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This review provides an overview of available root fixation techniques and contextualizes their clinical outcomes to help surgeons select the most suitable method for individual patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Recent Findings<\/jats:title>\n                    <jats:p>Multiple fixation approaches, including all\u2013soft-tissue, bony fixation (bone plug or bone bridge), and hybrid techniques have demonstrated significant improvements in patient-reported outcomes and pain reduction. Bony fixation may reduce or equalize graft extrusion relative to soft-tissue methods, though the clinical significance of extrusion remains uncertain. While functional outcomes and long-term survivorship appear similar across techniques, soft-tissue fixation may carry a slightly higher rate of graft tears and complications. Long-term follow-up reveals that osteoarthritis progression and graft degeneration can still occur. Hybrid fixation techniques combine bony and all-soft-tissue root fixation to leverage the advantages of both methods. It is important to address related conditions such as bone malalignment and ligament instability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>Overall, MAT provides durable improvements in knee function and quality of life regardless of fixation method. Optimal results depend not only on the fixation technique but also on addressing concomitant pathologies, such as ligamentous instability and malalignment, with osteotomy playing a key role in protecting the graft when necessary. As no single fixation method has proven superior, further research is required to clarify the ideal strategy and the true clinical impact of graft extrusion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s12178-026-10007-0","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T01:31:56Z","timestamp":1770341516000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Meniscal Root Fixation Method for Meniscus Transplantation: is There a Superior Technique?"],"prefix":"10.1007","volume":"19","author":[{"given":"Romed P.","family":"Vieider","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmine","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Hartline","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina","family":"Dias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Euringer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth L.","family":"Sherman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Musahl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,6]]},"reference":[{"key":"10007_CR1","doi-asserted-by":"publisher","first-page":"1516","DOI":"10.1007\/s00167-012-2032-4","volume":"21","author":"F Abat","year":"2013","unstructured":"Abat F, Gelber PE, Erquicia JI, Tey M, Gonzalez-Lucena G, Monllau JC. 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Video J Sports Med. 2022;2:26350254221107036.","journal-title":"Video J Sports Med"}],"container-title":["Current Reviews in Musculoskeletal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12178-026-10007-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12178-026-10007-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12178-026-10007-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T17:38:09Z","timestamp":1781631489000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12178-026-10007-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,6]]},"references-count":53,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["10007"],"URL":"https:\/\/doi.org\/10.1007\/s12178-026-10007-0","relation":{},"ISSN":["1935-9748"],"issn-type":[{"value":"1935-9748","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,6]]},"assertion":[{"value":"25 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Conflicts of Interest: Volker Musahl declares educational grants, consulting fees and speaking fees from Smith & Nephew plc, educational grants from Arthrex and DePuy\/Synthes, is a board member of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS), and deputy editor\u2010in\u2010chief of Knee Surgery, Sports Traumatology, Arthroscopy (KSSTA)Seth Sherman holds committee positions for AANA, AAOS, ACLSG, AOSSM, Biologic Association, ICRS, and ISAKOS; is on the editorial board for Arthroscopy, Current Reviews in Musculoskeletal Medicine, and VJSM; is a course chair of ISMF and the PFF Masters Course; is a member of the AO Sports Medicine Taskforce; is a paid educational consultant for Arthrex, Depuy, Flexion, JRF, Kinamed, LifeNet, NewClip, and Smith & Nephew; is a paid advisory board member for Bioventus, Ostesys, Reparel, Sarcio, Sparta Medical, Vericel, and Vivorte; is on design teams and receives royalties from ConMed and DJO; holds stock options in Ostesys, Sarcio, Reparel, and Vivorte; has received nonconsulting fees from Arthrex, Smith & Nephew, Synthes GmbH, Vericel, and Linvatec; has received consulting fees from Flexion Therapeutics, Bioventus, Biorez, DJO, DePuy Synthes Products, Kinamed, Linvatec, Medical Device Business Services, Pacira Pharmaceuticals, Smith & Nephew, Vericel, JRF Ortho, LifeNet Health, Ceterix Orthopaedics, Joint Restoration Foundation, and Olympus America; has received education payments from Evolution Surgical; received travel and lodging from Smith & Nephew, Linvatec Corporation, Vericel Corporation, Arthrex, Flexion Therapeutics, Joint Restoration Foundation, Aesculap Biologics, and Synthes GmbH; received food and beverage from Smith & Nephew, Linvatec Corporation, Vericel Corporation, Arthrex, Joint Restoration Foundation, Aescuplap Biologics, and Stryker Corporation; received honoraria from Vericel Corporation, Flexion Therapeutics, and Joint Restoration Foundation; received compensation for services other than consulting (including serving as faculty or as a speaker at a venue other than a continuing education program) from Smith & Nephew; received compensation for serving as faculty or as a speaker for a nonaccredited and noncertified continuing education program and royalties or licenses from Linvatec Corporation; received grants from DJO; received educational support from Elite Orthopedics; and received compensation for serving as a faculty or speaker for an accredited or certified continuing education program from Synthes GmbH. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}],"article-number":"13"}}