPrade, B.A., Robert F. LaPrade, M.D., Ph.D. Arthroscopy Techniques Volume 5, Issue 4, Pages e889-e895 (August 2016) DOI: 10.1016/j.eats.2016.04.012 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Arthroscopic image of a midbody complete radial tear of the medial meniscus (MM) in a right knee. (MFC, medial femoral condyle; MTP, medial tibial plateau.) Arthroscopy Techniques 2016 5, e889-e895DOI: (10.1016/j.eats.2016.04.012) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 Operative (left) and arthroscopic (right) views of the 2 transtibial 2.4-mm tunnels with 5 mm of separation reamed at the meniscocapsular region of the tibia in a right knee. Arthroscopy Techniques 2016 5, e889-e895DOI: (10.1016/j.eats.2016.04.012) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Operative (left) and arthroscopic (right) views of a suture of the posterior horn of the meniscal flaps with a self-capture suture passer device in a right knee. (LFC, lateral femoral condyle.) Arthroscopy Techniques 2016 5, e889-e895DOI: (10.1016/j.eats.2016.04.012) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 Arthroscopic view (left) showing the anatomic reduction of the radial tear and operative view (right) showing extra-articular tying of the knot to secure it to the anteromedial tibial cortex with a button device in a right knee. (LFC, lateral femoral condyle.) Arthroscopy Techniques 2016 5, e889-e895DOI: (10.1016/j.eats.2016.04.012) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 5 Postoperative protocol for a 2-tunnel radial meniscal repair. (NWB, non–weight bearing; POD, postoperative day; PROM, passive range of motion; Quad, quadriceps; ROM, range of motion.) Arthroscopy Techniques 2016 5, e889-e895DOI: (10.1016/j.eats.2016.04.012) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions