Posterior knee arthroscopy facilitates the_safe and_efective all-inside repair of_locked bucket-handle medial meniscal tear using a_suture hook technique

Sohrab Keyhani¹ · Mehran Soleymanha² · Rene Verdonk³ · Farzad Amouzadeh¹ · Mohammad Movahedinia¹ · Seyyed Morteza Kazemi¹

Received: 3 August 2020 / Accepted: 9 April 2021

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2021

Abstract

Purpose  This study reported the outcomes of locked bucket-handle medial meniscal tear (BHMMT) repairs using an arthro-scopic posterior approach during anterior cruciate ligament (ACL) reconstruction.

Methods  Between 2011 and 2014, 48 patients with BHMMTs and ACL tears who met the eligibility criteria were enrolled in the present study. BHMMTs were assessed using a posterolateral transseptal portal and repaired using a posteromedial portal. Transportal ACL reconstruction was performed using hamstrings autograft. Patients were assessed based on their IKDC and Lysholm scores and Tegner activity level. Meniscal healing was clinically evaluated based on the absence of swelling, joint line tenderness, locking, and catching; McMurray test results; and the need for meniscectomy.

Results  According to follow-up assessments, the average IKDC and Lysholm scores improved significantly after 3–5_years (P⁜<⁜0.001)

Conclusion  _Excellent clinical outcomes were obtained when locked BHMMTs were repaired using an all-inside suture technique that employed posteromedial and posterolateral transseptal portals.

Level of evidence  IV.

Keywords  Bucket-handle medial meniscal tears_· Posterolateral portal_· Posteromedial portal_· Transseptal portal_· Meniscal repair_· Medical meniscus

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