Evaluation and Management of Meniscal Tears

➢ Meniscal preservation has become the central management principle of meniscal tears. Biomechanical evidence has demonstrated that meniscal resection increases joint contact stress, accelerates osteoarthritis progression, and worsens long-term outcomes compared with repair and nonoperative management. ➢ Treatment decisions should be individualized based on tear morphology, tissue quality, and patient-specific factors. ➢ Repair technique selection (all-inside, inside-out, or outside-in) should be dictated by the tear location and pattern. ➢ Adjunct treatment strategies, such as biologic augmentation, may be used selectively to increase the potential for meniscal healing, although these strategies have inconsistent outcomes.