Arthroscopic Repair of Medial Meniscus Posterior Root Tear: Transtibial Fixation With 2 Lasso‐Loop Sutures and 1 Samsung Medical Center Sliding Knot for Tensioning Secured by a Tibial Button

Medial meniscus posterior root tears disrupt the circumferential load-transmission function of the meniscus and negatively affect knee biomechanics. This technical note describes a reliable and reproducible arthroscopic repair technique using 2 lasso-loop sutures and 1 Samsung Medical Center sliding knot through a single transtibial tunnel, secured with a tibial cortical button, emphasizing controlled anatomic reduction and balanced tensioning at the meniscus-suture interface. This method provides strong tissue capture and secure tibial fixation while allowing controlled footprint restoration and minimizing suture loosening or cut-through, thereby enabling anatomic reduction of the meniscal root.

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Publication Details

Journal
Arthroscopy Techniques
Published
2026-10-27
DOI
https://doi.org/10.1002/atn2.70369
Primary Topic
Knee injuries and reconstruction techniques
Type
article
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article

Arthroscopic Repair of Medial Meniscus Posterior Root Tear: Transtibial Fixation With 2 Lasso‐Loop Sutures and 1 Samsung Medical Center Sliding Knot for Tensioning Secured by a Tibial Button

Yavuz Karaman, Şahan Güven, Melih Atalay, İzzet Bingöl et al.
3 links
Arthroscopy Techniques
Knee injuries and reconstruction techniques
article

Arthroscopic Repair of Medial Meniscus Posterior Root Tear: Transtibial Fixation With 2 Lasso‐Loop Sutures and 1 Samsung Medical Center Sliding Knot for Tensioning Secured by a Tibial Button

Yavuz Karaman, Şahan Güven, Melih Atalay, İzzet Bingöl, Nevzat Arıcan
article en

Abstract

Medial meniscus posterior root tears disrupt the circumferential load-transmission function of the meniscus and negatively affect knee biomechanics. This technical note describes a reliable and reproducible arthroscopic repair technique using 2 lasso-loop sutures and 1 Samsung Medical Center sliding knot through a single transtibial tunnel, secured with a tibial cortical button, emphasizing controlled anatomic reduction and balanced tensioning at the meniscus-suture interface. This method provides strong tissue capture and secure tibial fixation while allowing controlled footprint restoration and minimizing suture loosening or cut-through, thereby enabling anatomic reduction of the meniscal root.

Arthroscopy Techniques
Ankara Yıldırım Beyazıt University (TR), Ankara Bilkent City Hospital (TR)
Good health and well-being
Openalex Percentile: Top 10%
Knee injuries and reconstruction techniques
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