Abstract
Meniscal roots provide substantial stability to the knee against anteroposterior and rotational forces. Root injuries show similar biomechanic properties to total meniscectomy and are one of the preventable causes of early osteoarthritis. Various surgical methods were already described, and new techniques are being developed. Repair of meniscal root tears is almost always recommended, especially in acute traumatic cases. However, the surgical indications are controversial in cases where repair is not possible, in degenerative conditions, and in elderly patients. Along with this perspective, radiologic and clinical evaluation and current surgical techniques will be summarized, and treatment indications and outcomes will be discussed according to up-to-date data.