Meniscal Repair

All-inside suture techniques to repair the torn meniscus rather than removing it, using advanced all-suture implant devices through small arthroscopic incisions.

★★★★★ 5.0 from 192+ Reviews

Real Patient Experiences

★★★★★

"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

What is Meniscal 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.

Key Benefits of Meniscal Repair

Preserves natural cushioning
Protects against arthritis
Maintains knee stability
Best for younger patients

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.

The Technique

All-Inside Meniscal Repair

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.

Key Benefits

  • Preserves as much natural meniscus as possible
  • No additional incisions outside the knee
  • Reduced disruption to surrounding tissues
  • Allows tissue to heal naturally

Repair Devices We Use

Our surgeons select the optimal device based on tear pattern and patient anatomy

FAST-FIX FLEX

Smith+Nephew's all-inside meniscal repair system

NovoStitch Pro

Circumferential stitching for complex tears

JuggerStitch

Zimmer Biomet's all-suture meniscal repair

Your Meniscal Repair Specialists

Fellowship-trained sports medicine surgeons experienced in meniscal preservation

Recovery After Meniscal Repair

Longer recovery than meniscectomy, but better long-term outcomes

0-2 weeks

Protected

Brace, limited weight bearing

4-6 weeks

Progressive

Gradual weight bearing

3-4 months

Strengthening

Full motion and muscle work

4-6 months

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.

Not a Candidate for Repair?

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 Meniscectomy

Frequently Asked Questions

Not 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.

Preserve Your Meniscus

Schedule a consultation to discuss whether meniscal repair is right for you.