➢ Meniscal preservation has become the central management principle of meniscal tears. Biomechanical evidence has demonstrated that meniscal resection increases joint contact stress, accelerates osteoarthritis progression, and worsens long-term outcomes compared with repair and nonoperative management. ➢ Treatment decisions should be individualized based on tear morphology, tissue quality, and patient-specific factors. ➢ Repair technique selection (all-inside, inside-out, or outside-in) should be dictated by the tear location and pattern. ➢ Adjunct treatment strategies, such as biologic augmentation, may be used selectively to increase the potential for meniscal healing, although these strategies have inconsistent outcomes.
Morgan et al. (Tue,) studied this question.