The Henning system of inside-out meniscal repair is one of many methods available. Although technically difficult, it is probably the most versatile for meniscal suturing, and produces good coaptation of the meniscus tear. Freshening of the tear site by rasping and insertion of fibrin clots have improved the procedure's success rate, and posterior incisions for needle retrieval have lowered the incidence of neurovascular complications. From a group of 160 repairs, results of 117 meniscal repairs were assessed by arthroscopic second look or arthrogram. The most notable finding was finding that meniscal repairs performed synchronously with anterior cruciate ligament (ACL) reconstruction did significantly better than isolated meniscal repairs in knees with stable ACLs (82percnt; versus 48percnt; successful outcomes). Satisfactory results dropped off in both groups as rim width and tear length increased. Repairs of lateral meniscal tears did better than medial tears. Surprisingly, older patients did as well as younger ones.
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