Arthroscopic Medial Meniscal Posterior Root Reconstruction Using Gracilis Autograft via the Anterior-Medial Collateral Ligament Portal to Prevent Meniscal Tissue Cut-Through.

Kulkamthorn, Nattha; Tungbutrawong, Chonlapas; Bantuchai, Theeraset; Inkaratana, Tharit; Cheewakongkiat, Pattanaket · Arthrosc Tech · 2025

case_report · Level V

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Abstract

Meniscal root repair is the treatment of choice for reparable meniscal root tears; however, the complete healing rate is less than 60%. To improve healing outcomes, meniscal root reconstruction may serve as a viable alternative. We present an arthroscopic reconstructive technique using a gracilis graft through the anterior-medial collateral ligament portal. This approach offers the advantage of minimizing further meniscal tissue injury or cut-through.