. 2024 Jul 1;13(11):103107. doi: 10.1016/j.eats.2024.103107

Table 2.

Advantages and Disadvantages

Advantages	Disadvantages
The procedure provides reattachment of the MMPR to its anatomical footprint. The autograft provides primary and secondary fixation of the posterior root of the meniscus, thanks to tendon-bone healing process. Split-gracilis tendon allows a less-invasive “tunnel” in the meniscus. The diameter of the tibial tunnel is decreased to the minimum. A lower rate of donor-site morbidity is expected since part of the gracilis tendon remains attached. Screw fixation provides modular tensioning of the meniscus root. The procedure does not require additional arthroscopic portals.	The procedure is complex, extensive skills are required, and the operative time may be variable prolonged. Split gracilis tendon harvesting is more complicated, and premature tendon rupture may occur. Using screw fixation, a longer graft is required to ensure the graft itself engages with the screw.

Advantages

Disadvantages

The procedure provides reattachment of the MMPR to its anatomical footprint.
The autograft provides primary and secondary fixation of the posterior root of the meniscus, thanks to tendon-bone healing process.
Split-gracilis tendon allows a less-invasive “tunnel” in the meniscus.
The diameter of the tibial tunnel is decreased to the minimum.
A lower rate of donor-site morbidity is expected since part of the gracilis tendon remains attached.
Screw fixation provides modular tensioning of the meniscus root.
The procedure does not require additional arthroscopic portals.

The procedure is complex, extensive skills are required, and the operative time may be variable prolonged.
Split gracilis tendon harvesting is more complicated, and premature tendon rupture may occur.
Using screw fixation, a longer graft is required to ensure the graft itself engages with the screw.

MMPR, medial meniscus posterior root.