Endoscopic meniscus repair using the T-Fix suture device (Acufex Micro
surgical, Inc, Mansfield, MA) allows ease of suture placement for meni
scus stability without the problems associated with ancillary incision
s such as neurovascular compromise. It is ideal for the central poster
ior horn tears that are difficult using conventional techniques. Verti
cal tears, bucket handle tears, flap tears, and horizontal tears can b
e approached using a temporary ''anchor stitch'' to stabilize the meni
scus before T-Fix repair. The basic method of repair and our approach
to these different types of tears is presented.