Editorial Commentary: Targeting Meniscal Extrusion Is the Key to Saving the Meniscus and Preserving Articular...

Meniscal root repair has advanced considerably, yet extrusion remains the pivotal determinant of outcomes, primarily with medial meniscus repairs. In our view, successful preservation of the meniscus-and ultimately the joint-hinges on minimizing extrusion through timely intervention, meticulous technique, and consideration of centralization strategies. If we fail to target extrusion, we fail to preserve meniscus function and ultimately protect the cartilage. Only by targeting extrusion as the key modifiable risk factor can we hope to achieve higher patient satisfaction and long-term cartilage preservation.