Meniscal Injuries

The menisci are two very important semicircular structures of the knee that play a very important role mainly as shock absorbers and secondary as stabilizers. The “c-shape” of the meniscus, the large surface area in contact with the capsule and the peripheral vascularization, allows a great number of meniscal lesions to be repaired. Partial meniscectomy is usually indicated for flap tears, complex tears or degenerative meniscus injuries. Using inside-out, outside-in, all-inside suture techniques, or a combination of these techniques, vertical, horizontal, bucket handle and complete radial tears can be repaired. Special attention is being given in recent years to RAMP lesions and root tears associated with ACL injuries, with very good results after repair. Regardless of the age, type, area or side of the injury, whenever possible, repair should be attempted.