Revision Repair of the Lateral Meniscus: Contemporary Surgical Strategies, Rehabilitation Protocols, and Clinical Outcomes—A Narrative Review

Revision repair of the lateral meniscus has emerged as an important joint-preserving strategy in patients with failed primary meniscal repair, particularly in young and active individuals. Preservation of the lateral meniscus is critical because of its essential role in load transmission, shock absorption, rotational stability, and protection against early osteoarthritis. Recent literature published highlights the improved understanding of tear biomechanics, vascular healing potential, and surgical fixation methods that have expanded indications for revision repair. Contemporary approaches include inside-out, all-inside, outside-in, and transtibial pullout techniques, often supplemented with biological augmentation such as platelet-rich plasma, fibrin clot application, and marrow stimulation. Rehabilitation protocols remain variable, especially regarding postoperative weight-bearing and range-of-motion progression. Current evidence demonstrates favorable functional outcomes, satisfactory healing rates, and acceptable return-to-sport outcomes following revision lateral meniscus repair. However, high-quality prospective studies and standardized rehabilitation guidelines are still needed to optimize long-term clinical success.