Table 2.

Pearls and Pitfalls of Procedure

Pearls

Only standard anterior portals are used.

The posterolateral incision, popliteal retractor, and posterolateral portal are not needed.

It is easy to introduce the apparatus because the Meniscal Viper Kit is a special instrument for the posterior lateral meniscus.

Posterior neurovascular injuries do not occur because all procedures are performed without stabbing the posterior capsule.

The gap can be shortened easily by drawing each stump in the direction of the circumference without going through the capsule.

Surface of the meniscus is secured smoothly because all suture knots are placed behind the meniscus rim.

The margin of the popliteus recess and the mobility of the popliteus tendon are physiologically secured.

Pitfalls

Cutting out the meniscus by the thread may occur depending on the state of the stump or the position of suture points.

Flexibility of the Meniscal Viper is not as great in the vertical as in the horizontal direction.

The surgeon must become skilled in creating the necessary sliding knots that are not commonplace in knee surgery.