True all inside meniscus repair using the popliteus tendon.

Abstract

The popliteus tendon is a useful anchor point to repair the posterior horn of the lateral meniscus. We describe a new, economical technique that does not violate the neurovascular structures, using an antegrade suture passer and a 2-0 fiberwire to repair the posterior segment including posterior horn of the lateral meniscus taking bites through the capsule and meniscus or the popliteus tendon and meniscus with no anchors in the capsule or popliteus. 9 patients were operated upon using this technique and the mean IKDC score improved from 24.2 to 84, p < 0.01, mean pre op Tegner improved from 1.88 to 6.63 p < 0.01, median hop test from 0 to 4, p = 0 at a mean 15.2 months post surgery. 8 patients had a negative Lachman and 1 grade 2 Lachman at 12 months follow up but was asymptomatic. The Barret's criteria was negative for all 9 patients at latest follow up.