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Articles were screened using Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses (PRISMA) guidelines against inclusion criteria and underwent Methodological Index for Non\u2010Randomized Studies (MINORS) methodologic quality assessment. Repair constructs evaluated were classified based on repair technique, use of a transtibial augmentation, and the number, orientation, and pattern of stitches. Results published across different studies were compared but not subjected to meta\u2010analysis due to variability in testing procedures and heterogeneity of repair methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 20 studies that performed mechanical testing on 21 different radial meniscal tear repair techniques. The greatest reported mean load\u2010to\u2010failure (LtF) were the transtibial 2\u2010tunnel\u00a0+ 4 horizontal inside\u2010out sutures (191.2 N \u00b1 17.3, cadaver) and all\u2010inside double vertical repair (146.3 N \u00b1 36.2, porcine). The transtibial technique improved LtF and displacement of an inside\u2010out (IO) horizontal repair. All\u2010inside vertical repairs demonstrated greater LtF, stiffness, and displacement compared with IO horizontal repairs in 2 studies. Compared with IO double horizontal repairs, all\u2010inside double vertical or IO double horizontal repairs with reinforcing stitches parallel to the tear exhibited greater LtF in 3 studies and stiffness in 2 studies. Two studies reported that parallel reinforcing stitches significantly reduced suture tear\u2010through compared with similar, nonreinforced repairs. Mean MINORS score for all studies analyzed was 19.88 \u00b1 1.47 points.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A systematic review demonstrated that there may be alternatives to traditional IO horizontal repairs for radial meniscus tears. Less\u2010invasive all\u2010inside vertical techniques reinforced with suture parallel to the tear instead of standard IO horizontal sutures may improve strength of repair. In addition, transtibial 2\u2010tunnel augmentation may also increase strength of radial meniscus tear repairs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>There may be alternatives to IO horizontal repairs for radial meniscus tears.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2022.02.010","type":"journal-article","created":{"date-parts":[[2022,2,19]],"date-time":"2022-02-19T01:45:03Z","timestamp":1645235103000},"page":"2557","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":47,"title":["Several Techniques Exist With Favorable Biomechanical Outcomes in Radial Meniscus Tear Repair\u2014A Systematic Review"],"prefix":"10.1002","volume":"38","author":[{"given":"James","family":"Oosten","sequence":"first","affiliation":[{"name":"College of Medicine Ohio State University Columbus Ohio 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