Arthroscopic Meniscal Repair Results

  • Marc J. Friedman
Conference paper


Scott et al. [1] followed 178 repairs and 167 patients by postoperative arthroscopy or arthrography. In an average duration of follow-up of 100 weeks, 61.8% of the menisci healed, 16.9% healed incompletely, and 21.3% did not heal. Of all menisci, 92% were categorized as clinically stable, and 80% of the patients returned to active sports participation. Positive correlations with healing were found in patients who had a narrow peripheral meniscal rim, 0–2 mm, and in patients whose repair was associated with reconstruction of the anterior cruciate ligament (ACL). Nonabsorbable sutures, 2–0 Ethibond at 3-mm intervals, were used. Before November 1981, when the technique for dissection of the perimeniscal synovial membrane was introduced, 46.9% of the medial menisci had healed. After that date, the incidence of healing increased to 62.4%. The overall rate of healing for both medial and lateral menisci rose from 54.8% to 64.0% (P = 0.06). The authors compared peripheral meniscal rims of 0– 2 mm with 3–5 mm; the former were found to heal significantly better. Single longitudinal tears had a higher rate of healing (64.5%) than 13 double longitudinal tears (38.5%). However, the length of the tear did not substantially affect the rate of healing. Also, 75% of the menisci patients with a preoperative history of locking healed either completely or incompletely, in contrast with 81% of patients who denied having locking; duration of locking had no effect on the rate of healing. In addition, 66 displaced bucket-handle tears that were repaired did not have a statistically significant difference in rate of healing when compared with the remainder of the menisci that were repaired (P = 0.25). Intervals between injury and surgery less than 2 weeks and those more than 3 weeks were not significantly different in terms of rate of healing.


Anterior Cruciate Ligament Anterior Cruciate Ligament Reconstruction Lateral Meniscus Medial Meniscus Meniscal Repair 


  1. 1.
    Scott G, Jolly BL, Henning C (1986) Combined posterior incision on arthroscopic intraarticular repair of the meniscus. An examination of factors affecting healing. J Bone Joint Surg 68AGoogle Scholar
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    Baratz MA, Rehack DC, Fu FH, Rudert MJ (1988) Peripheral tears of the meniscus: the effect of open vs. arthroscopic repair on intraarticular contact stresses on the human knee. Am J Sports Med 16Google Scholar
  3. 3.
    Lynch MA, Henning CE, Glick KR Jr (1983) New joint surface chances: Long-term follow-up meniscal tear treatment in stable anterior cruciate ligament reconstructions. Clin Orthop 172:148–153PubMedGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 1997

Authors and Affiliations

  • Marc J. Friedman
    • 1
  1. 1.Southern California Orthopedic InstituteVan NuysUSA

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