Arthroscopic Circumferential Lateral Meniscus Reconstruction Using Pull-Through Technique and Anterior Half Peroneal Longus Tendon Autograft

Total meniscectomy for irreparable meniscal tears results in kinematics of the lower limb and early osteoarthritis of the knee. Some strategies for reconstruction of the meniscus include meniscus allograft transplantation and meniscal scaffold replacement. Although meniscus allograft transplantation is widely used, it has limitations such as the graft sources, high costs, and high risk of disease transmission. The research on meniscal scaffold replacement is still in the animal experimental stage, and there is a lack of large-scale clinical trial data. In this Technical Note, the lateral meniscus is reconstructed by using the pull-out technique with anterior half autologous peroneal longus tendon. This technique provides a simple and efficient method for the reconstruction of the total meniscus.