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Dr. LaPrade's preferred technique is a vertical mattress suture repair for a meniscal tear. Biomechanically, these have been shown to be the strongest type of suture repair. In some circumstances, a horizontal mattress suture may be required, especially for undersurface meniscal tears to pull it back to a more anatomic position, and also for radial tears of the lateral meniscus where horizontal mattress sutures are required to hold meniscal tissue back into place.
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