A simplified arthroscopic outside-in meniscus repair technique.

Abstract

A simple and reproducible technique for meniscus tear repair is described. The technique requires the use of a 16-gauge intravenous catheter, a suture hook, and a knot pusher. The catheter is used for perforation of the meniscus and the tear site in two adjacent locations, then the two free suture ends are retrieved and passed along a small arthroscopic cannula placed at the ipsilateral joint space, and finally a sliding arthroscopic knot is tied and advanced to the meniscus surface with a knot pusher. This simple technique provides secure fixation of the meniscus tear during the healing period and has been proven successful and without complications in the patients in whom it has been used.