Arthroscopic meniscal repair is the procedure of choice whenever a reparable tear is diagnosed. The cruciate suture for arthroscopic
meniscal repair is a type of the outside-in technique. It has advantages like: (1) its ultimate tension load (UTL) is 1.6
times higher than the UTL of the vertical suture (gold standard), (2) it holds the circumferential collagen fibers of the
meniscus in a three-dimensional plane compared to the vertical and horizontal sutures which hold the circumferential fibers
of the meniscus in a two-dimensional plane, (3) simple instrumentation, (4) could withstand not only distraction forces on
the repaired meniscal tear but also, shear forces because of the oblique orientation of the cruciate suture limbs. It has
disadvantages like: being difficult to perform and time-consuming. A modified technique is presented in this study which has
the following advantages; (1) less time-consuming, (2) performed through a smaller skin incision, (3) a sliding knot is used
to tie the cruciate suture.
Keywords Arthroscopic meniscal repair - Cruciate suture - Modified technique - Knee joint