Table 2.

Pearls and Pitfalls of Surgical Technique

Pearls

The procedure does not require accessory portals.

The Meniscal Viper is well designed to mend for the posterior segment and horn of the lateral meniscus.

A single consecutive suture produces a vertical and cross-stich thread component at once.

Suture repair is accomplished with a single knot

The figure-8 cross stich can reduce and stabilize the separated radial meniscal tear.

Pitfalls

Adequate marginal distance should be made from the tear site when making a consecutive all-inside suture with the Meniscal Viper to prevent ripping of the meniscus when drawing a racking hitch.

To secure adequate strength for reduction of the radial tear site, two mid-substance vertical suture threads should run bottom of the meniscal substance, which means that the hook of the Meniscal Viper sits deep along the meniscal rim and the Viper’s needle should be inserted form near the anterior margin of the lateral meniscus.

Thread tangling at the portal or with the fat pad should be carefully avoided.