Medial meniscal root injury is known to cause an increase in tibiofemoral contact pressure and results in early osteoarthritis. This is a very common problem of the knee joint often ignored due to lack of knowledge and due to the fact that the x-ray may look normal immediately after the injury. When there is a tear in the root of meniscus, the complete meniscus fails and there is direct loading from thigh bone to calf bone without any absorption of forces. This leads to tremendous pain and rapid degeneration of the knee. Early intervention is beneficial and is of prime importance to maintain the longevity of knee. With newer techniques, the root can be fixed with arthroscopy predictably.