# The Flipping Suture Technique for Reduction of Chronic Incarcerated Bucket-Handle Meniscus Tears

## TL;DR

This paper introduces a new surgical technique to treat chronic meniscal tears in the knee using a flipping suture followed by standard repair.

## Contribution

A novel outside-in flipping suture technique is proposed for treating chronically incarcerated bucket-handle meniscus tears.

## Key findings

- The flipping suture technique enables meniscal eversion for better repair outcomes.
- The method is presented as a reproducible alternative to traditional inside-out techniques.
- It is particularly useful when the posterior horn of the meniscus is involved.

## Abstract

Meniscal tears are the most common and most treated injuries of the knee. In the recent past, meniscectomy was considered the treatment of choice for meniscal lesions. However, this practice is progressively being discontinued in favor of meniscal repair, which has shown high success rates. Several techniques are currently used individually or in association to treat bucket-handle meniscal tears. The inside-out technique has been considered the gold standard for this kind of lesion, especially if the posterior horn of the meniscus is involved. This article aims to describe a reproducible surgical technique for chronically incarcerated bucket handle meniscal tears that consist of an outside-in reduction suture for meniscal eversion, the “flipping suture”, followed by additional standard meniscal repair sutures.