In this retrospective study, we calculated the healing rate of menisca
l repairs performed with an outside-in technique. We describe complica
tions encountered and evaluate some known criteria used in the decisio
n to perform a meniscal repair instead of partial meniscectomy. Includ
ed is a brief description of the surgical technique and of the trauma
type and the meniscal lesions that were repaired. The technique has a
high degree of success (74% of the meniscal repairs survived during a
mean follow-up of 3.5 years). Although there is a 25% complication rat
e, no serious or permanent complications were added by repairing menis
ci instead of performing a partial meniscectomy. For this reason we th
ink saving even a relatively low percentage of menisci may be worthwhi
le. We can also conclude that an anterior cruciate ligament-deficient
knee that is stable can still have a good result in meniscal repair, w
ithout performing cruciate reconstruction. In each case, however, indi
vidual patient issues such as age, activity level, and associated lesi
ons have to be considered.