History of meniscal repair techniques development (foreign literature review)


The analysis of the evolution of meniscal repair techniques starting of the arthrotomic interventions to procedures under arthroscopic control is presented. Long-term results as well as the surgical techniques are discussed.

Full Text

Restricted Access

About the authors

Mikhail S. Ryazantsev

European Clinic of Sports Traumatology and Orthopaedics (ECSTO)

Email: 79268112899@yandex.ru
Moscow, Russia
Cand. med. sci., trauma and orthopaedic surgeon, European Clinic of Sports Traumatology and Orthopaedics (ECSTO)

N. E Magnitskaya

European Clinic of Sports Traumatology and Orthopaedics (ECSTO)

Moscow, Russia

D. O Il’in

European Clinic of Sports Traumatology and Orthopaedics (ECSTO)

Moscow, Russia

A. P Afanas’ev

European Clinic of Sports Traumatology and Orthopaedics (ECSTO)

Moscow, Russia

A. V Frolov

European Clinic of Sports Traumatology and Orthopaedics (ECSTO)

Moscow, Russia

A. V Korolyov

European Clinic of Sports Traumatology and Orthopaedics (ECSTO)

Moscow, Russia


  1. Verdonk P.C.M., Demurie A., Almqvist K.F. et al. Transplantation of viable meniscal allograft. Survivorship analysis and clinical outcome of one hundred cases. J. Bone Joint Surg. Am. 2005; 87 (4): 715-24. doi: 10.2106/JBJS.C.01344.
  2. King D. The healing of semilunar cartilages. J. Bone Joint Surg. Am. 1936; 18 (2): 333-42.
  3. Lipscomb P.R., Henderson M.S. Internal derangements of the knee. J. Am. Med. Assoc. 1947; 135 (13): 827-31.
  4. Fairbank T.J. Knee joint changes after meniscectomy. J. Bone Joint Surg. Br. 1948; 30 (4): 664-70.
  5. Ikeuchi H. Surgery under arthroscopic control. Rhumatologie. 1976; 33: 57.
  6. Arnoczky S.P., Warren R.F. The microvasculature of the meniscus and its response to injury An experimental study in the dog. Am. J. Sports Med. 1983; 11 (3): 131-41. doi: 10.1177/036354658301100305.
  7. Pujol N., Tardy N., Boisrenoult P., Beaufils P. Long-term outcomes of all-inside meniscal repair. Knee Surg. Sports Traumatol. Arthrosc. 2015; 23 (1): 219-24. doi: 10.1007/s00167-013-2553-5.
  8. Rath E., Richmond J.C. The menisci: basic science and advances in treatment. Br. J. Sports Med. 2000; 34 (4): 252-7.
  9. Walter R.P., Dhadwal A.S., Schranz P., Mandalia V. The outcome of all-inside meniscal repair with relation to previous anterior cruciate ligament reconstruction. Knee. 2014; 21 (6): 1156-9. doi: 10.1016/j.knee.2014.08.014.
  10. Eggli S., Wegmüller H., Kosina J. et al. Long-term results of arthroscopic meniscal repair. An analysis of isolated tears. Am. J. Sports Med. 1995; 23 (6): 715-20. doi: 10.1177/036354659502300614.
  11. DeHaven K.E., Black K.P., Griffiths H.J. Open meniscus repair technique and two to nine year results. Am. J. Sports Med. 1989; 17 (6): 788-95. doi: 10.1177/036354658901700612.
  12. Cole B.J., Sekiya J.K. Surgical techniques of the shoulder, elbow and knee in sports medicine. Elsevier Health Sciences; 2008.
  13. Nepple J.J., Dunn W.R., Wright R.W. Meniscal repair outcomes at greater than five years: a systematic literature review and meta-analysis. J. Bone Joint Surg. Am. 2012; 94 (24): 2222-7. doi: 10.2106/JBJS.K.01584.
  14. DeHaven K.E, Lohrer W.A., Lovelock J.E. Long-term results of open meniscal repair. Am. J. Sports Med. 1995; 23 (5): 524-30. doi: 10.1177/036354659502300502.
  15. Warren R.F. Arthroscopic meniscus repair. Arthroscopy. 1985; 1 (3): 170-2.
  16. Rodeo S.A. Arthroscopic meniscal repair with use of the outside-in technique. Instr. Course Lect. 2000; 49: 195-206.
  17. Post W.R., Akers S.R., Kish V. Load to failure of common meniscal repair techniques: effects of suture technique and suture material. Arthroscopy. 1997; 13 (6): 731-6.
  18. Morgan C.D., Wojtys E.M., Casscells C.D., Casscells S.W. Arthroscopic meniscal repair evaluated by second-look arthroscopy. Am. J. Sports Med. 1991; 19 (6): 632-7. doi: 10.1177/036354659101900614.
  19. Henning C.E., Clark J.R., Lynch M.A. et al. Arthroscopic meniscus repair with a posterior incision. Instr. Course Lect. 1988; 37: 209-21.
  20. Jouve F., Ovadia H., Pujol N., Beaufils P. Meniscal repair: technique. In: The Meniscus [Internet]. Springer; 2010: 119-28. Available at: http://link.springer.com/10.1007/978-3-642-02450-4_16.
  21. McCarty E.C., Marx R.G., DeHaven K.E. Meniscus repair: considerations in treatment and update of clinical results. Clin. Orthop. Relat. Res. 2002; (402): 122-34.
  22. Turman K.A., Diduch D.R., Miller M.D. All-inside meniscal repair. Sports Health. 2009; 1 (5): 438-44. doi: 10.1177/1941738109334219.
  23. Grant J.A., Wilde J., Miller B.S., Bedi A. Comparison of inside-out and all-inside techniques for the repair of isolated meniscal tears: a systematic review. Am. J. Sports Med. 2012; 40 (2): 459-68. doi: 10.1177/0363546511411701.
  24. Morgan C.D. The “all-inside” meniscus repair. Arthroscopy. 1991; 7 (1): 120-5.
  25. Stärke C., Kopf S., Petersen W., Becker R. Meniscal repair. Arthroscopy. 2009; 25 (9): 1033-44. doi: 10.1016/j.arthro.2008.12.010.
  26. Barber F.A., Coons D.A. Midterm results of meniscal repair using the BioStinger meniscal repair device. Arthroscopy. 2006; 22 (4): 400-5. doi: 10.1016/j.arthro.2005.08.052.
  27. Barber F.A., Johnson D.H., Halbrecht J.L. Arthroscopic meniscal repair using the BioStinger. Arthroscopy. 2005; 21 (6): 744-50. doi: 10.1016/j.arthro.2005.03.002.
  28. Laprell H., Stein V., Petersen W. Arthroscopic all-inside meniscus repair using a new refixation device: a prospective study. Arthroscopy. 2002; 18 (4): 387-93. doi: 10.1053/jars.2002.30639.
  29. Frosch K.H., Fuchs M., Losch A., Stürmer K.M. Repair of meniscal tears with the absorbable Clearfix screw: results after 1-3 years. Arch. Orthop. Trauma Surg. 2005; 125 (9): 585-91. doi: 10.1007/s00402-004-0775-1.
  30. Becker R., Schröder M., Stärke C. et al. Biomechanical investigations of different meniscal repair implants in comparison with horizontal sutures on human meniscus. Arthroscopy. 2001; 17 (5): 439-44. doi: 10.1053/jars.2001.19975.
  31. Coen M.J., Caborn D.N., Urban W. et al. An anatomic evaluation of T-Fix suture device placement for arthroscopic all-inside meniscal repair. Arthroscopy. 1999; 15 (3): 275-80.
  32. Barrett G.R., Treacy S.H., Ruff C.G. Preliminary results of the T-fix endoscopic meniscus repair technique in an anterior cruciate ligament reconstruction population. Arthroscopy. 1997; 13 (2): 218-23.
  33. Barber F.A., Schroeder F.A., Barrera Oro F.B., Beavis R.C. FasT-Fix meniscal repair: mid-term results. Arthroscopy. 2008; 24 (12): 1342-8. doi: 10.1016/j.arthro.2008.08.001.
  34. Albertoni L.J.B., Schumacher F.C., Ventura M.H.A. et al. Meniscal repair by all-inside technique with Fast-Fix device. Rev. Bras. Ortop. 2013; 48 (5): 448-54. doi: 10.1016/j.rboe.2012.08.010.
  35. Alvarez-Diaz P., Alentorn-Geli E., Llobet F. et al. Return to play after all-inside meniscal repair in competitive football players: a minimum 5-year follow-up. Knee Surg. Sports Traumatol. Arthrosc. 2016; 24 (6): 1997-2001. doi: 10.1007/s00167-014-3285-x.
  36. Barber F.A., Coons D.A., Ruiz-Suarez M. Meniscal repair with the RapidLoc meniscal repair device. Arthroscopy. 2006; 22 (9): 962-6. doi: 10.1016/j.arthro.2006.04.109.
  37. Solheim E., Hegna J., Inderhaug E. Long-term outcome after all-inside meniscal repair using the RapidLoc system. Knee Surg. Sports Traumatol. Arthrosc. doi: 10.1007/s00167-015-3642-4.
  38. Kalliakmanis A., Zourntos S., Bousgas D., Nikolaou P. Comparison of arthroscopic meniscal repair results using 3 different meniscal repair devices in anterior cruciate ligament reconstruction patients. Arthroscopy. 2008; 24 (7): 810-6. doi: 10.1016/j.arthro.2008.03.003.
  39. Likes R.L., Julka A., Aros B.C. et al. Meniscal repair with the MaxFire device: a cadaveric study. Orthop. Surg. 2011; 3 (4): 259-64. doi: 10.1111/j.1757-7861.2011.00151.x.
  40. Mehta V.M., Terry M.A. Cyclic testing of 3 all-inside meniscal repair devices: a biomechanical analysis. Am. J. Sports Med. 2009; 37 (12): 2435-9. doi: 10.1177/0363546509346051.
  41. Imhoff A.B., Feucht MJ, Aboalata M. Surgical atlas of sports orthopaedics and sports traumatology. Springer; 2015. doi: 10.1007/978-3-662-43776.
  42. Blackman A.J., Stuart M.J., Levy B.A. et al. Arthroscopic meniscal root repair using a Ceterix Novostitch suture passer. Arthrosc. Tech. 2014; 3 (5): e643-6. http://dx.doi.org/10.1016/j.eats.2014.07.006.
  43. Saliman J.D. The circumferential compression stitch for meniscus repair. Arthrosc. Tech. 2013; 2 (3): e257-64. doi: 10.1016/j.eats.2013.02.016.
  44. Beamer B.S., Masoudi A., Walley K.C. et al. Analysis of a new all-inside versus inside-out technique for repairing radial meniscal tears. Arthroscopy. 2015; 31 (2): 293-8. doi: 10.1016/j.arthro.2014.08.011.
  45. Hagino T., Ochiai S., Watanabe Y. et al. Clinical results of arthroscopic all-inside lateral meniscal repair using the Meniscal Viper Repair System. Eur. J. Orthop. Surg. Traumatol. 2014; 24 (1): 99-104. doi: 10.1007/s00590-012-1138-1.
  46. Kang H.J., Chun C.H., Kim K.M. et al. The results of all-inside meniscus repair using the Viper Repair System simultaneously with anterior cruciate ligament reconstruction. Clin. Orthop Surg. 2015; 7 (2): 177-84. doi: 10.4055/cios.2015.7.2.177.
  47. Abrams G.D., Frank R.M., Gupta A.K. et al. Trends in meniscus repair and meniscectomy in the United States, 2005-2011. Am. J. Sports Med. 2013; 41 (10): 2333-9. doi: 10.1177/0363546513495641.



Abstract - 41


Article Metrics

Metrics Loading ...


  • There are currently no refbacks.

Copyright (c) 2018 Ryazantsev M.S., Magnitskaya N.E., Il’in D.O., Afanas’ev A.P., Frolov A.V., Korolyov A.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies