ArticleOrthopaedic journal of sports medicine2026
A Novel Approach to Segmental Meniscal Repair Improves Ultimate Strength and Resistance to Cyclic Fatigue.
Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Meniscal tears are common sports-related injuries, and surgical repairs continue to have undesirable clinical outcomes. Meniscal allograft transplantation is limited by the availability of suitable age-matched and size-matched allografts and poor long-term survival. Segmental meniscal transplantation may improve outcomes by preserving the meniscotibial ligament complex; however, little is known about how surgical techniques influence the biomechanics of such reconstructions. Purpose: To evaluate the biomechanical performance of 2 surgical reconstruction strategies for segmental meniscal transplantation using a cadaveric bovine meniscus model. Study Design: Controlled laboratory study. Methods: A total of 24 bovine meniscus explants (12 medial, 12 lateral) underwent 2 repair techniques (n = 12 per group; 6 medial and 6 lateral per group): (1) Repair 1, using 2 hashtag, 1 vertical rip-stop, and 2 luggage tag sutures; and (2) Repair 2, using 4 luggage, 1 vertical mattress, and 2 horizontal mattress sutures. Half of the specimens (n = 12) underwent quasi-static uniaxial tensile testing to failure; the remaining half underwent 1000 loading cycles before failure. Outcomes included stiffness, maximum force, failure mode, construct deformation, and cyclic survival. Results: Repair 1 demonstrated significantly higher ultimate failure loads in both static (311.9 ± 26.2 N vs. 209.5 ± 82.6 N; Conclusion: A surgical technique combining hashtag sutures with luggage-tag fixation (Repair 1) increased ultimate failure load and reduced the likelihood of cyclic failure, suggesting it may enhance the stability and durability of segmental meniscal repairs. Clinical Relevance: Robust fixation of segmental meniscal repairs may improve surgical outcomes for meniscal deficiency and offer an alternative to full meniscal transplantation.
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