The Lateral Repair Knee Positioning

The lateral meniscus is often repaired in the figure four position, with the knee flexed up on the contralateral ankle with between 45° and 60° of knee flexion. Increased flexion in this manner allows both for increased needle retrieval space by relaxing the gastrocnemius and applying a varus force on the knee. This position also allows for the peroneal nerve to drop further posteriorly, where it is less likely to become stretched. On the lateral side it is occasionally necessary to repair the meniscus to the popliteal tendon to stabilize a posterolateral meniscal tear. Although nonanatomic, this procedure can add substantial stability to a repair.

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