A meniscus repair is done using tacks or sutures along the torn
edges of the meniscus tissue. The objective of the repair procedure
is to hold the tissue together long enough for the meniscus to heal
itself.
The materials used for the repair can be bio-absorbable. This
means the tacks or sutures hold their shape and strength long
enough for the meniscus to heal, and then get absorbed by the body.
Once the material has been absorbed there is no sign of the repair
material left in the meniscus.
A meniscus repair helps restore normal knee anatomy, and when
successful results in a good long-term prognosis for the patient.
Success is more likely if the original tear is near the outer edge
of the meniscus, where there is adequate blood supply. In addition,
lateral meniscus repairs tend to heal better than medial meniscus
repairs. Frequently a surgeon will use non-absorbable materials,
such as certain sutures, for a meniscus repair procedure.
If the meniscus repair is not successful, and the tear does not
heal or the meniscus tears again, another surgery may be necessary
to remove the torn cartilage. This happens between 20% and 40% of
the time a meniscus repair procedure is done.
In most cases there are very low complication rates for meniscus
repair.