Abstract
INTRODUCTION: The arthroscopic transtibial pullout technique is popular option for the medial meniscus posterior root tear repair. The technique involves passing sutures through the meniscus tissue at the root, creating a bone tunnel, and bringing the sutures through the bone tunnel on the anteromedial surface of the tibia. The suture threads are then tied over anteromedial surface of tibia with the help of various fixation devices to secure the root at its footprint. SURGICAL TECHNIQUE: A sleeve of no 5 ethibond is used to fix the pull-out threads to anteromedial surface of tibia achieving secure and stable fixation of the posterior root to anatomical footprint with option of adjusting the tension. CONCLUSION: HitPat's modified all-suture technique is a cost-effective solution to medial meniscus posterior root repair with the distinct advantage of less prominent hardware and the option to adjust the tension in repair.