Fig 3.

(A, B) The Ceterix suture passer is inserted through the working portal and advanced until the upper jaw is between the superior surface of the meniscus and the articular surface of the femoral condyle. (C) The lower jaw is then protracted forward so that it moves under the meniscus and the needle trigger is actuated to complete the peripheral pass of the suture from the lower jaw to the upper jaw, where it is atraumatically self retained. (D) The lower jaw is retracted and the device removed. (E) The lower jaw is then loaded with the opposite end of the suture while leaving the first end retained within the upper jaw. A gentle pull on the trailing suture during re-insertion ensures that there is not a tissue bridge. (F, G) The suture is passed evenly spaced on the other side of the tear, and then the lower jaw is again retracted and the device removed. (H) The knot is tied at the peripheral femorosynovial junction. Also shown are arthroscopic photos of the Ceterix Novostitch device passing suture to repair a vertical tear of the medial meniscus (I) in a 37-year-old woman. Note that in this case the 2 suture strands were shuttled to the tibial side (J) so that the knot could be placed within the tibial gutter (K) and that uniform tear compression was obtained. Video 1 shows this repair.