Table 1.

Advantages and Disadvantages of Medial Meniscus Root Reconstruction Using Auto-Gracilis Graft

Advantages

1. Reconstruction of the medial meniscus posterior root can restore hoop tension and prevent cartilage degeneration.

2. Reconstruction using auto hamstring graft provides a more anatomic structural restoration for the insertional ligament.

3. Posterior portals are not required for the procedures as a result of the widened working space and good visualization after superficial medial collateral ligament release.

Disadvantages

1. Meniscal root reconstruction is technically demanding and a learning curve is in play.

2. If the torn meniscal tissue is of poor quality, graft passage would be difficult.

3. There could be donor site morbidity.