Arthroscopic Medial Meniscus Posterior Root Repair and Centralization With Medial Capsulodesis Using a Knotless Soft Anchor.

ABSTRACT: Meniscal extrusion after posterior root tears of the medial meniscus disrupts the knee hoop-stress mechanism and increases joint contact pressure, accelerating osteoarthritis. Even with an anatomic root repair, extrusion often persists. Meniscal centralization has been proposed as a complementary strategy to restore joint biomechanics and reduce stress on the repaired root. This technique combines transtibial pull-out repair of the medial meniscus posterior root with meniscal centralization and medial capsulodesis. A tibial tunnel is created for root fixation using a FiberWire suture, and centralization is performed using an outside-in technique with 2 spinal needles and a single 1.8-mm knotless anchor. This allows simultaneous stabilization of the medial capsule and the meniscotibial liga

SUBMITTER: Radaelli S 

PROVIDER: S-EPMC12541740 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature