2023 Annual Meeting Biologics-Meniscus Pearl

Video Transcription

Video Summary

Clayton Neuvel presents a medial meniscus allograft transplant technique using two bone plugs (anterior and posterior) fixed with knotless all-suture anchors and cortical buttons on the anteromedial tibia. This method offers strong biomechanical fixation and bone-to-bone healing, avoiding excessive native bone removal seen in bridge and slot techniques. The knotless suture anchors are tensionable and resist meniscus cutout, with low-profile constructs that synovialize over time. The technique involves creating bone plugs with a coring reamer, positioning the suture anchors atop plugs, passing sutures through the tibia, and fixating with cortical buttons, demonstrated arthroscopically with successful postoperative healing.

Asset Caption

Clayton Nuelle, M.D.

Keywords

medial meniscus allograft transplant

two bone plugs technique

knotless all-suture anchors

cortical button fixation

arthroscopic meniscus repair