Concomitant Medial and Lateral Meniscus Posterior Horn Root Repair With Anterior Cruciate Ligament Reconstruction Using Triangular Configuration of Transtibial Tunnel Technique

The simultaneous presence of posterior horn root tears in both the medial and lateral menisci along with an anterior cruciate ligament (ACL) rupture is uncommon. Literature is scarce that addresses the concurrent repair of medial and lateral meniscus root tears alongside ACL reconstruction. We discuss the management of concomitant medial meniscus posterior horn root tear, lateral meniscus posterior horn root tear, and ACL tear. Challenges may arise, including difficulty in accessing the medial meniscal root tear, confusion regarding the sequence of repair, and the risk of tunnel coalition within the tibial bone during each procedure. In response, we offer a detailed, step-by-step arthroscopic technique aimed at efficiently addressing these obstacles while saving time.