Isolated meniscal allograft transplantation with suture-based fixation of a bone bridge: 15 cases with a 2-year minimum follow-up

Figure 4 Creation of tibial bone trough for meniscal allograft bone bridge fixation. A: Bone trough cuts made using a reciprocating saw. The senior author performs these cuts freehand. However, there are commercially available guides for this as well; B: Completed bone trough creation. The back wall of the posterior aspect of the tibial plateau is then carefully removed with an osteotome to avoid vascular injury; C: Completed bone trough shown through a larger arthrotomy for full demonstration. The senior author makes use of a much small arthrotomy/trans patellar incision for graft passage and trough creation.