The Effect of Centralization on Medial Meniscal Extrusion for Medial Meniscus Posterior Root Tear Repair

Inclusion Criteria: * Type 2 Medial Meniscus Posterior Root Tear demonstrated on MRI * Notable extrusion (\>3 mm) on preoperative MRI * Patient able to consent for themselves * Patient agrees to comply with trial schedules and plan Pre-operative Exclusion: * Concomitant ligamentous or meniscal procedures * Meniscal extrusion \> 6 mm on pre-operative MRI * Kellgren-Lawrence grade \> 2 * Varus malalignment \> 10 degrees * Asymmetric varus alignment \> 5 degrees * Varus thrust while weightbearing * Grade 3 bipolar medial compartment changes (isolated grade 3 changes on single articular surface with ≤ grade 2 changes on the opposing surface remains eligible) * Previous surgery of the affected knee * Associated fractures requiring surgery * Concurrent Vascular injuries * Hypermobility/Ehlers-Danlos Syndrome * Inflammatory or autoimmune disease * Severe mental/physical disability precluding post operative rehabilitation demands * Contraindications to MRI * Pregnant women Arthroscopy Inclusion Criteria: * Complete radial tears within 9 mm of medial meniscus posterior root * ICRS Grade 3 or better Arthroscopy Exclusion Criteria: * Requiring concomitant procedures other than MMPRT * ICRS Grade 4 changes