Optimizing Anatomic Reduction of Vertical Meniscus Tears With All-Inside Meniscus Repair.

Abstract

The lateral and medial meniscus play vital roles in load distribution across the knee joint and in the prevention of knee osteoarthritis. As such, every effort should be made to save and repair the meniscus when possible, as partial and total meniscectomies have been shown to impair the meniscus' ability to effectively dissipate shock. Recently, an algorithm-coined the "ABCs of meniscal repair"-has emerged as a blueprint for optimizing the success of a meniscal repair. The "ABCs of meniscal repair" refer to anatomic reduction, biologic augmentation, and circumferential compression across the meniscus tear, respectively. In this technique, we describe a modified use of the arthroscopic skid that allows for access to difficult-to-reach peripheral meniscal tears while simultaneously aiding in the anatomic reduction of the tear.