Table 2.

Pearls and Pitfalls of Technique

Pearls

The operative knee should be kept flexed at 90° and continuous valgus stress should be applied, along with the pie-crusting technique, to widen the medial joint space and facilitate the surgical procedure.

The HPLP is established about 10-15 cm above the joint line and close to the femur, which can reduce the risk of injury to the common peroneal nerve.

Through the HPLP, the suture anchor is easily inserted into the anatomic footprint.

Trimming the tear and the undersurface of the medial meniscus, as well as the bone bed of the attachment, can improve repair outcomes.

Pitfalls

If the tear is severe and cannot be repaired surgically or if the tear is small and can be treated conservatively, it may be necessary to abandon the suture anchor repair.

If meniscal extrusion is severe, meniscal centralization can be used after the suture anchor repair.

Appropriate tension should be applied to the sutures while inserting the suture anchor.

The repair effect should be confirmed under artificial stress after inserting the knotless suture anchor.

HPLP, high posterolateral portal.