ABSTRACT
Meniscal tears are exceedingly common. Because the meniscus serves many vital functions
to the knee joint, the preservation of meniscal tissue through meniscal repair is
ideal. However, not all meniscal tears are amenable to repair, and each case must
be critically assessed for repair suitability. It has been well documented that meniscal
healing is enhanced in the setting of concurrent anterior cruciate ligament (ACL)
reconstruction. This may influence the indications for repair, as well as the repair
technique. Meniscal repair techniques have evolved over time from initial open repairs
to inside-out and outside-in suture repairs to newer all-inside repair devices. The
current gold standard remains inside-out vertical mattress suture repairs. All-inside
repairs are best reserved for special circumstances, such as in the setting of concurrent
ACL reconstruction.
