Return to Sport After Meniscus Operations: Meniscectomy, Repair, and Transplantation

  • Frank R. Noyes
  • Sue Barber-WestinEmail author


This chapter summarizes data in the current literature regarding return to sport (RTS) after meniscus surgery from 58 studies encompassing 2755 patients. There were 755 patients in 15 studies that underwent meniscectomy, 948 patients in 25 studies that had meniscus repair, and 1052 patients in 18 studies that underwent meniscus transplantation. Rates for return to preinjury sport, return to any type of sport, failures (meniscus repairs and transplants), and progression of knee osteoarthritis are provided. An analysis of the postoperative rehabilitation criteria for RTS described by each study is presented. Although high RTS rates were noted in a few meniscectomy studies in this chapter, these were offset by deterioration in radiographic knee osteoarthritis in 60–90% of patients followed >6 years postoperatively. A recommendation is made to preserve meniscus tissue and function through modern repair procedures whenever possible, especially in children and adolescent athletes. While sports are feasible after meniscus transplantation, the majority of studies recommend return to only low-impact or general athletic training due to pre-existing articular cartilage damage.


Meniscectomy Meniscus repair Meniscus and sports Meniscus injuries Meniscus transplantation 


  1. 1.
    Arno S, Hadley S, Campbell KA, Bell CP, Hall M, Beltran LS, Recht MP, Sherman OH, Walker PS. The effect of arthroscopic partial medial meniscectomy on tibiofemoral stability. Am J Sports Med. 2013;41(1):73–9. Scholar
  2. 2.
    Makris EA, Hadidi P, Athanasiou KA. The knee meniscus: structure-function, pathophysiology, current repair techniques, and prospects for regeneration. Biomaterials. 2011;32(30):7411–31. Scholar
  3. 3.
    Mononen ME, Jurvelin JS, Korhonen RK. Effects of radial tears and partial meniscectomy of lateral meniscus on the knee joint mechanics during the stance phase of the gait cycle–a 3D finite element study. J Orthop Res. 2013;31(8):1208–17. Scholar
  4. 4.
    Sturnieks DL, Besier TF, Mills PM, Ackland TR, Maguire KF, Stachowiak GW, Podsiadlo P, Lloyd DG. Knee joint biomechanics following arthroscopic partial meniscectomy. J Orthop Res. 2008;26(8):1075–80. Scholar
  5. 5.
    Wang H, Chen T, Torzilli P, Warren R, Maher S. Dynamic contact stress patterns on the tibial plateaus during simulated gait: a novel application of normalized cross correlation. J Biomech. 2014;47(2):568–74. Scholar
  6. 6.
    Ahmed AM, Burke DL. In-vitro measurement of static pressure distribution in synovial joints--part I: Tibial surface of the knee. J Biomech Eng. 1983;105(3):216–25.PubMedCrossRefGoogle Scholar
  7. 7.
    Bourne RB, Finlay JB, Papadopoulos P, Andreae P. The effect of medial meniscectomy on strain distribution in the proximal part of the tibia. J Bone Joint Surg Am. 1984;66(9):1431–7.PubMedCrossRefGoogle Scholar
  8. 8.
    Pena E, Calvo B, Martinez MA, Palanca D, Doblare M. Finite element analysis of the effect of meniscal tears and meniscectomies on human knee biomechanics. Clin Biomech (Bristol, Avon). 2005;20(5):498–507.CrossRefGoogle Scholar
  9. 9.
    Paletta GA, Manning T, Snell E, Parker R, Bergfeld J. The effect of allograft meniscal replacement on intraarticular contact area and pressures in the human knee. A biomechanical study. Am J Sports Med. 1997;25(5):692–8.PubMedCrossRefGoogle Scholar
  10. 10.
    Fink C, Hoser C, Hackl W, Navarro RA, Benedetto KP. Long-term outcome of operative or nonoperative treatment of anterior cruciate ligament rupture--is sports activity a determining variable? Int J Sports Med. 2001;22(4):304–9.PubMedCrossRefPubMedCentralGoogle Scholar
  11. 11.
    McDermott ID, Amis AA. The consequences of meniscectomy. J Bone Joint Surg Br. 2006;88(12):1549–56. Scholar
  12. 12.
    Meunier A, Odensten M, Good L. Long-term results after primary repair or non-surgical treatment of anterior cruciate ligament rupture: a randomized study with a 15-year follow-up. Scand J Med Sci Sports. 2007;17(3):230–7. Scholar
  13. 13.
    Neuman P, Englund M, Kostogiannis I, Friden T, Roos H, Dahlberg LE. Prevalence of tibiofemoral osteoarthritis 15 years after nonoperative treatment of anterior cruciate ligament injury: a prospective cohort study. Am J Sports Med. 2008;36(9):1717–25. Scholar
  14. 14.
    Petty CA, Lubowitz JH. Does arthroscopic partial meniscectomy result in knee osteoarthritis? A systematic review with a minimum of 8 years’ follow-up. Arthroscopy. 2011;27(3):419–24. Scholar
  15. 15.
    Roos EM. Joint injury causes knee osteoarthritis in young adults. Curr Opin Rheumatol. 2005;17(2):195–200.PubMedCrossRefPubMedCentralGoogle Scholar
  16. 16.
    Salata MJ, Gibbs AE, Sekiya JK. A systematic review of clinical outcomes in patients undergoing meniscectomy. Am J Sports Med. 2010;38(9):1907–16. Scholar
  17. 17.
    Thompson WO, Thaete FL, Fu FH, Dye SF. Tibial meniscal dynamics using three-dimensional reconstruction of magnetic resonance images. Am J Sports Med. 1991;19:210–6.PubMedCrossRefPubMedCentralGoogle Scholar
  18. 18.
    Yao J, Lancianese SL, Hovinga KR, Lee J, Lerner AL. Magnetic resonance image analysis of meniscal translation and tibio-menisco-femoral contact in deep knee flexion. J Orthop Res. 2008;26(5):673–84.PubMedCrossRefPubMedCentralGoogle Scholar
  19. 19.
    Mow VC, Ratcliffe A, Chern KY, Kelly MA. Structure and function relationships of the menisci of the knee. In: Mow VC, Arnoczky SP, Jackson DW, editors. Knee meniscus: basic and clinical foundations. New York: Raven Press, Ltd; 1992. p. 37–57.Google Scholar
  20. 20.
    Musahl V, Citak M, O'Loughlin PF, Choi D, Bedi A, Pearle AD. The effect of medial versus lateral meniscectomy on the stability of the anterior cruciate ligament-deficient knee. Am J Sports Med. 2010;38(8):1591–7. Scholar
  21. 21.
    Bedi A, Kelly NH, Baad M, Fox AJ, Brophy RH, Warren RF, Maher SA. Dynamic contact mechanics of the medial meniscus as a function of radial tear, repair, and partial meniscectomy. J Bone Joint Surg Am. 2010;92(6):1398–408. Scholar
  22. 22.
    Seedhom BB, Hargreaves DJ. Transmission of the load in the knee joint with special reference to the role of the menisci. Part II. Experimental results, discussion, and conclusions. Eng Med. 1979;8:220–8.CrossRefGoogle Scholar
  23. 23.
    Fukubayashi T, Kurosawa H. The contact area and pressure distribution pattern of the knee. A study of normal and osteoarthrotic knee joints. Acta Orthop Scand. 1980;51(6):871–9.PubMedCrossRefGoogle Scholar
  24. 24.
    Kurosawa H, Fukubayashi T, Nakajima H. Load-bearing mode of the knee joint: physical behavior of the knee joint with or without menisci. Clin Orthop Relat Res. 1980;149:283–90.Google Scholar
  25. 25.
    McDermott ID, Lie DT, Edwards A, Bull AM, Amis AA. The effects of lateral meniscal allograft transplantation techniques on tibio-femoral contact pressures. Knee Surg Sports Traumatol Arthrosc. 2008;16(6):553–60.PubMedCrossRefGoogle Scholar
  26. 26.
    Seitz AM, Lubomierski A, Friemert B, Ignatius A, Durselen L. Effect of partial meniscectomy at the medial posterior horn on tibiofemoral contact mechanics and meniscal hoop strains in human knees. J Orthop Res. 2012;30(6):934–42. Scholar
  27. 27.
    Thieman KM, Pozzi A, Ling HY, Lewis DD, Horodyski M. Contact mechanics of simulated meniscal tears in cadaveric canine stifles. Vet Surg. 2009;38(7):803–10. Scholar
  28. 28.
    Verma NN, Kolb E, Cole BJ, Berkson MB, Garretson R, Farr J, Fregly B. The effects of medial meniscal transplantation techniques on intra-articular contact pressures. J Knee Surg. 2008;21(1):20–6.PubMedCrossRefGoogle Scholar
  29. 29.
    Koh JL, Yi SJ, Ren Y, Zimmerman TA, Zhang LQ. Tibiofemoral contact mechanics with horizontal cleavage tear and resection of the medial meniscus in the human knee. J Bone Joint Surg Am. 2016;98(21):1829–36. Scholar
  30. 30.
    Markolf KL, Bargar WL, Shoemaker SC, Amstutz HC. The role of joint load in knee stability. J Bone Joint Surg Am. 1981;63(4):570–85.PubMedCrossRefGoogle Scholar
  31. 31.
    Kelly BT, Potter HG, Deng XH, Pearle AD, Turner AS, Warren RF, Rodeo SA. Meniscal allograft transplantation in the sheep knee: evaluation of chondroprotective effects. Am J Sports Med. 2006;34(9):1464–77.PubMedCrossRefGoogle Scholar
  32. 32.
    Szomor ZL, Martin TE, Bonar F, Murrell GA. The protective effects of meniscal transplantation on cartilage. An experimental study in sheep. J Bone Joint Surg Am. 2000;82(1):80–8.PubMedCrossRefGoogle Scholar
  33. 33.
    Wilson W, van Rietbergen B, van Donkelaar CC, Huiskes R. Pathways of load-induced cartilage damage causing cartilage degeneration in the knee after meniscectomy. J Biomech. 2003;36(6):845–51.PubMedCrossRefGoogle Scholar
  34. 34.
    McCann L, Ingham E, Jin Z, Fisher J. Influence of the meniscus on friction and degradation of cartilage in the natural knee joint. Osteoarthr Cartil. 2009;17(8):995–1000. Scholar
  35. 35.
    Andersson-Molina H, Karlsson H, Rockborn P. Arthroscopic partial and total meniscectomy: A long-term follow-up study with matched controls. Arthroscopy. 2002;18(2):183–9.PubMedCrossRefGoogle Scholar
  36. 36.
    Cohen SB, Short CP, O'Hagan T, Wu HT, Morrison WB, Zoga AC. The effect of meniscal tears on cartilage loss of the knee: findings on serial MRIs. Phys Sportsmed. 2012;40(3):66–76. Scholar
  37. 37.
    Han SB, Shetty GM, Lee DH, Chae DJ, Seo SS, Wang KH, Yoo SH, Nha KW. Unfavorable results of partial meniscectomy for complete posterior medial meniscus root tear with early osteoarthritis: a 5- to 8-year follow-up study. Arthroscopy. 2010;26(10):1326–32. Scholar
  38. 38.
    Magnussen RA, Mansour AA, Carey JL, Spindler KP. Meniscus status at anterior cruciate ligament reconstruction associated with radiographic signs of osteoarthritis at 5- to 10-year follow-up: a systematic review. J Knee Surg. 2009;22(4):347–57.PubMedPubMedCentralCrossRefGoogle Scholar
  39. 39.
    Mills PM, Wang Y, Cicuttini FM, Stoffel K, Stachowiak GW, Podsiadlo P, Lloyd DG. Tibio-femoral cartilage defects 3-5 years following arthroscopic partial medial meniscectomy. Osteoarthr Cartil. 2008;16(12):1526–31. Scholar
  40. 40.
    Rockborn P, Messner K. Long-term results of meniscus repair and meniscectomy: a 13-year functional and radiographic follow-up study. Knee Surg Sports Traumatol Arthrosc. 2000;8(1):2–10.PubMedCrossRefGoogle Scholar
  41. 41.
    Roos EM, Ostenberg A, Roos H, Ekdahl C, Lohmander LS. Long-term outcome of meniscectomy: symptoms, function, and performance tests in patients with or without radiographic osteoarthritis compared to matched controls. Osteoarthr Cartil. 2001;9(4):316–24.PubMedCrossRefGoogle Scholar
  42. 42.
    Scheller G, Sobau C, Bulow JU. Arthroscopic partial lateral meniscectomy in an otherwise normal knee: clinical, functional, and radiographic results of a long-term follow-up study. Arthroscopy. 2001;17(9):946–52. Scholar
  43. 43.
    Stein T, Mehling AP, Welsch F, von Eisenhart-Rothe R, Jager A. Long-term outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears. Am J Sports Med. 2010;38(8):1542–8. Scholar
  44. 44.
    Lyman S, Hidaka C, Valdez AS, Hetsroni I, Pan TJ, Do H, Dunn WR, Marx RG. Risk factors for meniscectomy after meniscal repair. Am J Sports Med. 2013;41(12):2772–8. Scholar
  45. 45.
    Mihelic R, Jurdana H, Jotanovic Z, Madjarevic T, Tudor A. Long-term results of anterior cruciate ligament reconstruction: a comparison with non-operative treatment with a follow-up of 17–20 years. Int Orthop. 2011;35(7):1093–7. Scholar
  46. 46.
    Nguyen JT, Wasserstein D, Reinke EK, Spindler KP, Mehta N, Doyle JB, Group M, Marx RG. Does the chronicity of anterior cruciate ligament ruptures influence patient-reported outcomes before surgery. Am J Sports Med. 2016; Scholar
  47. 47.
    Sanders TL, Pareek A, Kremers HM, Bryan AJ, Levy BA, Stuart MJ, Dahm DL, Krych AJ. Long-term follow-up of isolated ACL tears treated without ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2016; Scholar
  48. 48.
    Kennedy J, Jackson MP, O'Kelly P, Moran R. Timing of reconstruction of the anterior cruciate ligament in athletes and the incidence of secondary pathology within the knee. J Bone Joint Surg. 2010;92(3):362–6. Scholar
  49. 49.
    Smith JP 3rd, Barrett GR. Medial and lateral meniscal tear patterns in anterior cruciate ligament-deficient knees. A prospective analysis of 575 tears. Am J Sports Med. 2001;29(4):415–9.PubMedCrossRefGoogle Scholar
  50. 50.
    Tandogan RN, Taser O, Kayaalp A, Taskiran E, Pinar H, Alparslan B, Alturfan A. Analysis of meniscal and chondral lesions accompanying anterior cruciate ligament tears: relationship with age, time from injury, and level of sport. Knee Surg Sports Traumatol Arthrosc. 2004;12(4):262–70. Scholar
  51. 51.
    Noyes FR, Barber-Westin SD. Meniscus tears: diagnosis, repair techniques, and clinical outcomes. In: Noyes FR, Barber-Westin SD, editors. Noyes’ knee disorders: surgery, rehabilitation, clinical outcomes. 2nd ed. Philadelphia, PA: Elsevier; 2017. p. 677–718. Scholar
  52. 52.
    Ahn JH, Kim JG, Wang JH, Jung CH, Lim HC. Long-term results of anterior cruciate ligament reconstruction using bone-patellar tendon-bone: an analysis of the factors affecting the development of osteoarthritis. Arthroscopy. 2012;28(8):1114–23. Scholar
  53. 53.
    Barenius B, Ponzer S, Shalabi A, Bujak R, Norlen L, Eriksson K. Increased risk of osteoarthritis after anterior cruciate ligament reconstruction: a 14-year follow-up study of a randomized controlled trial. Am J Sports Med. 2014;42(5):1049–57. Scholar
  54. 54.
    Gerhard P, Bolt R, Duck K, Mayer R, Friederich NF, Hirschmann MT. Long-term results of arthroscopically assisted anatomical single-bundle anterior cruciate ligament reconstruction using patellar tendon autograft: are there any predictors for the development of osteoarthritis? Knee Surg Sports Traumatol Arthrosc. 2013;21(4):957–64. Scholar
  55. 55.
    Keays SL, Newcombe PA, Bullock-Saxton JE, Bullock MI, Keays AC. Factors involved in the development of osteoarthritis after anterior cruciate ligament surgery. Am J Sports Med. 2010;38(3):455–63. Scholar
  56. 56.
    Li RT, Lorenz S, Xu Y, Harner CD, Fu FH, Irrgang JJ. Predictors of radiographic knee osteoarthritis after anterior cruciate ligament reconstruction. Am J Sports Med. 2011;39(12):2595–603. Scholar
  57. 57.
    Nakata K, Shino K, Horibe S, Tanaka Y, Toritsuka Y, Nakamura N, Koyanagi M, Yoshikawa H. Arthroscopic anterior cruciate ligament reconstruction using fresh-frozen bone plug-free allogeneic tendons: 10-year follow-up. Arthroscopy. 2008;24(3):285–91.CrossRefGoogle Scholar
  58. 58.
    Salmon LJ, Russell VJ, Refshauge K, Kader D, Connolly C, Linklater J, Pinczewski LA. Long-term outcome of endoscopic anterior cruciate ligament reconstruction with patellar tendon autograft: minimum 13-year review. Am J Sports Med. 2006;34(5):721–32.CrossRefGoogle Scholar
  59. 59.
    Shelbourne KD, Gray T. Minimum 10-year results after anterior cruciate ligament reconstruction: how the loss of normal knee motion compounds other factors related to the development of osteoarthritis after surgery. Am J Sports Med. 2009;37(3):471–80. Scholar
  60. 60.
    Barber-Westin SD, Noyes FR. Clinical healing rates of meniscus repairs of tears in the central-third (red-white) zone. Arthroscopy. 2014;30(1):134–46. Scholar
  61. 61.
    Kurzweil PR, Lynch NM, Coleman S, Kearney B. Repair of horizontal meniscus tears: a systematic review. Arthroscopy. 2014;30(11):1513–9. Scholar
  62. 62.
    Noyes FR, Chen RC, Barber-Westin SD, Potter HG. Greater than 10-year results of red-white longitudinal meniscal repairs in patients 20 years of age or younger. Am J Sports Med. 2011;39(5):1008–17. Scholar
  63. 63.
    Tagliero AJ, Desai VS, Kennedy NI, Camp CL, Stuart MJ, Levy BA, Dahm DL, Krych AJ. Seventeen-year follow-up after meniscal repair with concomitant anterior cruciate ligament reconstruction in a Pediatric and adolescent population. Am J Sports Med. 2018;46(14):3361–7. Scholar
  64. 64.
    Buseck MS, Noyes FR. Arthroscopic evaluation of meniscal repairs after anterior cruciate ligament reconstruction and immediate motion. Am J Sports Med. 1991;19(5):489–94.CrossRefGoogle Scholar
  65. 65.
    Westermann RW, Wright RW, Spindler KP, Huston LJ, Group MK, Wolf BR. Meniscal repair with concurrent anterior cruciate ligament reconstruction: operative success and patient outcomes at 6-year follow-up. Am J Sports Med. 2014;42(9):2184–92. Scholar
  66. 66.
    Choi NH, Kim BY, Hwang Bo BH, Victoroff BN. Suture versus FasT-Fix all-inside meniscus repair at time of anterior cruciate ligament reconstruction. Arthroscopy. 2014;30(10):1280–6. Scholar
  67. 67.
    Feng H, Hong L, Geng XS, Zhang H, Wang XS, Jiang XY. Second-look arthroscopic evaluation of bucket-handle meniscus tear repairs with anterior cruciate ligament reconstruction: 67 consecutive cases. Arthroscopy. 2008;24(12):1358–66.PubMedCrossRefPubMedCentralGoogle Scholar
  68. 68.
    Rubman MH, Noyes FR, Barber-Westin SD. Arthroscopic repair of meniscal tears that extend into the avascular zone. A review of 198 single and complex tears. Am J Sports Med. 1998;26(1):87–95.CrossRefPubMedPubMedCentralGoogle Scholar
  69. 69.
    Noyes FR, Barber-Westin SD. Arthroscopic repair of meniscal tears extending into the avascular zone in patients younger than twenty years of age. Am J Sports Med. 2002;30(4):589–600.CrossRefGoogle Scholar
  70. 70.
    Miller MD, Ritchie JR, Gomez BA, Royster RM, DeLee JC. Meniscal repair. An experimental study in the goat. Am J Sports Med. 1995;23(1):124–8.PubMedCrossRefPubMedCentralGoogle Scholar
  71. 71.
    Miller MD, Kline AJ, Jepsen KG. “All-inside” meniscal repair devices: an experimental study in the goat model. Am J Sports Med. 2004;32(4):858–62.PubMedCrossRefPubMedCentralGoogle Scholar
  72. 72.
    Ritchie JR, Miller MD, Bents RT, Smith DK. Meniscal repair in the goat model. The use of healing adjuncts on central tears and the role of magnetic resonance arthrography in repair evaluation. Am J Sports Med. 1998;26(2):278–84.PubMedCrossRefPubMedCentralGoogle Scholar
  73. 73.
    Hospodar SJ, Schmitz MR, Golish SR, Ruder CR, Miller MD. FasT-Fix versus inside-out suture meniscal repair in the goat model. Am J Sports Med. 2009;37(2):330–3. Scholar
  74. 74.
    Allaire R, Muriuki M, Gilbertson L, Harner CD. Biomechanical consequences of a tear of the posterior root of the medial meniscus. Similar to total meniscectomy. J Bone Joint Surg Am. 2008;90(9):1922–31. Scholar
  75. 75.
    Marchetti DC, Phelps BM, Dahl KD, Slette EL, Mikula JD, Dornan GJ, Bucci G, Turnbull TL, Singleton SB. A contact pressure analysis comparing an all-inside and inside-out surgical repair technique for bucket-handle medial meniscus tears. Arthroscopy. 2017;33(10):1840–8. Scholar
  76. 76.
    Masoudi A, Beamer BS, Harlow ER, Manoukian OS, Walley KC, Hertz B, Haeussler C, Olson JJ, Zurakowski D, Nazarian A, Ramappa AJ, DeAngelis JP. Biomechanical evaluation of an all-inside suture-based device for repairing longitudinal meniscal tears. Arthroscopy. 2015;31(3):428–34. Scholar
  77. 77.
    Rosso C, Muller S, Buckland DM, Schwenk T, Zimmermann S, de Wild M, Valderrabano V. All-inside meniscal repair devices compared with their matched inside-out vertical mattress suture repair: introducing 10,000 and 100,000 loading cycles. Am J Sports Med. 2014;42(9):2226–33. Scholar
  78. 78.
    Noyes FR, Mangine RE, Barber S. Early knee motion after open and arthroscopic anterior cruciate ligament reconstruction. Am J Sports Med. 1987;15(2):149–60.PubMedPubMedCentralCrossRefGoogle Scholar
  79. 79.
    Noyes FR, Barber-Westin SD. Arthroscopic repair of meniscus tears extending into the avascular zone with or without anterior cruciate ligament reconstruction in patients 40 years of age and older. Arthroscopy. 2000;16(8):822–9. Scholar
  80. 80.
    Steenbrugge F, Van Nieuwenhuyse W, Verdonk R, Verstraete K. Arthroscopic meniscus repair in the ACL-deficient knee. Int Orthop. 2005;29(2):109–12. Scholar
  81. 81.
    Haklar U, Donmez F, Basaran SH, Canbora MK. Results of arthroscopic repair of partial- or full-thickness longitudinal medial meniscal tears by single or double vertical sutures using the inside-out technique. Am J Sports Med. 2013;41(3):596–602. Scholar
  82. 82.
    Vanderhave KL, Moravek JE, Sekiya JK, Wojtys EM. Meniscus tears in the young athlete: results of arthroscopic repair. J Pediatr Orthop. 2011;31(5):496–500. Scholar
  83. 83.
    O'Shea JJ, Shelbourne KD. Repair of locked bucket-handle meniscal tears in knees with chronic anterior cruciate ligament deficiency. Am J Sports Med. 2003;31(2):216–20.PubMedCrossRefPubMedCentralGoogle Scholar
  84. 84.
    Paxton ES, Stock MV, Brophy RH. Meniscal repair versus partial meniscectomy: a systematic review comparing reoperation rates and clinical outcomes. Arthroscopy. 2011;27(9):1275–88. Scholar
  85. 85.
    Xu C, Zhao J. A meta-analysis comparing meniscal repair with meniscectomy in the treatment of meniscal tears: the more meniscus, the better outcome? Knee Surg Sports Traumatol Arthrosc. 2015;23(1):164–70. Scholar
  86. 86.
    Ekhtiari S, Khan M, Kirsch JM, Thornley P, Larson CM, Bedi A. Most elite athletes return to competition following operative management of meniscal tears: a systematic review. J ISAKOS Joint Disorders Orthop Sports Med. 2018;3(2):110–5. Scholar
  87. 87.
    Eberbach H, Zwingmann J, Hohloch L, Bode G, Maier D, Niemeyer P, Sudkamp NP, Feucht MJ. Sport-specific outcomes after isolated meniscal repair: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2018;26(3):762–71. Scholar
  88. 88.
    Mosich GM, Lieu V, Ebramzadeh E, Beck JJ. Operative treatment of isolated meniscus injuries in adolescent patients: a meta-analysis and review. Sports Health. 2018;10(4):311–6. Scholar
  89. 89.
    Noyes FR, Barber-Westin SD. Meniscus transplantation: diagnosis, operative techniques, and clinical outcomes. In: Noyes FR, Barber-Westin SD, editors. Noyes’ knee disorders: surgery, rehabilitation, clinical outcomes. 2nd ed. Philadelphia, PA: Elsevier; 2017. p. 719–59. Scholar
  90. 90.
    Getgood A, LaPrade RF, Verdonk P, Gersoff W, Cole B, Spalding T, Group I. International meniscus reconstruction experts forum (IMREF) 2015 consensus statement on the practice of meniscal allograft transplantation. Am J Sports Med. 2016; Scholar
  91. 91.
    Barber-Westin SD, Noyes FR. Low-impact sports activities are feasible after meniscus transplantation: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2018;26(7):1950–8. Scholar
  92. 92.
    Heckmann TP, Noyes FR, Barber-Westin SD. Rehabilitation of meniscus repair and transplantation procedures. In: Noyes FR, Barber-Westin SD, editors. Noyes’ knee disorders: surgery, rehabilitation, clinical outcomes. 2nd ed. Philadelphia, PA: Elsevier; 2017. p. 760–71. Scholar
  93. 93.
    Aune KT, Andrews JR, Dugas JR, Cain EL Jr. Return to play after partial lateral meniscectomy in National Football League Athletes. Am J Sports Med. 2014;42(8):1865–72. Scholar
  94. 94.
    Brophy RH, Gill CS, Lyman S, Barnes RP, Rodeo SA, Warren RF. Effect of anterior cruciate ligament reconstruction and meniscectomy on length of career in National Football League athletes: a case control study. Am J Sports Med. 2009;37(11):2102–7. Scholar
  95. 95.
    Mariani PP, Garofalo R, Margheritini F. Chondrolysis after partial lateral meniscectomy in athletes. Knee Surg Sports Traumatol Arthrosc. 2008;16(6):574–80. Scholar
  96. 96.
    Minhas SV, Kester BS, Larkin KE, Hsu WK. The effect of an orthopaedic surgical procedure in the National Basketball Association. Am J Sports Med. 2016;44(4):1056–61. Scholar
  97. 97.
    Nawabi DH, Cro S, Hamid IP, Williams A. Return to play after lateral meniscectomy compared with medial meniscectomy in elite professional soccer players. Am J Sports Med. 2014;42(9):2193–8. Scholar
  98. 98.
    Sonnery-Cottet B, Archbold P, Thaunat M, Carnesecchi O, Tostes M, Chambat P. Rapid chondrolysis of the knee after partial lateral meniscectomy in professional athletes. Knee. 2014;21(2):504–8. Scholar
  99. 99.
    Kim SG, Nagao M, Kamata K, Maeda K, Nozawa M. Return to sport after arthroscopic meniscectomy on stable knees. BMC Sports Sci Med Rehabil. 2013;5(1):23. Scholar
  100. 100.
    Bonneux I, Vandekerckhove B. Arthroscopic partial lateral meniscectomy long-term results in athletes. Acta Orthop Belg. 2002;68(4):356–61.PubMedGoogle Scholar
  101. 101.
    Herrlin SV, Wange PO, Lapidus G, Hallander M, Werner S, Weidenhielm L. Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears? A five year follow-up. Knee Surg Sports Traumatol Arthrosc. 2013;21(2):358–64. Scholar
  102. 102.
    Hulet CH, Locker BG, Schiltz D, Texier A, Tallier E, Vielpeau CH. Arthroscopic medial meniscectomy on stable knees. J Bone Joint Surg. 2001;83(1):29–32.CrossRefGoogle Scholar
  103. 103.
    Kim JG, Lee SY, Chay S, Lim HC, Bae JH. Arthroscopic meniscectomy for medial meniscus horizontal cleavage tears in patients under age 45. Knee Surg Relat Res. 2016;28(3):225–32. Scholar
  104. 104.
    Yim JH, Seon JK, Song EK, Choi JI, Kim MC, Lee KB, Seo HY. A comparative study of meniscectomy and nonoperative treatment for degenerative horizontal tears of the medial meniscus. Am J Sports Med. 2013;41(7):1565–70. Scholar
  105. 105.
    Mariani PP, Adriani E, Maresca G. Arthroscopic-assisted posterior cruciate ligament reconstruction using patellar tendon autograft: a technique for graft passage. Arthroscopy. 1996;12(4):510–2.PubMedCrossRefGoogle Scholar
  106. 106.
    Alvarez-Diaz P, Alentorn-Geli E, Llobet F, Granados N, Steinbacher G, Cugat R. Return to play after all-inside meniscal repair in competitive football players: a minimum 5-year follow-up. Knee Surg Sports Traumatol Arthrosc. 2016;24(6):1997–2001. Scholar
  107. 107.
    Imade S, Kumahashi N, Kuwata S, Kadowaki M, Ito S, Uchio Y. Clinical outcomes of revision meniscal repair: a case series. Am J Sports Med. 2014;42(2):350–7. Scholar
  108. 108.
    Kraus T, Heidari N, Svehlik M, Schneider F, Sperl M, Linhart W. Outcome of repaired unstable meniscal tears in children and adolescents. Acta Orthop. 2012;83(3):261–6. Scholar
  109. 109.
    Logan M, Watts M, Owen J, Myers P. Meniscal repair in the elite athlete: results of 45 repairs with a minimum 5-year follow-up. Am J Sports Med. 2009;37(6):1131–4.PubMedCrossRefGoogle Scholar
  110. 110.
    Pujol N, Bohu Y, Boisrenoult P, Macdes A, Beaufils P. Clinical outcomes of open meniscal repair of horizontal meniscal tears in young patients. Knee Surg Sports Traumatol Arthrosc. 2013;21(7):1530–3. Scholar
  111. 111.
    Schmitt A, Batisse F, Bonnard C. Results with all-inside meniscal suture in pediatrics. Orthop Traumatol Surg Res. 2016;102(2):207–11. Scholar
  112. 112.
    Tucciarone A, Godente L, Fabbrini R, Garro L, Salate Santone F, Chillemi C. Meniscal tear repaired with Fast-Fix sutures: clinical results in stable versus ACL-deficient knees. Arch Orthop Trauma Surg. 2012;132(3):349–56. Scholar
  113. 113.
    Ahn JH, Kim KI, Wang JH, Kyung BS, Seo MC, Lee SH. Arthroscopic repair of bucket-handle tears of the lateral meniscus. Knee Surg Sports Traumatol Arthrosc. 2015;23(1):205–10. Scholar
  114. 114.
    Ahn JH, Kwon OJ, Nam TS. Arthroscopic repair of horizontal meniscal cleavage tears with marrow-stimulating technique. Arthroscopy. 2015;31(1):92–8. Scholar
  115. 115.
    Barber FA, Schroeder FA, Barrera Oro F, Beavis RC. FasT-Fix meniscal repair: mid-term results. Arthroscopy. 2008;24(12):1342–8.PubMedCrossRefPubMedCentralGoogle Scholar
  116. 116.
    Chiang CW, Chang CH, Cheng CY, Chen AC, Chan YS, Hsu KY, Chen WJ. Clinical results of all-inside meniscal repair using the FasT-Fix meniscal repair system. Chang Gung Med J. 2011;34(3):298–305.PubMedPubMedCentralGoogle Scholar
  117. 117.
    Choi NH, Kim TH, Son KM, Victoroff BN. Meniscal repair for radial tears of the midbody of the lateral meniscus. Am J Sports Med. 2010;38(12):2472–6. Scholar
  118. 118.
    Kotsovolos ES, Hantes ME, Mastrokalos DS, Lorbach O, Paessler HH. Results of all-inside meniscal repair with the FasT-Fix meniscal repair system. Arthroscopy. 2006;22(1):3–9.PubMedCrossRefGoogle Scholar
  119. 119.
    Krych AJ, Pitts RT, Dajani KA, Stuart MJ, Levy BA, Dahm DL. Surgical repair of meniscal tears with concomitant anterior cruciate ligament reconstruction in patients 18 years and younger. Am J Sports Med. 2010;38(5):976–82. Scholar
  120. 120.
    Lind M, Nielsen T, Fauno P, Lund B, Christiansen SE. Free rehabilitation is safe after isolated meniscus repair: a prospective randomized trial comparing free with restricted rehabilitation regimens. Am J Sports Med. 2013;41(12):2753–8. Scholar
  121. 121.
    Lucas G, Accadbled F, Violas P, Sales de Gauzy J, Knorr J. Isolated meniscal injuries in paediatric patients: outcomes after arthroscopic repair. Orthop Traumatol Surg Rec. 2015;101(2):173–7. Scholar
  122. 122.
    Majewski M, Stoll R, Widmer H, Muller W, Friederich NF. Midterm and long-term results after arthroscopic suture repair of isolated, longitudinal, vertical meniscal tears in stable knees. Am J Sports Med. 2006;34(7):1072–6.PubMedCrossRefPubMedCentralGoogle Scholar
  123. 123.
    Martin-Fuentes AM, Ojeda-Thies C, Vila-Rico J. Clinical results following meniscal sutures: does concomitant acl repair make a difference? Acta Orthop Belg. 2015;81(4):690–7.PubMedPubMedCentralGoogle Scholar
  124. 124.
    Stein T, Mehling AP, Jost K, Auhuber TC, Jager A. Measurements of the quadriceps femoris function after meniscus refixation at the stable athlete's knee. Arch Orthop Trauma Surg. 2009;129(8):1063–9. Scholar
  125. 125.
    Alentorn-Geli E, Vazquez RS, Diaz PA, Cusco X, Cugat R. Arthroscopic meniscal transplants in soccer players: outcomes at 2- to 5-year follow-up. Clin J Sport Med. 2010;20(5):340–3. Scholar
  126. 126.
    Chalmers PN, Karas V, Sherman SL, Cole BJ. Return to high-level sport after meniscal allograft transplantation. Arthroscopy. 2013;29(3):539–44. Scholar
  127. 127.
    Noyes FR, Barber-Westin SD, Rankin M. Meniscal transplantation in symptomatic patients less than fifty years old. J Bone Joint Surg Am. 2004;86-A(7):1392–404.CrossRefGoogle Scholar
  128. 128.
    Marcacci M, Marcheggiani Muccioli GM, Grassi A, Ricci M, Tsapralis K, Nanni G, Bonanzinga T, Zaffagnini S. Arthroscopic meniscus allograft transplantation in male professional soccer players: a 36-month follow-up study. Am J Sports Med. 2014;42(2):382–8. Scholar
  129. 129.
    Noyes FR, Barber-Westin SD. Long-term survivorship and function of meniscus transplantation. Am J Sports Med. 2016;44(9):2330–8. Scholar
  130. 130.
    Zaffagnini S, Grassi A, Marcheggiani Muccioli GM, Benzi A, Roberti di Sarsina T, Signorelli C, Raggi F, Marcacci M. Is sport activity possible after arthroscopic meniscal allograft transplantation? Midterm results in active patients. Am J Sports Med. 2016; Scholar
  131. 131.
    Stone KR, Pelsis JR, Surrette ST, Walgenbach AW, Turek TJ. Meniscus transplantation in an active population with moderate to severe cartilage damage. Knee Surg Sports Traumatol Arthrosc. 2015;23(1):251–7. Scholar
  132. 132.
    Abat F, Gelber PE, Erquicia JI, Tey M, Gonzalez-Lucena G, Monllau JC. Prospective comparative study between two different fixation techniques in meniscal allograft transplantation. Knee Surg Sports Traumatol Arthrosc. 2013;21(7):1516–22. Scholar
  133. 133.
    Gonzalez-Lucena G, Gelber PE, Pelfort X, Tey M, Monllau JC. Meniscal allograft transplantation without bone blocks: a 5- to 8-year follow-up of 33 patients. Arthroscopy. 2010;26(12):1633–40. Scholar
  134. 134.
    Kempshall PJ, Parkinson B, Thomas M, Robb C, Standell H, Getgood A, Spalding T. Outcome of meniscal allograft transplantation related to articular cartilage status: advanced chondral damage should not be a contraindication. Knee Surg Sports Traumatol Arthrosc. 2015;23(1):280–9. Scholar
  135. 135.
    Lee BS, Bin SI, Kim JM. Articular cartilage degenerates after subtotal/Total lateral meniscectomy but radiographic arthrosis progression is reduced after meniscal transplantation. Am J Sports Med. 2016;44(1):159–65. Scholar
  136. 136.
    Mahmoud A, Young J, Bullock-Saxton J, Myers P. Meniscal allograft transplantation: the effect of cartilage status on survivorship and clinical outcome. Arthroscopy. 2018;34(6):1871–1876.e1871. Scholar
  137. 137.
    Marcacci M, Zaffagnini S, Marcheggiani Muccioli GM, Grassi A, Bonanzinga T, Nitri M, Bondi A, Molinari M, Rimondi E. Meniscal allograft transplantation without bone plugs: a 3-year minimum follow-up study. Am J Sports Med. 2012;40(2):395–403. Scholar
  138. 138.
    Stone KR, Adelson WS, Pelsis JR, Walgenbach AW, Turek TJ. Long-term survival of concurrent meniscus allograft transplantation and repair of the articular cartilage: a prospective two- to 12-year follow-up report. J Bone Joint Surg. 2010;92(7):941–8. Scholar
  139. 139.
    Vundelinckx B, Bellemans J, Vanlauwe J. Arthroscopically assisted meniscal allograft transplantation in the knee: a medium-term subjective, clinical, and radiographical outcome evaluation. Am J Sports Med. 2010;38(11):2240–7. Scholar
  140. 140.
    Yoon KH, Lee SH, Park SY, Kim HJ, Chung KY. Meniscus allograft transplantation: a comparison of medial and lateral procedures. Am J Sports Med. 2014;42(1):200–7. Scholar
  141. 141.
    Yoon KH, Lee SH, Park SY, Jung GY, Chung KY. Meniscus allograft transplantation for discoid lateral meniscus: clinical comparison between discoid lateral meniscus and nondiscoid lateral meniscus. Arthroscopy. 2014;30(6):724–30. Scholar
  142. 142.
    Zaffagnini S, Grassi A, Marcheggiani Muccioli GM, Benzi A, Serra M, Rotini M, Bragonzoni L, Marcacci M. Survivorship and clinical outcomes of 147 consecutive isolated or combined arthroscopic bone plug free meniscal allograft transplantation. Knee Surg Sports Traumatol Arthrosc. 2016; Scholar
  143. 143.
    O'Donnell K, Freedman KB, Tjoumakaris FP. Rehabilitation protocols after isolated meniscal repair: a systematic review. Am J Sports Med. 2017;45(7):1687–97. Scholar
  144. 144.
    Cavanaugh JT, Killian SE. Rehabilitation following meniscal repair. Curr Rev Musculoskelet Med. 2012;5(1):46–58. Scholar
  145. 145.
    Noyes FR, Heckmann TP, Barber-Westin SD. Meniscus repair and transplantation: a comprehensive update. J Orthop Sports Phys Ther. 2012;42(3):274–90. Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Cincinnati Sports Medicine and Orthopaedic CenterThe Noyes Knee InstituteCincinnatiUSA
  2. 2.Noyes Knee InstituteCincinnatiUSA

Personalised recommendations