Combined Lateral Meniscus Posterior Tear Avulsion Reinsertion and Anterior Cruciate Ligament Reconstruction Without Additional Tibial Tunnel Drilling or Additional Implants.

Avulsion of the lateral meniscal posterior root is a frequent lesion associated with anterior cruciate ligament (ACL) tear and needs to be repaired, as it is biomechanically equivalent to a complete meniscectomy. Several reinsertion techniques have been previously described, with 1 or 2 tunnels, and several fixation techniques are available. The technique described in this study consists of digging a rail between the meniscal footprint and the joint posterior aperture of the ACL tibial tunnel, passing 2 solid sutures in the meniscal root, then into the tibial tunnel. The 2 sutures are finally tensioned by tying them to the ACL tibial fixation button. This allows quick and easy repair of lateral meniscal posterior root avulsion, with controlled reduction and without any need for additional tunnel drill or implants. This is reproducible in a conventional ACL reconstruction procedure, without any risks of crossing tunnels in the tibia.