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Update on Meniscal Injury Treatment.

Rafael Erthal de Paula1, Bernardo Crespo Alves1, Alan de Paula Mozella1

  • 1Knee Surgery Center, Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brazil.

Revista Brasileira De Ortopedia
|November 24, 2025
PubMed
Summary

Surgical treatments for meniscal injuries have evolved towards conservative approaches. There is a growing preference for meniscal repair to preserve native anatomy and improve patient outcomes.

Keywords:
arthroscopykneeknee injuriesmeniscusoperativesurgical procedures

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Area of Science:

  • Orthopedic surgery
  • Knee joint biomechanics

Background:

  • Meniscal injuries are common knee joint pathologies.
  • Traditional treatments often involved meniscectomy, leading to potential long-term joint degeneration.
  • Recent advancements in understanding meniscus function have driven treatment paradigm shifts.

Purpose of the Study:

  • To review the evolution of surgical techniques for meniscal injuries.
  • To highlight the shift towards conservative management and meniscal repair.
  • To emphasize the goal of preserving meniscal anatomy and optimizing patient outcomes.

Main Methods:

  • Literature review of surgical trends in meniscal injury treatment over recent decades.
  • Analysis of the impact of improved understanding of meniscus functions on surgical decision-making.
  • Comparison of outcomes between meniscal repair and previous treatment modalities.

Main Results:

  • A significant trend towards more conservative surgical strategies for meniscal injuries.
  • Increased preference for meniscal repair procedures over meniscectomy.
  • Focus on anatomical preservation to mimic the native meniscal status.

Conclusions:

  • The surgical management of meniscal injuries has significantly evolved.
  • Meniscal repair is increasingly favored to preserve joint function and improve long-term patient results.
  • This shift reflects a commitment to optimizing clinical outcomes through anatomical preservation.