Fibrin Clot Augmented Meniscal Repair: A Technique to Enhance Healing After Bucket Handle Medial Meniscus Repair

Meniscal repair in the avascular "white-white" zone remains challenging because of its limited intrinsic healing potential. We report our augmentation technique using a fibrin clot in association with meniscal suturing. This is a single case report of a 25-year-old high-level athlete presenting with a bucket-handle tear of the medial meniscus of the left knee. Arthroscopic repair was performed using an outside‑in suture technique, combined with the interposition of an autologous fibrin clot within the repair site. Postoperative management included early passive mobilization and non-weight-bearing for six weeks. Functional outcome was assessed using the Tegner-Lysholm score, which showed an excellent result, allowing the patient to return to pain-free sports activity one year after surgery. This case suggests that fibrin clot augmentation is a simple, low-cost, and potentially effective biological adjunct to enhance healing after meniscal repair, even in poorly vascularized zones.