Meniscus Ripstop Stitches: A Useful Technique for Arthroscopic Repair of Challenging Radial Tears of the Meniscus

Radial meniscal tears can be challenging to address and require advanced arthroscopic techniques for satisfactory repair. When radial tears occur in older patients, the surgeon often encounters suboptimal tissue integrity that presents its own challenges. Incorporating ripstop sutures in tie-grip re...

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Main Authors: Fabien Meta, M.D., Alexander C. Hayden, M.D., Xuankang Pan, B.S., Mario Hevesi, M.D., Ph.D., Adam J. Tagliero, M.D., Aaron J. Krych, M.D.
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724003062
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author Fabien Meta, M.D.
Alexander C. Hayden, M.D.
Xuankang Pan, B.S.
Mario Hevesi, M.D., Ph.D.
Adam J. Tagliero, M.D.
Aaron J. Krych, M.D.
author_facet Fabien Meta, M.D.
Alexander C. Hayden, M.D.
Xuankang Pan, B.S.
Mario Hevesi, M.D., Ph.D.
Adam J. Tagliero, M.D.
Aaron J. Krych, M.D.
author_sort Fabien Meta, M.D.
collection DOAJ
description Radial meniscal tears can be challenging to address and require advanced arthroscopic techniques for satisfactory repair. When radial tears occur in older patients, the surgeon often encounters suboptimal tissue integrity that presents its own challenges. Incorporating ripstop sutures in tie-grip repair constructs for radial tears has been documented in the literature with favorable biomechanical properties. This Technical Note and accompanying video present a reproducible method for incorporating tie-grip and mobile ripstop stitches to fortify traditional meniscal repair configurations for radial tears. This technique augments the biomechanical strength of repair and may prove useful in poor tissue quality and areas of small focal deficiency, especially in scenarios with repairable but degenerative meniscal tissue. This is particularly relevant considering many repairs fail due to pull-through of sutures within the meniscal tissue.
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institution Kabale University
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language English
publishDate 2025-01-01
publisher Elsevier
record_format Article
series Arthroscopy Techniques
spelling doaj-art-2ea16b00d092488cbdc2b3955413faa22025-01-30T05:14:08ZengElsevierArthroscopy Techniques2212-62872025-01-01141103173Meniscus Ripstop Stitches: A Useful Technique for Arthroscopic Repair of Challenging Radial Tears of the MeniscusFabien Meta, M.D.0Alexander C. Hayden, M.D.1Xuankang Pan, B.S.2Mario Hevesi, M.D., Ph.D.3Adam J. Tagliero, M.D.4Aaron J. Krych, M.D.5Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.Address correspondence to Aaron J. Krych, M.D., Mayo Clinic, 200 First St. SW, Rochester, MN 55905, U.S.A.; Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.Radial meniscal tears can be challenging to address and require advanced arthroscopic techniques for satisfactory repair. When radial tears occur in older patients, the surgeon often encounters suboptimal tissue integrity that presents its own challenges. Incorporating ripstop sutures in tie-grip repair constructs for radial tears has been documented in the literature with favorable biomechanical properties. This Technical Note and accompanying video present a reproducible method for incorporating tie-grip and mobile ripstop stitches to fortify traditional meniscal repair configurations for radial tears. This technique augments the biomechanical strength of repair and may prove useful in poor tissue quality and areas of small focal deficiency, especially in scenarios with repairable but degenerative meniscal tissue. This is particularly relevant considering many repairs fail due to pull-through of sutures within the meniscal tissue.http://www.sciencedirect.com/science/article/pii/S2212628724003062
spellingShingle Fabien Meta, M.D.
Alexander C. Hayden, M.D.
Xuankang Pan, B.S.
Mario Hevesi, M.D., Ph.D.
Adam J. Tagliero, M.D.
Aaron J. Krych, M.D.
Meniscus Ripstop Stitches: A Useful Technique for Arthroscopic Repair of Challenging Radial Tears of the Meniscus
Arthroscopy Techniques
title Meniscus Ripstop Stitches: A Useful Technique for Arthroscopic Repair of Challenging Radial Tears of the Meniscus
title_full Meniscus Ripstop Stitches: A Useful Technique for Arthroscopic Repair of Challenging Radial Tears of the Meniscus
title_fullStr Meniscus Ripstop Stitches: A Useful Technique for Arthroscopic Repair of Challenging Radial Tears of the Meniscus
title_full_unstemmed Meniscus Ripstop Stitches: A Useful Technique for Arthroscopic Repair of Challenging Radial Tears of the Meniscus
title_short Meniscus Ripstop Stitches: A Useful Technique for Arthroscopic Repair of Challenging Radial Tears of the Meniscus
title_sort meniscus ripstop stitches a useful technique for arthroscopic repair of challenging radial tears of the meniscus
url http://www.sciencedirect.com/science/article/pii/S2212628724003062
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