Surgical techniques for arthroscopic meniscal repair

Meniscus repair surgery should involve: (1) concomitant anterior cruciate ligament (ACL) reconstruction in ACL-deficient knees, (2) rasping of the perimeniscal synovium and both tear surfaces, (3) the use of a posterior incision and popliteal retractor, (4) closely spaced, vertically placed suture repair with good coaptation of the tear surfaces, (5) the implantation of an exogenous fibrin clot in the defect, and (6) a well-supervised rehabilitation program. This article reviews the different surgical techniques for arthroscopic meniscal repair.