No Risk of Tunnel Convergence in Combined ACL Reconstruction and Transtibial Lateral Meniscus Posterior Root Tear Repair. A Technical Note.

Articles in Press

Document Type : TECHNICAL NOTE

Authors

1 Sports Trauma and Orthopaedics Department, Saint Luke's Hospital, Thessaloniki, Greece

2 Department of Physical Education and Sport Science, Aristotle University of Thessaloniki, Thessaloniki, Greece

3 Department of Physiotherapy, Aristotle University of Thessaloniki, Thessaloniki, Greece

10.22038/abjs.2025.88483.4013

Abstract

Lateral meniscus posterior root (LMPR) tears are frequently identified during anterior cruciate ligament (ACL) reconstruction. These tears are associated with increased knee instability and altered biomechanics in ACL-deficient knees, leading to potential cartilage degeneration and compromised graft function if left untreated. Repairing LMPR tears during ACL reconstruction improves knee stability and biomechanics, while also yielding better patient-reported outcomes. The transtibial pullout technique is a popular and reliable technique for LMPR tear repair. However, it poses a substantial risk of tibial tunnel convergence, which may complicate the surgery and compromise the clinical result. We describe a simple and reproducible technique that enables anatomic ACL reconstruction and LMPR tear repair with no risk of tibial tunnel convergence.

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The Archives of Bone and Joint Surgery

Articles in Press, Accepted Manuscript
Available Online from 15 November 2025

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History

  • Receive Date: 26 May 2025
  • Revise Date: 29 July 2025
  • Accept Date: 30 September 2025

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