All-inside suture techniques to repair the torn meniscus rather than removing it, using advanced all-suture implant devices through small arthroscopic incisions.
"Pathway Surgery was absolutely amazing! Dr. Pauyo completed ACL and meniscus reconstruction and the entire process went smoothly. Pathway was super quick to get me in for my surgery, which was the main reason I considered them. I couldn't have asked for a better experience!"
— Gracie Dalton
ACL & Meniscus Repair
"I was weary going the private route for my ACL reconstruction and meniscus repair but I don't regret a thing. Dr. Jihad Abouali and Emma have been great. Everything was smooth sailing—travel, accommodations, surgery clinic, pharmacy needs. I felt very well taken care of."
— Grace Churchill
ACL & Meniscus Repair
"I had meniscus repair surgery in both knees, and the service was spectacular from start to finish. I was told to bring a walker, and I haven't had to use it other than to keep my balance upon discharge. Dr. Abouali was terrific."
— Kathy Weiss
Bilateral Meniscus Repair
Your meniscus is a C-shaped piece of cartilage that acts as a shock absorber between your thighbone and shinbone. When torn—from a sports injury or degenerative wear—it can cause pain, swelling, and mechanical symptoms like catching or locking.
Meniscal repair is a procedure that stitches the torn meniscus back together rather than removing it. This preserves your natural shock absorber and helps protect the knee from developing arthritis over time.
Not all tears can be repaired—it depends on the location, pattern, and blood supply. Tears in the outer "red zone" have the best healing potential. Your surgeon will evaluate your MRI to determine if repair is an option.
Minimally invasive repair performed entirely through the joint
An all-inside meniscal repair is performed arthroscopically through small incisions using a camera and specialized instruments. All-suture implants are placed entirely inside the knee to bring the torn edges of the meniscus back together.
Because the repair is done from inside the joint, this technique avoids additional incisions on the outside of the knee and reduces disruption to surrounding tissues.
Our surgeons select the optimal device based on tear pattern and patient anatomy
Smith+Nephew's all-inside meniscal repair system
Circumferential stitching for complex tears
Zimmer Biomet's all-suture meniscal repair
Fellowship-trained sports medicine surgeons experienced in meniscal preservation
Longer recovery than meniscectomy, but better long-term outcomes
Protected
Brace, limited weight bearing
Progressive
Gradual weight bearing
Strengthening
Full motion and muscle work
Return to Sport
With surgeon clearance
Recovery is Slower—But Worth It
Meniscal repair requires more restricted activity initially to allow the tissue to heal. But preserving your meniscus provides better protection for your knee over the long term compared to removal.
For tears that can't be repaired—such as complex, degenerative, or white zone tears—meniscectomy offers quick relief with the fastest recovery time. It's an effective solution when repair isn't possible.
Learn about MeniscectomyNot all tears are repairable. Tears in the outer "red zone" of the meniscus—which has better blood supply—are most likely to heal after repair. Complex, degenerative, or tears in the inner "white zone" may not be suitable for repair and may require partial removal.
The repaired meniscus needs time to heal—similar to how a broken bone needs time to mend. Putting too much stress on it too soon can cause the repair to fail. Protected weight bearing and limited deep bending give the tissue time to heal properly.
If a repair does not heal, a second surgery to perform a partial meniscectomy is usually possible. This is why attempting repair is often preferred—if it heals, you preserve valuable tissue; if not, meniscectomy remains an option.
No referral is required. You can book a consultation directly. Having a recent MRI is very helpful since it shows the location and pattern of your tear.
Schedule a consultation to discuss whether meniscal repair is right for you.