Meniscal Root Repair

Meniscal root avulsions are a challenging injury causing meniscal extrusion and loss of hoop stress distribution, which can lead to the development of knee arthritis.1 Securing the meniscus in a small bone socket has proven to be an effective means to restore hoop stresses and improve outcomes.2 The FlipCutter® II reamer and meniscal root marking hook allow for a minimally invasive RetroConstruction repair technique that helps preserve bone while securely fixing meniscal tissue.

A complete system for meniscal root repair includes the meniscal root marking hooks, the Knee Scorpion™ suture passer, and meniscal root repair kit with PEEK SwiveLock anchor. Arthrex offers two meniscus root marking hooks based on surgeon preference. The over-the-back marking hook sits securely over the back of the tibia to allow stable drilling using a 6 mm FlipCutter® II reamer for socket preparation. The point-to-point guide allows surgeons to directly target their drill location at the meniscal root footprint. The low-profile Knee Scorpion instrument simplifies suture passing in tight recesses of the knee. Complete knotless fixation of the sutures with the 4.75 mm PEEK SwiveLock anchor.

References:

1. Pagnani MJ, Cooper DE, Warren RF. Extrusion of the medial meniscus. Arthroscopy. 1991;7(3):297-300. doi:10.1016/0749-8063(91)90131-g

2. Lee JH, Lim YJ, Kim KB, Kim KH, Song JH. Arthroscopic pull-out suture repair of posterior root tear of the medial meniscus: radiographic and clinical results with a 2-year follow-up. Arthroscopy. 2009;25(9):951-958. doi:10.1016/j.arthro.2009.03.018

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Meniscal root avulsions are a challenging injury causing meniscal extrusion and loss of hoop stress distribution, which can lead to the development of knee arthritis.1 Securing the meniscus in a small bone socket has proven to be an effective means to restore hoop stresses and improve outcomes.2 The FlipCutter® II reamer and meniscal root marking hook allow for a minimally invasive RetroConstruction repair technique that helps preserve bone while securely fixing meniscal tissue.

A complete system for meniscal root repair includes the meniscal root marking hooks, the Knee Scorpion™ suture passer, and meniscal root repair kit with PEEK SwiveLock anchor. Arthrex offers two meniscus root marking hooks based on surgeon preference. The over-the-back marking hook sits securely over the back of the tibia to allow stable drilling using a 6 mm FlipCutter® II reamer for socket preparation. The point-to-point guide allows surgeons to directly target their drill location at the meniscal root footprint. The low-profile Knee Scorpion instrument simplifies suture passing in tight recesses of the knee. Complete knotless fixation of the sutures with the 4.75 mm PEEK SwiveLock anchor.

References:

1. Pagnani MJ, Cooper DE, Warren RF. Extrusion of the medial meniscus. Arthroscopy. 1991;7(3):297-300. doi:10.1016/0749-8063(91)90131-g

2. Lee JH, Lim YJ, Kim KB, Kim KH, Song JH. Arthroscopic pull-out suture repair of posterior root tear of the medial meniscus: radiographic and clinical results with a 2-year follow-up. Arthroscopy. 2009;25(9):951-958. doi:10.1016/j.arthro.2009.03.018

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Educational Resources and Products

Medial Meniscus Root Repair

Michael J. Stuart, MD | Aaron Krych, MD
Surgical Technique Videos | 09:15 | English | 03/30/2017 | VID1-00943-EN B

Management of Meniscal Root Tears

Travis Maak, MD
Presentation Videos | 09:03 | English | 05/11/2020 | VID1-000979-en-US A
Meniscal Root Repair With PEEK SwiveLock® Anchor
Surgical Technique Guides | English | 04/15/2022 | LT1-00129-en-US B
Point-to-Point Meniscal Root Marking Hook
Product Demonstrations | 01:37 | English | 03/16/2022 | AN1-000365-en-US A
Videos
(12)
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Videos
Documents
(7)
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Documents
English
(19)
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Languages

Surgical Technique Videos (3)

Meniscal Root Repair Using the Point-to-Point Marking Hook
Aaron Krych, MD
14:24 | English | 08/08/2022 | VID1-003499-en-US A
“Fix-and-Stitch” Augmented Posterior Meniscus Root Repair
Justin J. Mitchell, MD
06:43 | English | 09/27/2021 | VID1-002665-en-US B
Medial Meniscus Root Repair
Michael J. Stuart, MD | Aaron Krych, MD
09:15 | English | 03/30/2017 | VID1-00943-EN B

Surgical Technique Animations (1)

Meniscal Root Repair Implant System
02:03 | English | 06/09/2021 | AN1-00392-EN B

Surgical Technique Guides (2)

Meniscal Root Repair With PEEK SwiveLock® Anchor
English | 04/15/2022 | LT1-00129-en-US B
Meniscal Root Avulsion Repair
English | 11/24/2021 | LT1-00016-EN E

510Ks (1)

510K Arthrex SwiveLock
English | 03/05/2019 | K173845 A

Brochures (4)

Case Presentation Videos (1)

ABCs of Meniscal Repair
Aaron Krych, MD
05:27 | English | 08/12/2022 | VID1-003497-en-US A

Patient Education Animations (1)

Presentation Videos (4)

Biomechanics of Meniscus Repair
Aaron Krych, MD
05:42 | English | 08/29/2022 | VID1-003498-en-US A
Management of Meniscal Root Tears
Travis Maak, MD
09:03 | English | 05/11/2020 | VID1-000979-en-US A
Meniscus Root Repair and Inside-Out Repair Techniques
Aaron Krych, MD
12:28 | English | 03/29/2019 | VID1-000234-en-US A
Meniscus Root Repair Options
Michael J. Stuart, MD
11:16 | English | 03/26/2018 | VPT1-00798-EN C

Product Demonstrations (2)

Point-to-Point Meniscal Root Marking Hook
01:37 | English | 03/16/2022 | AN1-000365-en-US A
Meniscal Root Repair Assisted by the PoweRasp™ Instrument
Thomas M. DeBerardino, MD
04:50 | English | 12/11/2018 | VID1-000019-en-US A

Product and Technique Highlights (1)

Knee Arthroscopy New Product & Technique Highlights
English | 04/21/2022 | evBR1-002467-en-US B

Scientific Updates (2)

Meniscus Root Repair Scientific Update
English | 07/19/2022 | DOC1-000605-en-US C
Meniscus Repair Scientific Update
English | 06/16/2022 | LA1-00040-EN H