Arthroscopy pp 125-142 | Cite as

Meniscal Repair: Indications, Techniques, and Outcome

  • Hélder PereiraEmail author
  • Ibrahim Fatih Cengiz
  • Joana Silva-Correia
  • Pedro L. Ripoll
  • Ricardo Varatojo
  • Joaquim Miguel Oliveira
  • Rui Luís Reis
  • João Espregueira-Mendes


The current trend when dealing with meniscus tears is “preservation whenever possible.” This way, meniscal repair techniques have significantly developed in recent years. There have been advances in both surgical techniques (e.g., techniques for root tear repair) and related devices. However, anatomical knowledge is crucial, and learning curve time for any technique should be considered. Classification of tears, preoperative planning, and surgical training (including cadaver courses) are extremely important.

This work aims to provide a comprehensive approach of the most frequent techniques and indications for meniscal repair. Moreover, it also describes a literature review focused on the expected outcome and possible complications.


All-inside Inside-out Meniscal tear classification Meniscal repair Outside-in 


  1. 1.
    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. doi: 10.1007/s00167-013-2764-9.CrossRefPubMedGoogle Scholar
  2. 2.
    Ahn JH, Wang JH, Yoo JC. Arthroscopic all-inside suture repair of medial meniscus lesion in anterior cruciate ligament – deficient knees: results of second-look arthroscopies in 39 cases. Arthroscopy. 2004;20(9):936–45. doi: 10.1016/j.arthro.2004.06.038.CrossRefPubMedGoogle Scholar
  3. 3.
    Albrecht-Olsen P, Kristensen G, Burgaard P, Joergensen U, Toerholm C. The arrow versus horizontal suture in arthroscopic meniscus repair. A prospective randomized study with arthroscopic evaluation. Knee Surg Sports Traumatol Arthrosc. 1999;7(5):268–73.CrossRefPubMedGoogle Scholar
  4. 4.
    Anderson AF, Irrgang JJ, Dunn W, Beaufils P, Cohen M, Cole BJ, Coolican M, Ferretti M, Glenn Jr RE, Johnson R, Neyret P, Ochi M, Panarella L, Siebold R, Spindler KP, Ait Si Selmi T, Verdonk P, Verdonk R, Yasuda K, Kowalchuk DA. Interobserver reliability of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification of meniscal tears. Am J Sports Med. 2011;39(5):926–32. doi: 10.1177/0363546511400533.CrossRefPubMedGoogle Scholar
  5. 5.
    Anderson L, Watts M, Shapter O, Logan M, Risebury M, Duffy D, Myers P. Repair of radial tears and posterior horn detachments of the lateral meniscus: minimum 2-year follow-up. Arthroscopy. 2010;26(12):1625–32. doi: 10.1016/j.arthro.2010.07.020.CrossRefPubMedGoogle Scholar
  6. 6.
    Arnoczky S, Warren R, Pivak J. Meniscal repair using an exogenous fibrin clot: an experimental study in dogs. J Bone Joint Surg Am. 1998;70:1209–17.Google Scholar
  7. 7.
    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. doi: 10.1016/j.arthro.2013.10.003.CrossRefPubMedGoogle Scholar
  8. 8.
    Barber FA. Meniscus repair: results of an arthroscopic technique. Arthroscopy. 1987;3(1):25–30.CrossRefPubMedGoogle Scholar
  9. 9.
    Barrett GR, Treacy SH, Ruff CG. Preliminary results of the T-fix endoscopic meniscus repair technique in an anterior cruciate ligament reconstruction population. Arthroscopy. 1997;13(2):218–23.CrossRefPubMedGoogle Scholar
  10. 10.
    Beaufils P, Englund M, Järvinen TLN, Pereira H, Pujol N. How to share guidelines in daily practice on meniscus repair, degenerate meniscal lesion, and meniscectomy. In: Zaffagnini S, Becker R, Kerkhoffs GMMJ, Espregueira-Mendes J, van Dijk CN, editors. ESSKA instructional course lecture book. Amsterdam: Springer; 2014. p. 97–112.CrossRefGoogle Scholar
  11. 11.
    Beaufils P, Hulet C, Dhenain M, Nizard R, Nourissat G, Pujol N. Clinical practice guidelines for the management of meniscal lesions and isolated lesions of the anterior cruciate ligament of the knee in adults. Orthop Traumatol Surg Res: OTSR. 2009;95(6):437–42. doi: 10.1016/j.otsr.2009.06.002.CrossRefPubMedGoogle Scholar
  12. 12.
    Bernstein J. In brief: meniscal tears. Clin Orthop Relat Res. 2010;468(4):1190–2. doi: 10.1007/s11999-010-1253-4.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Bhatia S, LaPrade CM, Ellman MB, LaPrade RF. Meniscal root tears: significance, diagnosis, and treatment. Am J Sports Med. 2014;42(12):3016–30. doi: 10.1177/0363546514524162.CrossRefPubMedGoogle Scholar
  14. 14.
    Bouyarmane H, Beaufils P, Pujol N, Bellemans J, Roberts S, Spalding T, Zaffagnini S, Marcacci M, Verdonk P, Womack M, Verdonk R. Polyurethane scaffold in lateral meniscus segmental defects: clinical outcomes at 24 months follow-up. Orthop Traumatol Surg Res: OTSR. 2014;100(1):153–7. doi: 10.1016/j.otsr.2013.10.011.CrossRefPubMedGoogle Scholar
  15. 15.
    Brasseur P, Sukkarieh F. Iatrogenic pseudo-aneurysm of the popliteal artery. Complication of arthroscopic meniscectomy. Apropos of a case. J Radiol. 1990;71(4):301–4.PubMedGoogle Scholar
  16. 16.
    Carlin RE, Papenhausen M, Farber MA, Ronningen E, Mauro MA, Marston WA, Keagy BA, Burnham SJ. Sural artery pseudoaneurysms after knee arthroscopy: treatment with transcatheter embolization. J Vasc Surg. 2001;33(1):170–3. doi: 10.1067/mva.2001.110354.CrossRefPubMedGoogle Scholar
  17. 17.
    Chang HC, Caborn DN, Nyland J, Burden R. Effect of lesion location on fixation strength of the meniscal viper repair system: an in vitro study using porcine menisci. Arthroscopy. 2006;22(4):394–9. doi: 10.1016/j.arthro.2005.12.014.CrossRefPubMedGoogle Scholar
  18. 18.
    Chang JH, Shen HC, Huang GS, Pan RY, Wu CF, Lee CH, Chen Q. A biomechanical comparison of all-inside meniscus repair techniques. J Surg Res. 2009;155(1):82–8. doi: 10.1016/j.jss.2008.10.002.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Coen MJ, Caborn DN, Urban W, Nyland J, Johnson DL. An anatomic evaluation of T-Fix suture device placement for arthroscopic all-inside meniscal repair. Arthroscopy. 1999;15(3):275–80.CrossRefPubMedGoogle Scholar
  20. 20.
    Cohen SB, Boyd L, Miller MD. Vascular risk associated with meniscal repair using Rapidloc versus FasT-Fix: comparison of two all-inside meniscal devices. J Knee Surg. 2007;20(3):235–40.PubMedGoogle Scholar
  21. 21.
    Cook JL, Fox DB. A novel bioabsorbable conduit augments healing of avascular meniscal tears in a dog model. Am J Sports Med. 2007;35(11):1877–87. doi: 10.1177/0363546507304330. doi:0363546507304330 [pii].CrossRefPubMedGoogle Scholar
  22. 22.
    Cook JL, Fox DB, Malaviya P, Tomlinson JL, Kuroki K, Cook CR, Kladakis S. Long-term outcome for large meniscal defects treated with small intestinal submucosa in a dog model. Am J Sports Med. 2006;34(1):32–42. doi: 10.1177/0363546505278702. doi:0363546505278702 [pii].CrossRefPubMedGoogle Scholar
  23. 23.
    Cox CL, Huston LJ, Dunn WR, Reinke EK, Nwosu SK, Parker RD, Wright RW, Kaeding CC, Marx RG, Amendola A, McCarty EC, Spindler KP. Are articular cartilage lesions and meniscus tears predictive of IKDC, KOOS, and Marx activity level outcomes after anterior cruciate ligament reconstruction? A 6-year multicenter cohort study. Am J Sports Med. 2014;42(5):1058–67. doi: 10.1177/0363546514525910.CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Escalas F, Quadras J, Caceres E, Benaddi J. T-Fix anchor sutures for arthroscopic meniscal repair. Knee Surg Sports Traumatol Arthrosc. 1997;5(2):72–6. doi: 10.1007/s001670050029.CrossRefPubMedGoogle Scholar
  25. 25.
    Espejo-Baena A, Golano P, Meschian S, Garcia-Herrera JM, Serrano Jimenez JM. Complications in medial meniscus suture: a cadaveric study. Knee Surg Sports Traumatol Arthrosc. 2007;15(6):811–6. doi: 10.1007/s00167-006-0096-8.CrossRefPubMedGoogle Scholar
  26. 26.
    Espejo-Reina A, Serrano-Fernandez JM, Martin-Castilla B, Estades-Rubio FJ, Briggs KK, Espejo-Baena A. Outcomes after repair of chronic bucket-handle tears of medial meniscus. Arthroscopy. 2014;30(4):492–6. doi: 10.1016/j.arthro.2013.12.020.CrossRefPubMedGoogle Scholar
  27. 27.
    Farng E, Sherman O. Meniscal repair devices: a clinical and biomechanical literature review. Arthroscopy. 2004;20(3):273–86. doi: 10.1016/j.arthro.2003.11.035.CrossRefPubMedGoogle Scholar
  28. 28.
    Foad A. Self-limited healing of a radial tear of the lateral meniscus. Knee Surg Sports Traumatol Arthrosc. 2012;20(5):933–6. doi: 10.1007/s00167-011-1660-4.CrossRefPubMedGoogle Scholar
  29. 29.
    Frizziero A, Ferrari R, Giannotti E, Ferroni C, Poli P, Masiero S. The meniscus tear. State of the art of rehabilitation protocols related to surgical procedures. Muscles Ligaments Tendons J. 2012;2(4):295–301.PubMedPubMedCentralGoogle Scholar
  30. 30.
    Gifstad T, Grontvedt T, Drogset JO. Meniscal repair with biofix arrows: results after 4.7 years’ follow-up. Am J Sports Med. 2007;35(1):71–4. doi: 10.1177/0363546506293023.CrossRefPubMedGoogle Scholar
  31. 31.
    Griffin JW, Hadeed MM, Werner BC, Diduch DR, Carson EW, Miller MD. Platelet-rich plasma in meniscal repair: does augmentation improve surgical outcomes? Clin Orthop Relat Res. 2015;473(5):1665–72. doi: 10.1007/s11999-015-4170-8.CrossRefPubMedPubMedCentralGoogle Scholar
  32. 32.
    Haas AL, Schepsis AA, Hornstein J, Edgar CM. Meniscal repair using the FasT-Fix all-inside meniscal repair device. Arthroscopy. 2005;21(2):167–75. doi: 10.1016/j.arthro.2004.10.012.CrossRefPubMedGoogle Scholar
  33. 33.
    Henning CE. Arthroscopic repair of meniscus tears. Orthopedics. 1983;6(9):1130–2. doi: 10.3928/0147-7447-19830901-08.PubMedGoogle Scholar
  34. 34.
    Henning CE, Lynch MA, Yearout KM, Vequist SW, Stallbaumer RJ, Decker KA. Arthroscopic meniscal repair using an exogenous fibrin clot. Clin Orthop Relat Res. 1990;252:64–72.PubMedGoogle Scholar
  35. 35.
    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
  36. 36.
    Jurist KA, Greene 3rd PW, Shirkhoda A. Peroneal nerve dysfunction as a complication of lateral meniscus repair: a case report and anatomic dissection. Arthroscopy. 1989;5(2):141–7.CrossRefPubMedGoogle Scholar
  37. 37.
    Kamimura T, Kimura M. Meniscal repair of degenerative horizontal cleavage tears using fibrin clots: clinical and arthroscopic outcomes in 10 cases. Orthop J Sports Med. 2014;2(11):2325967114555678.CrossRefPubMedPubMedCentralGoogle Scholar
  38. 38.
    Katabi N, Pujol N, Boisrenoult P. Meniscal repair: intra- and postoperative complications. In: Beaufils P, Verdonk R, editors. The meniscus. Berlin: Springer; 2010. p. 191–8.CrossRefGoogle Scholar
  39. 39.
    Klompmaker J, Veth RP, Jansen HW, Nielsen HK, de Groot JH, Pennings AJ, Kuijer R. Meniscal repair by fibrocartilage in the dog: characterization of the repair tissue and the role of vascularity. Biomaterials. 1996;17(17):1685–91.CrossRefPubMedGoogle Scholar
  40. 40.
    Kobayashi K, Fujimoto E, Deie M, Sumen Y, Ikuta Y, Ochi M. Regional differences in the healing potential of the meniscus-an organ culture model to eliminate the influence of microvasculature and the synovium. Knee. 2004;11(4):271–8. doi: 10.1016/j.knee.2002.03.001.CrossRefPubMedGoogle Scholar
  41. 41.
    Kobayashi Y, Yasuda K, Kondo E, Katsura T, Tanabe Y, Kimura M, Tohyama H. Implantation of autogenous meniscal fragments wrapped with a fascia sheath enhances fibrocartilage regeneration in vivo in a large harvest site defect. Am J Sports Med. 2010;38(4):740–8. doi: 10.1177/0363546509350749. doi:0363546509350749 [pii].CrossRefPubMedGoogle Scholar
  42. 42.
    Koenig JH, Ranawat AS, Umans HR, Difelice GS. Meniscal root tears: diagnosis and treatment. Arthroscopy. 2009;25(9):1025–32. doi: 10.1016/j.arthro.2009.03.015.CrossRefPubMedGoogle Scholar
  43. 43.
    Kurzweil PR, Lynch NM, Coleman S, Kearney B. Repair of horizontal meniscus tears: a systematic review. Arthroscopy. 2014;30(11):1513–9. doi: 10.1016/j.arthro.2014.05.038.CrossRefPubMedGoogle Scholar
  44. 44.
    Kurzweil PR, Tifford CD, Ignacio EM. Unsatisfactory clinical results of meniscal repair using the meniscus arrow. Arthroscopy. 2005;21(8):905. doi: 10.1016/j.arthro.2005.06.002.CrossRefPubMedGoogle Scholar
  45. 45.
    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. doi: 10.1177/0363546508330138.CrossRefPubMedGoogle Scholar
  46. 46.
    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. doi: 10.1177/0363546513503444.CrossRefPubMedGoogle Scholar
  47. 47.
    Majeed H, Karuppiah S, Sigamoney KV, Geutjens G, Straw RG. All-inside meniscal repair surgery: factors affecting the outcome. J Orthop Traumatol: Off J Ital Soc Orthop Traumatol. 2015;16(3):245–9. doi: 10.1007/s10195-015-0342-2.CrossRefGoogle Scholar
  48. 48.
    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. doi: 10.1016/j.biomaterials.2011.06.037.CrossRefPubMedPubMedCentralGoogle Scholar
  49. 49.
    Matsubara H, Okazaki K, Izawa T, Tashiro Y, Matsuda S, Nishimura T, Nakanishi Y, Kawamura H, Iwamoto Y. New suture method for radial tears of the meniscus: biomechanical analysis of cross-suture and double horizontal suture techniques using cyclic load testing. Am J Sports Med. 2012;40(2):414–8. doi: 10.1177/0363546511424395.CrossRefPubMedGoogle Scholar
  50. 50.
    Miller MD, Blessey PB, Chhabra A, Kline AJ, Diduch DR. Meniscal repair with the Rapid Loc device: a cadaveric study. J Knee Surg. 2003;16(2):79–82.PubMedGoogle Scholar
  51. 51.
    Miller MD, Kline AJ, Gonzales J, Beach WR. Pitfalls associated with FasT-Fix meniscal repair. Arthroscopy. 2002;18(8):939–43.CrossRefPubMedGoogle Scholar
  52. 52.
    Morgan CD. The “all-inside” meniscus repair. Arthroscopy. 1991;7(1):120–5.CrossRefPubMedGoogle Scholar
  53. 53.
    Morgan CD, Casscells SW. Arthroscopic meniscus repair: a safe approach to the posterior horns. Arthroscopy. 1986;2(1):3–12.CrossRefPubMedGoogle Scholar
  54. 54.
    Nepple JJ, Dunn WR, Wright RW. Meniscal repair outcomes at greater than five years: a systematic literature review and meta-analysis. J Bone Joint Surg Am. 2012;94(24):2222–7. doi: 10.2106/JBJS.K.01584.CrossRefPubMedPubMedCentralGoogle Scholar
  55. 55.
    Osti L, Del Buono A, Maffulli N. Anterior medial meniscal root tears: a novel arthroscopic all inside repair. Transl Med UniSa. 2015;12:41–6.PubMedPubMedCentralGoogle Scholar
  56. 56.
    Pasa L, Visna P. Suture of meniscus. Scr Med (Brno). 2005;78(3):135–50.Google Scholar
  57. 57.
    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. doi: 10.1016/j.arthro.2011.03.088.CrossRefPubMedGoogle Scholar
  58. 58.
    Pereira H, Frias AM, Oliveira JM, Espregueira-Mendes J, Reis RL. Tissue engineering and regenerative medicine strategies in meniscus lesions. Arthroscopy. 2011;27(12):1706–19. doi: 10.1016/j.arthro.2011.08.283.CrossRefPubMedGoogle Scholar
  59. 59.
    Peretti GM, Gill TJ, Xu JW, Randolph MA, Morse KR, Zaleske DJ. Cell-based therapy for meniscal repair: a large animal study. Am J Sports Med. 2004;32(1):146–58.CrossRefPubMedGoogle Scholar
  60. 60.
    Petsche TS, Selesnick H, Rochman A. Arthroscopic meniscus repair with bioabsorbable arrows. Arthroscopy. 2002;18(3):246–53.CrossRefPubMedGoogle Scholar
  61. 61.
    Poehling GG, Ruch DS, Chabon SJ. The landscape of meniscal injuries. Clin Sports Med. 1990;9(3):539–49.PubMedGoogle Scholar
  62. 62.
    Pujol N, Barbier O, Boisrenoult P, Beaufils P. Amount of meniscal resection after failed meniscal repair. Am J Sports Med. 2011;39(8):1648–52. doi: 10.1177/0363546511402661.CrossRefPubMedGoogle Scholar
  63. 63.
    Pujol N, Beaufils P. Healing results of meniscal tears left in situ during anterior cruciate ligament reconstruction: a review of clinical studies. Knee Surg Sports Traumatol Arthrosc. 2009;17(4):396–401. doi: 10.1007/s00167-008-0711-y.CrossRefPubMedGoogle Scholar
  64. 64.
    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. doi: 10.1007/s00167-012-2099-y.CrossRefPubMedGoogle Scholar
  65. 65.
    Pujol N, Tardy N, Boisrenoult P, Beaufils P. Long-term outcomes of all-inside meniscal repair. Knee Surg Sports Traumatol Arthrosc. 2013. doi: 10.1007/s00167-013-2553-5.Google Scholar
  66. 66.
    Pujol N, Tardy N, Boisrenoult P, Beaufils P. Long-term outcomes of all-inside meniscal repair. Knee Surg Sports Traumatol Arthrosc. 2015;23(1):219–24. doi: 10.1007/s00167-013-2553-5.CrossRefPubMedGoogle Scholar
  67. 67.
    Ra HJ, Ha JK, Jang SH, Lee DW, Kim JG. Arthroscopic inside-out repair of complete radial tears of the meniscus with a fibrin clot. Knee Surg Sports Traumatol Arthrosc. 2013;21(9):2126–30. doi: 10.1007/s00167-012-2191-3.CrossRefPubMedGoogle Scholar
  68. 68.
    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. doi: 10.1177/0363546510370196.CrossRefPubMedGoogle Scholar
  69. 69.
    Salle de Chou E, Pujol N, Rochcongar G, Cucurulo T, Potel JF, Dalmay F, Ehkirch FP, Laporte C, Le Henaff G, Seil R, Lutz C, Gunepin FX, Sonnery-Cottet B. Analysis of short and long-term results of horizontal meniscal tears in young adults. Orthop Traumatol Surg Res: OTSR. 2015;101(8 Suppl):S317–22. doi: 10.1016/j.otsr.2015.09.009.CrossRefPubMedGoogle Scholar
  70. 70.
    Seil R, Rupp S, Kohn DM. Cyclic testing of meniscal sutures. Arthroscopy. 2000;16(5):505–10. doi: 10.1053/jars.2000.4379.CrossRefPubMedGoogle Scholar
  71. 71.
    Shelbourne KD, Heinrich J. The long-term evaluation of lateral meniscus tears left in situ at the time of anterior cruciate ligament reconstruction. Arthroscopy. 2004;20(4):346–51. doi: 10.1016/j.arthro.2004.01.029.CrossRefPubMedGoogle Scholar
  72. 72.
    Smillie IS. The current pattern of the pathology of meniscus tears. Proc R Soc Med. 1968;61(1):44–5.PubMedPubMedCentralGoogle Scholar
  73. 73.
    Smillie IS. Injuries of the knee joint. 4th ed. Edinburgh: Churcill Livingstone; 1972.Google Scholar
  74. 74.
    Snoeker BA, Bakker EW, Kegel CA, Lucas C. Risk factors for meniscal tears: a systematic review including meta-analysis. J Orthop Sports Phys Ther. 2013;43(6):352–67. doi: 10.2519/jospt.2013.4295.CrossRefPubMedGoogle Scholar
  75. 75.
    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. doi: 10.1177/0363546510364052.CrossRefPubMedGoogle Scholar
  76. 76.
    Tsai AM, McAllister DR, Chow S, Young CR, Hame SL. Results of meniscal repair using a bioabsorbable screw. Arthroscopy. 2004;20(6):586–90.CrossRefPubMedGoogle Scholar
  77. 77.
    Verdonk R. The meniscus: past, present and future. Knee Surg Sports Traumatol Arthrosc. 2011;19(2):145–6. doi: 10.1007/s00167-010-1333-8.CrossRefPubMedGoogle Scholar
  78. 78.
    Warren RF. Arthroscopic meniscus repair. Arthroscopy. 1985;1(3):170–2.CrossRefPubMedGoogle Scholar
  79. 79.
    Weiss CB, Lundberg M, Hamberg P, DeHaven KE, Gillquist J. Non-operative treatment of meniscal tears. J Bone Joint Surg Am. 1989;71(6):811–22.PubMedGoogle Scholar
  80. 80.
    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. doi: 10.1007/s00167-013-2528-6.CrossRefPubMedGoogle Scholar

Copyright information

© ESSKA 2016

Authors and Affiliations

  • Hélder Pereira
    • 1
    • 2
    • 3
    • 4
    • 5
    Email author
  • Ibrahim Fatih Cengiz
    • 1
    • 2
  • Joana Silva-Correia
    • 1
    • 2
  • Pedro L. Ripoll
    • 5
  • Ricardo Varatojo
    • 6
  • Joaquim Miguel Oliveira
    • 1
    • 2
    • 5
  • Rui Luís Reis
    • 1
    • 2
  • João Espregueira-Mendes
    • 1
    • 2
    • 3
  1. 1.3B’s Research Group–Biomaterials, Biodegradables and BiomimeticsUniversity of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative MedicineGuimarãesPortugal
  2. 2.ICVS/3B’s–PT Government Associate LaboratoryBraga/GuimarãesPortugal
  3. 3.Clínica do DragãoEspregueira-Mendes Sports Centre – FIFA Medical Centre of ExcellencePortoPortugal
  4. 4.Orthopedic Department Centro Hospitalar Póvoa de VarzimVila do CondePortugal
  5. 5.Ripoll y De Prado Sports Clinic – FIFA Medical Centre of ExcellenceMurcia, MadridSpain
  6. 6.Descobertas: Knee, Ankle, Arthroscopy and Sports Trauma UnitHospital CUFLisbonPortugal

Personalised recommendations