Arthroscopic Refixation of the Medial Meniscal Posterior Root With an Intramedullary Titanium Screw

TL;DR

This paper introduces a new arthroscopic technique using a titanium screw to repair medial meniscal posterior root tears, aiming to improve clinical outcomes and reduce costs.

Contribution

The novel technique uses standard arthroscopic tools and a titanium screw for intramedullary refixation of medial meniscal posterior root tears.

Findings

The technique is described as effective, safe, and reproducible.

It minimizes additional costs by using standard arthroscopic tools.

It addresses the challenges of meniscal posterior root tear repair.

Abstract

Arthroscopic repair of medial meniscal posterior root tears addresses a complex area of modern traumatology. Meniscal posterior root tear presents challenges owing to its potential post-traumatic consequences, including functional deficiency, as well as increased risk of degenerative changes and osteoarthritis, which significantly deteriorate patients' quality of life. The considerable interest from both clinicians and researchers stems from the serious implications of such injuries, the diagnostic challenges—particularly in the early stages—and the inconsistent clinical outcomes associated with various treatment modalities. Despite the availability of diverse surgical approaches and substantial clinical experience, the prevalence of unsatisfactory results indicates that meniscal posterior root tear remains a complex issue yet to be fully resolved. Moreover, a consensus on the optimal management strategy for this injury has not been established. Consequently, we present an effective, safe, and reproducible technique for arthroscopic intramedullary refixation of the medial meniscal posterior root with a titanium screw, using only standard arthroscopic tools to minimize additional costs.

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