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Meniscus & Cartilage · Arthroscopic Knee Reconstruction

Arthroscopic Bucket-Handle Lateral Meniscus Repair

A look inside the arthroscopic repair of a displaced bucket-handle meniscus tear — when this tear pattern is fixable and what it takes.

By Ashvin K. Dewan, MDPublished Reviewed

This was a bucket-handle meniscus tear we encountered in an active young adult. His knee was locked and he could not move, so he needed surgery to repair the meniscus and restore the knee’s range of motion. We followed an aggressive therapy protocol that included immediate weight bearing but restricted knee flexion to a maximum of 90° for the first six weeks. At 10 weeks post-operatively he was back on the court playing basketball.

Not everyone is a candidate for rapid recovery — but with the advancements in all-inside meniscus repair sutures, we are getting more comfortable with rapid return to sport.

Inside the operation

Five frames from the OR.

From the locked knee to the all-inside repair to a stable, anatomically reduced meniscus. Hover to pause and study any frame.

Pre-operative MRI showing the displaced bucket-handle lateral meniscus tear
Pre-op MRIDisplaced bucket-handle lateral meniscus tear visible on MRI.
Arthroscopic view of the displaced meniscus inside the joint
Scope viewThe meniscus “handle” is flipped into the intercondylar notch, locking the knee.
Reduction of the bucket-handle tear back to its anatomic position on the tibial plateau
ReductionDisplaced fragment reduced back onto the tibial plateau.
All-inside meniscus repair sutures placed across the tear
RepairAll-inside sutures placed across the tear — modern devices have made this a routine step.
Final view of the repaired bucket-handle meniscus — anatomically reduced and stable
FinalAnatomically reduced and stable. Patient back to basketball at 10 weeks.

Bucket-handle tears in young, active patients are exactly the kind of meniscus tear that benefits from prompt arthroscopic repair — saving meniscus tissue here pays dividends decades later in terms of cartilage preservation.

Learn more in the in-depth article on meniscus tears and arthroscopic surgery.

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Arthroscopic Knee Reconstruction
Ligament & cartilage restoration
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Educational content, not medical advice. This article is provided for patient education and does not replace individualized evaluation by a board-certified orthopedic surgeon. For a personalized opinion on your imaging and symptoms, request a visit with Dr. Dewan or call (281) 690-4678.