Lateral Meniscus Repairs Using Single Posteromedial Portal by All-Inside Suture-From Posterior to Anterior.

Shang, Ziqi; Li, Zhikuan; Zhang, Zhuangdai; Niu, Yingzhen; Zheng, Yi; Wang, Li; Dong, Jiangtao · Arthrosc Tech · 2025

expert_opinion · Level V

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Abstract

The meniscus plays an important role in absorbing shock, sharing load, reducing contact stress, and maintaining stability of knee joint movement. We know that there are various ways to repair meniscus injuries under arthroscopy. However, we found some technical limitations during the operation, such as the risk of neurovascular injury and the long operation time of repair. On this basis, we modified the lateral meniscus suture technique. A special technique of lateral meniscus repairs using a single posteromedial portal by all-inside suture is proposed: from posterior to anterior, we believe that this technique can effectively optimize the surgical procedure and reduce the time of repair surgery resulting from angle problems, and the use of this method can effectively reduce the possibility of damage to the nerves, blood vessels, and tendons in the knee joint. Surgeons who are initially exposed to arthroscopic repair of the lateral meniscus can use this repair method, which reduces the surgical threshold for the suture of the lateral meniscus.