Orthopaedic Surgery

Answer 5 Meniscal repair and ACL reconstruction. Numerous studies have shown increased rates of successful meniscal healing with combined ACL reconstruction and meniscal repair. This outcome is likely to be a result of intra-articular bleeding from ACL reconstruction and other factors associated with the ACL reconstruction as well as the fact that the knee is stabilized at the time of surgery. Meniscal repairs do poorly in an unstable knee. Delays in meniscal repair ultimately make the meniscus irreparable. Enhancement techniques, such as fibrin clot, should be considered for isolated tears that are more central but are rarely necessary when performing combined ACL reconstruction and meniscal repair. Click here to return to the questions

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