Degenerate meniscal tears in older patients are rarely repairable, but large vertical tears in young adults should be repaired, particularly when they are associated with anterior cruciate ligament rupture. The local environment within the knee joint immediately following anterior cruciate ligament reconstruction facilitates meniscal healing, and anterior cruciate ligament reconstruction therefore presents the ideal opportunity to effect a successful repair.
During meniscal repair multiple tiny sutures are placed across the tear to render it stable. The operation is performed in key hole fashion using an arthroscope.
The principal disadvantage of meniscal repair is that a period of post operative splintage is usually required with a range of motion brace applied to protect the healing meniscus.