Repair of the Anterior Horn of the Lateral and Medial Meniscus With Knotless Suture Anchor

Abstract

The anterior horn lateral meniscus tear often is accompanied by perimeniscal cysts, which are treated with arthroscopic cyst excision with outside-in repair of the anterior horn. After cyst excision, there is a large gap between the thin anterior capsule and the anterior horn, which sometimes does not allow a stable repair. The suture knots may be palpable below the skin postoperation and cause irritation. A recently published technique repairs the anterior horn with a suture anchor using a suture lasso technique. We suggest a modification using a knotless anchor instead of a suture anchor, which allows a predictable tension across the repair when deployed. This technique can be used for both anterior horn lateral meniscus and anterior horn medial meniscus repairs. This technique is easy to perform, less time consuming, and reproducible.