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Meniscal Injury: II. Management

Dr. Greis is Assistant Professor, Department of Orthopedic Surgery, University of Utah, Salt Lake City, UT. Dr. Holmstrom is Chief Resident, Department of Orthopedic Surgery, University of Utah. Dr. Bardana is Fellow, Sports Medicine, Department of Orthopedic Surgery, University of Utah. Dr. Burks is Professor, Department of Orthopedic Surgery, University of Utah.

Reprint requests: Dr. Greis, Room 3B165, 50 North Medical Drive, Salt Lake City, UT 84132.

Meniscal repair is a viable alternative to resection in many clinical situations. Repair techniques traditionally have utilized a variety of suture methods, including inside-out and outside-in techniques. Bioabsorbable implants permit all-inside arthroscopic repairs. The success of meniscal repair depends on appropriate meniscal bed preparation and surgical technique and is also influenced by biologic factors such as tear rim width and associated ligamentous injury. Successful repair in >80% of cases has been reported in conjunction with anterior cruciate ligament reconstruction. Success rates are lower for isolated repairs. Complications related to repair include neurologic injury, postoperative loss of motion, recurrence of the tear, and infection. Meniscal allograft transplantation may provide a treatment option when meniscus salvage is not possible or when a previous total meniscectomy has been done.

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