{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T03:43:03Z","timestamp":1790134983234,"version":"4.0.1"},"reference-count":6,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T00:00:00Z","timestamp":1756080000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T00:00:00Z","timestamp":1756080000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T00:00:00Z","timestamp":1756080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T00:00:00Z","timestamp":1756080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopytechniques.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"published-print":{"date-parts":[[2025,10]]},"abstract":"Abstract<\/jats:title>\n \n \n Bucket\u2010handle medial meniscus tears are complex injuries that represent approximately 10% of all meniscal lesions. Because of their vascular location, mainly being in the red\u2010red zone, these injuries often have a favorable prognosis when properly treated. Surgical repair is the gold standard to preserve meniscal function and prevent osteoarthritis. This Technical Note outlines a 10\u2010step technique for the effective evaluation and repair of medial bucket\u2010handle medial meniscus tears using both inside\u2010out and all\u2010inside suturing techniques. Key surgical pearls include proper patient positioning, portal placement, and medial collateral ligament pie\u2010crusting and knee\u2010stressing technique to optimize access to the medial compartment. Meniscal wall reduction and preparation are followed by anatomic fixation using a mixed suture approach: inside\u2010out for the meniscal body, all\u2010inside sutures for the posterior horn and outside\u2010in repair if the anterior horn is involved. Vertical suture configurations are preferred for their superior biomechanical strength, with undersurface stitches added to obtain anatomic reduction. This technique is safe, reproducible, and minimizes neurovascular risk while ensuring a stable, anatomic repair.<\/jats:p>\n <\/jats:sec>\n \n Technique Video<\/jats:title>\n \n \n \n video<\/jats:alt-text>\n <\/jats:graphic>\n <\/jats:boxed-text>\n <\/jats:p>\n \n See video under supplementary data.<\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.eats.2025.103827","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T11:15:19Z","timestamp":1756120519000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Ten Pearls for Bucket Handle Medial Meniscus Repair"],"prefix":"10.1002","volume":"14","author":[{"given":"Jacopo","family":"Corti","sequence":"first","affiliation":[{"name":"Universit\u00e0 degli studi di Firenze Careggi Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zyad Ayman","family":"Taha","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli studi di Firenze Careggi Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Di Muro","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli studi di Firenze Careggi Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mattia","family":"Chirico","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli studi di Firenze Careggi Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Pettinari","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli studi di Firenze Careggi Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Matassi","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli studi di Firenze Careggi Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,25]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1604146"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2528-6"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1694711"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2023.02.044"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2020.10.063"},{"key":"e_1_2_2_7_1","first-page":"1181","article-title":"Editorial commentary: Various meniscal repair techniques show similar biomechanical and clinical outcomes, and horizontal suture orientation is best avoided","volume":"40","author":"Barber FA","year":"2024","journal-title":"Arthroscopy"}],"container-title":["Arthroscopy Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212628725003962?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212628725003962?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.eats.2025.103827","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.eats.2025.103827","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.eats.2025.103827","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T06:11:38Z","timestamp":1775715098000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.eats.2025.103827"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,25]]},"references-count":6,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1016\/j.eats.2025.103827"],"URL":"https:\/\/doi.org\/10.1016\/j.eats.2025.103827","archive":["Portico"],"relation":{},"ISSN":["2212-6287","2212-6287"],"issn-type":[{"value":"2212-6287","type":"print"},{"value":"2212-6287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,25]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Ten Pearls for Bucket Handle Medial Meniscus Repair","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy Techniques","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.eats.2025.103827","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}],"article-number":"103827"}}