Techniques of Meniscal Repair

There is no single technique suitable for repair of all Meniscal Tears. The three basic techniques for arthroscopic meniscal repair are:

Outside - in technique

Inside - out technique

All - inside technique

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Fluid extravasation

If the capsular incision is too large while the subcutaneous and skin incisions are too small, irrigation fluid will dissect into the subcutaneous tissue. This expands the subcutaneous layer and shift

Distally placed arthroscopic portal

If the arthroscopic portal is placed too far distally there is chance to damage the anterior portion of lateral meniscus. This is possible in case of a low-riding patella, if the surgeon uses the pate

Meniscal root tears

These are radial tears with in 1cm of the meniscal attachment or avulsion of meniscal root from the site of attachment. Medial meniscal root tears causes chondral damage. Lateral meniscus root tears