
Meniscal fixation is minimally invasive surgical procedure is used to reconstruct torn meniscus. Meniscus functions include distribution and load transmission, joint stability, neuromuscular proprioception and joint nutrition. Meniscal tears are symptomatic and irreparable and meniscal fixation devices are used to remove unstable fragments. Meniscal repair is performed only during longitudinal tears (>10 mm), tears without deformity or secondary degeneration, and others. Meniscal fixation devices are used arthroscopic repair or open surgery. Meniscal fixation devices include arrows, screws, darts, and other fasteners. The latest advancement of meniscal fixation device includes a hybrid of the peripheral anchor, suture, and Slipknot. These fixation devices are used for tensioning across the meniscal tear. In addition, they are flexible, and have a potential to move with meniscus and deform during any activities, and decreases the risk of chondral injury. Meniscal fixation devices are used for meniscus repair are of three types based on suture technique. They are inside-out, outside-in, and all inside. Inside-out technique is used to treat all types of tears with a potential risk of neurovascular incisions. The outside-in technique is used for middle and anterior thirds of the meniscus and this technique is used to decrease the risk of neurovascular incisions. All-inside repair technique for vertical longitudinal, unstable tears of the posterior meniscus.