Indications for meniscus repair

Abstract

The menisci provide important protective functions within the knee joint by improving joint congruity, decreasing joint contact pressure, and serving as secondary stabilizers of the knee. When the meniscus is injured, its ability to perform these protective functions is hindered. Certain types of meniscus tears are amenable to repair, while other types of tears are unlikely to heal and may necessitate removal. Clinical decision making to determine the best form of treatment is dependent upon a solid understanding of the factors affecting meniscal healing, the implications of different tear types and locations, and the underlying cause of the meniscus tear. This chapter will discuss the general indications for repair based on tear location, type of tear, and the status of the anterior cruciate ligament.