Arthroscopic Suture Anchor Repair With Modified Mason-Allen Technique for Medial Meniscus Posterior Root Tear

Medial meniscal posterior root tears are a well-known risk factor for knee osteoarthritis. Transtibial pullout repair is mostly reported, and good results have been reported for pullout repair using the modified Mason-Allen technique; techniques using suture anchors have also been reported. Herein,...

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Main Authors: Hiroaki Omae, M.D., PhD., Keiichi Hagiwara, M.D., Ph.D., Yuto Nakamura, M.D., Shinya Yanagisawa, M.D., Ph.D., Kenichi Iwamoto, M.D., Masashi Kimura, M.D., Ph.D., Hirotaka Chikuda, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724004900
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author Hiroaki Omae, M.D., PhD.
Keiichi Hagiwara, M.D., Ph.D.
Yuto Nakamura, M.D.
Shinya Yanagisawa, M.D., Ph.D.
Kenichi Iwamoto, M.D.
Masashi Kimura, M.D., Ph.D.
Hirotaka Chikuda, M.D., Ph.D.
author_facet Hiroaki Omae, M.D., PhD.
Keiichi Hagiwara, M.D., Ph.D.
Yuto Nakamura, M.D.
Shinya Yanagisawa, M.D., Ph.D.
Kenichi Iwamoto, M.D.
Masashi Kimura, M.D., Ph.D.
Hirotaka Chikuda, M.D., Ph.D.
author_sort Hiroaki Omae, M.D., PhD.
collection DOAJ
description Medial meniscal posterior root tears are a well-known risk factor for knee osteoarthritis. Transtibial pullout repair is mostly reported, and good results have been reported for pullout repair using the modified Mason-Allen technique; techniques using suture anchors have also been reported. Herein, we report a technique for suture anchor repair using the modified Mason-Allen technique. An anchor with 2 sutures is inserted at the attachment site of the medial meniscal root via the posteromedial portal using a curved guide. A vertical suture was made on the posterior portion of the meniscus with one suture, and another suture is then inserted just medial to the vertical suture and tied over the first vertical suture using a self-locking sliding knot through the anteromedial portal. This technique may potentially improve medial meniscal posterior root tears repair outcomes and provide some technical advantages, especially in combination with high tibial osteotomy.
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spelling doaj-art-179714925be242e59eae7ce8ea5707862025-08-20T02:18:51ZengElsevierArthroscopy Techniques2212-62872025-04-0114410333010.1016/j.eats.2024.103330Arthroscopic Suture Anchor Repair With Modified Mason-Allen Technique for Medial Meniscus Posterior Root TearHiroaki Omae, M.D., PhD.0Keiichi Hagiwara, M.D., Ph.D.1Yuto Nakamura, M.D.2Shinya Yanagisawa, M.D., Ph.D.3Kenichi Iwamoto, M.D.4Masashi Kimura, M.D., Ph.D.5Hirotaka Chikuda, M.D., Ph.D.6Zenshukai Hospital Gunma Sports Medicine Research Center, Gunma, Japan; Address correspondence to Hiroaki Omae, Zenshukai Hospital Gunma Sports Medicine Research Center, 54-1 Utsuboi-machi, Maebashi, 379-2115, Gunma, Japan.Zenshukai Hospital Gunma Sports Medicine Research Center, Gunma, JapanZenshukai Hospital Gunma Sports Medicine Research Center, Gunma, JapanZenshukai Hospital Gunma Sports Medicine Research Center, Gunma, JapanZenshukai Hospital Gunma Sports Medicine Research Center, Gunma, JapanZenshukai Hospital Gunma Sports Medicine Research Center, Gunma, JapanDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Gunma, JapanMedial meniscal posterior root tears are a well-known risk factor for knee osteoarthritis. Transtibial pullout repair is mostly reported, and good results have been reported for pullout repair using the modified Mason-Allen technique; techniques using suture anchors have also been reported. Herein, we report a technique for suture anchor repair using the modified Mason-Allen technique. An anchor with 2 sutures is inserted at the attachment site of the medial meniscal root via the posteromedial portal using a curved guide. A vertical suture was made on the posterior portion of the meniscus with one suture, and another suture is then inserted just medial to the vertical suture and tied over the first vertical suture using a self-locking sliding knot through the anteromedial portal. This technique may potentially improve medial meniscal posterior root tears repair outcomes and provide some technical advantages, especially in combination with high tibial osteotomy.http://www.sciencedirect.com/science/article/pii/S2212628724004900
spellingShingle Hiroaki Omae, M.D., PhD.
Keiichi Hagiwara, M.D., Ph.D.
Yuto Nakamura, M.D.
Shinya Yanagisawa, M.D., Ph.D.
Kenichi Iwamoto, M.D.
Masashi Kimura, M.D., Ph.D.
Hirotaka Chikuda, M.D., Ph.D.
Arthroscopic Suture Anchor Repair With Modified Mason-Allen Technique for Medial Meniscus Posterior Root Tear
Arthroscopy Techniques
title Arthroscopic Suture Anchor Repair With Modified Mason-Allen Technique for Medial Meniscus Posterior Root Tear
title_full Arthroscopic Suture Anchor Repair With Modified Mason-Allen Technique for Medial Meniscus Posterior Root Tear
title_fullStr Arthroscopic Suture Anchor Repair With Modified Mason-Allen Technique for Medial Meniscus Posterior Root Tear
title_full_unstemmed Arthroscopic Suture Anchor Repair With Modified Mason-Allen Technique for Medial Meniscus Posterior Root Tear
title_short Arthroscopic Suture Anchor Repair With Modified Mason-Allen Technique for Medial Meniscus Posterior Root Tear
title_sort arthroscopic suture anchor repair with modified mason allen technique for medial meniscus posterior root tear
url http://www.sciencedirect.com/science/article/pii/S2212628724004900
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