Meniscus Repair and Future Directions

  • Michael J. Angel
  • Jordan Kerker
  • Nicholas Sgaglione

Meniscal tear pathology is one of the most common orthopaedic diagnoses in the United States, with knee arthroscopy being the most common orthopaedic procedure performed by orthopaedic surgeons. Approximately 800,000 meniscectomies and 100,000 meniscal repairs are performed each year [1]. Whereas many patients seek treatment for a torn meniscus and large subsets of those patients may undergo some form of meniscectomy, the prediction of which patient will go on to develop postmeniscectomy osteoarthritis remains unclear.


Anterior Cruciate Ligament Lateral Meniscus Complex Regional Pain Syndrome Medial Meniscus Meniscus Tear 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Garrett WE, Swiontkowski MF, Weinstein JN, Callaghan J, Rosier RN, Berry DJ, Harrast J, Derosa GP. American board of orthopaedic surgery practice of the orthopaedic surgeon: Part II, certification examination case mix. J Bone Joint Surg Am 2006;88:660–667.PubMedCrossRefGoogle Scholar
  2. 2.
    Walker PS, Erkman MJ. The role of the menisci in force transmission across the knee. Clin Orthop 1975;109:184–192.PubMedCrossRefGoogle Scholar
  3. 3.
    Baratz M, Fu F, Mengato R. Meniscal tears: the effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee. A preliminary report. Am J Sports Med 1986;14: 270–275.PubMedCrossRefGoogle Scholar
  4. 4.
    Renstrom P, Johnson RJ. Anatomy and biomechanics of the menisci. Clin Sports Med 1990;9:523–538.PubMedGoogle Scholar
  5. 5.
    Arnoczky SP, Warren RF. The microvasculature of the meniscus and its response to injury: an experimental study in the dog. Am J Sports Med 1983;11:131–141.PubMedCrossRefGoogle Scholar
  6. 6.
    Petersen W, Tillman B. Age related blood and lymph supply of the knee menisci. A cadaver study. Acta Orthop Scand 1995;66: 308–312.PubMedCrossRefGoogle Scholar
  7. 7.
    Cooper DE, Arnoczky SP, Warren RF. Arthroscopic meniscal repair. Clin Sports Med 1990;9:589–607.PubMedGoogle Scholar
  8. 8.
    Magee T, Williams W. 3.0 T MRI of meniscal tears. Am J Radiol 2006;187:371–375.Google Scholar
  9. 9.
    Thaete FL, Britton CA. Magnetic resonance imaging. In Knee Surgery, Fu FH, Harner CD, Vince KG, Miller MD (eds.) Vol. 1. Philadelphia: Williams & Wilkins, 1994, pp. 325–352.Google Scholar
  10. 10.
    Borden P, Nyland J, Caborn D, Pienkowski D. Biomechanical comparison of the fast-fix meniscal repair suture system with vertical mattress sutures and meniscus arrows. Am J Sports Med 2003;31:374–378.PubMedGoogle Scholar
  11. 11.
    Kurzweil P, Tifford C, Ignacio E. Unsatisfactory clinical results of meniscal repair using the meniscus arrow. Arthroscopy 2005;21:905.e1–905.e7.CrossRefGoogle Scholar
  12. 12.
    Gifstad T, Grøntvedt T, Drogset J. Meniscal repair with biofix arrows: results after 4.7 years follow-up. Am J Sports Med 2007;35:71–74.PubMedCrossRefGoogle Scholar
  13. 13.
    Lee G, Diduch D. Deteriorating outcomes after meniscal repair using the meniscus arrow in knees undergoing concurrent anterior cruciate ligament reconstruction increased failure rate with long-term follow-up. Am J Sports Med 2005;33:1138–1141.PubMedCrossRefGoogle Scholar
  14. 14.
    Seibold R, Dehler C, Boes L, Ellerman A. Arthroscopic all-inside repair using the meniscus arrow: Long-term clinical follow-up of 113 patients. Arthroscopy 2007;23:394–399.CrossRefGoogle Scholar
  15. 15.
    Cannon W, Vittori J. The incidence of healing in an arthroscopic meniscal repairs in ACL-reconstructed knees versus stable knees. Am J Sports Med 1992;20:176–181.PubMedCrossRefGoogle Scholar
  16. 16.
    Henning C, Lynch M, Yearout K, Verquist S, Stallbaumer R, Decker K. Arthroscopic meniscal repair using an exogenous fibrin clot. Clin Orthop 1990;252:64–72.PubMedGoogle Scholar
  17. 17.
    Henning C, Yearout K, Vequist S, Stallbaumer R, Decker K. Use of the fascia sheath coverage and exogenous fibrin clot in the treatment of complex meniscal tears. Am J Sports Med 1991;19: 626–631.PubMedCrossRefGoogle Scholar
  18. 18.
    Small N. Complications in arthroscopic surgery performed by experienced arthroscopists. Arthroscopy 1988;4:215–221.PubMedCrossRefGoogle Scholar
  19. 19.
    Sherman O, Fox J, Snyder S, Del Pizzo W, Friedman M, Ferkel R. Arthroscopy—“No problem surgery." Analysis of complications in 2640 cases. J Bone Joint Surg Am 1986;68: 256–265.PubMedGoogle Scholar
  20. 20.
    Armstrong R, Bolding F, Joseph R. Septic arthritis following arthroscopy, clinical syndromes and analysis of risk factors. Arthroscopy 1992;8:213–223.PubMedCrossRefGoogle Scholar
  21. 21.
    Montgomery S, Campbell J. Septic arthritis following arthroscopy and intraarticular steroids. J Bone Joint Surg Am 1989;71: 540–544.Google Scholar
  22. 22.
    Jauregito J, Greenwald A, Wilcox J, Paulos L, Rosenberg T. The incidence of deep vein thrombosis after arthroscopic knee surgery. Am J Sports Med 1999;27:707–710.Google Scholar
  23. 23.
    Kim T, Savino R, McFarland E, Cosgarea A. Neurovascular complications of knee arthroscopy. Am J Sports Med 2002;30: 619–629.PubMedGoogle Scholar
  24. 24.
    Rodeo S, Forster R, Weiland A. Neurological complications due to arthroscopy. J Bone Joint Surg Am 1993;75:917–926.PubMedGoogle Scholar
  25. 25.
    Stone R, Miller G. A technique of arthroscopic suture of a torn meniscus. Arthroscopy 1985;1:226–232.PubMedCrossRefGoogle Scholar
  26. 26.
    Jones H, Lemos M, Wilk R, Smiley R, Gutierrez R, Schepsis A. Two-year follow-up of meniscal repair using a bioabsorbable arrow. Arthroscopy 2002;18:64–69.PubMedGoogle Scholar
  27. 27.
    Anderson K, Marx R, Hannafin J, Warren R. Chondral injury following meniscal repair with a biodegradable implant. Arthroscopy 2000;16:749–753.PubMedCrossRefGoogle Scholar
  28. 28.
    Ross G, Grabill J, McDevitt E. Chondral injury after meniscal repair with bioabsorbable arrows. Arthroscopy 2000;16:754–756.PubMedCrossRefGoogle Scholar
  29. 29.
    Sgaglione N. Complications of meniscus surgery. Sports Med Arthrosc Rev 2004;12:148–159.CrossRefGoogle Scholar
  30. 30.
    DeHaven K, Lohrer W, Lovelock J. Long term results of open meniscal repair. Am J Sports Med 1995;23:524–530.PubMedCrossRefGoogle Scholar
  31. 31.
    Scott G, Jolly B, Henning C. Combined posterior incision and arthroscopic intra-articular repair of the meniscus. J Bone Joint Surg Am 1986;68:847–861.PubMedGoogle Scholar
  32. 32.
    Rodeo S. Arthroscopic meniscal repair with use of the outside-to-inside technique. J Bone Joint Surg Am 2000;82:127–141.Google Scholar
  33. 33.
    Sgaglione NA. Meniscus repair: update on new techniques. Tech Knee Surg 2002;1:113–127.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Michael J. Angel
    • 1
  • Jordan Kerker
    • 2
  • Nicholas Sgaglione
    • 2
  1. 1.Orthopaedic Sports FellowKerlan Jobe Orthopaedic ClinicLos Angeles
  2. 2.Department of Orthopaedic SurgeryLong Island Jewish Medical CenterNew Hyde Park

Personalised recommendations