Repair of the Torn Meniscus Wheeless

Description: - medial meniscus
- bucket handle meniscus tear:
- posterior horn tears of medial meniscus:
- lateral meniscus
- discoid meniscus
- indications for repair:
- any peripheral nondegenerative longitudinal tears <3 cm;
- if tear is w/in 3 mm of the periphery, it is considered vascular;
- area 3-5 mm from periphery is grey zone, &> 5 mm from periphery is considered avascular; (see vascularity of the meniscus)
- unstable tears or tears within vascular zone that are> 7 mm are repairable;
- mobile, single, vertical, longitudinal tear of the meniscus limited to vascular outer one-third of the meniscal substance;
Wheeless' Textbook of Orthopaedics