Older Age is Not a Contraindication to Meniscus Repair.

Abstract

Meniscus tears effect patients of all ages, with varying presentations, influence on function, and treatment requirements. Classic dogma suggests older patients should be treated non-operatively or offered meniscectomy when conservative treatment fails. However, recent data suggests improved subjective outcomes and reduced rate of degenerative change following meniscus repair, even in patients >40 years. Controversy exists regarding the comparative reoperation rates of meniscectomy and meniscus repair in the older cohort. While higher levels of evidence are lacking, it is unlikely that chronological age should be the major driver of surgical decision making for meniscus repair. Patient, joint, limb, and meniscus specific factors, including physiologic age, better guide the surgeon towards successful treatment.