A Modified Transtibial Pull-Out Repair for Posterior Root Avulsions of the Lateral Meniscus with Concomitant Anterior Cruciate Ligament Reconstruction: A Report of Two Cases.

Abstract

This case series describes the surgical technique for and outcomes after a modified transtibial pull-out repair for posterior root avulsions of the lateral meniscus. This modified technique is designed to prevent tunnel convergence during a concomitant or staging of an anterior cruciate ligament (ACL) reconstruction. Promising short-term clinical outcomes were seen at the two-year follow-up for both patients. On second-look arthroscopy, one patient also demonstrated excellent healing. Results provide preliminary evidence suggesting that this technique may (1) facilitate anatomic healing of the root and (2) allow for concomitant or staged ACL reconstruction tunnel reaming.