The meniscus was once considered a functionless remnant of muscle that should be removed in its entirety at any sign of abnormality. Its role in load distribution, knee stability, and arthritis prevention has since been well established. The medial and lateral menisci are now considered vital structures in the healthy knee. Advancements in surgical techniques and biologic augmentation methods have expanded the indications for meniscal repair, with documented healing in tears previously deemed unsal-vageable. In this article, we review the anatomy and function of the meniscus, evaluate the implications of meniscectomy, and assess the techniques of, and outcomes following, meniscal repair.
About the Author: Robert LaPrade, MD
Robert LaPrade, MD, PhD has specialized skills and expertise in diagnosing and treating complicated knee injuries. He has treated athletes at all levels, including Olympic, professional and intercollegiate athletes, and has returned numerous athletes back to full participation after surgeries. Recognized globally for his outstanding and efficient surgical skills and dedication to sports medicine, he has received many research awards, including the OREF Clinic Research Award considered by many a Nobel Prize in orthopedics. Dr. LaPrade is one of the most published investigators in his field, and many of the surgeries that he has developed are now performed worldwide and recognized as the “gold standard” for the treatment of complex knee injuries.