Technique for All-Inside Repair of Bucket-Handle Meniscus Tears

• Main Authors: Wen Loong Paul Yuen, M.B.B.S., M.R.C.S., Chung Liang Kuo, M.B.B.S., F.R.C.S. (Tr & Ortho), Keng Meng Jeremy Goh, M.B.B.S., M.R.C.S., Yee Han Dave Lee, M.B.B.S., F.R.C.S. (Tr & Ortho)
• Format: Article
• Language: English
• Published: Elsevier 2021-03-01
• Series: Arthroscopy Techniques
• Online Access: http://www.sciencedirect.com/science/article/pii/S2212628720303455

Bucket-handle meniscal tears (BHMT) remain a challenge to treat due to their complex pathology and technical difficulty. Subtotal meniscectomy has shown to improve symptoms early but leads to accelerated osteoarthritis in the affected compartment and poor long-term outcomes. BHMT repair and meniscal preservation is the preferred option. This can be performed with inside-out, all-inside, or hybrid meniscus repair techniques. All-inside meniscus repair avoids the need for additional safety incisions, trained assistants for suture passing, and reduce concerns of soft-tissue and neurovascular complications. In this Technical Note, we detail our all-inside technique for BHMT technique and share tips for a successful repair.