Kanto R, et al. - For patients (n = 217) who chose to have tibial screw removal and agreed to have concomitant arthroscopy, second-look was performed between January 2009 and January 2015 by the experts in order to explore the healing status of meniscal repair performed concomitantly with anterior cruciate ligament (ACL) reconstruction with the prevailing evidence and surgical procedure based on second-look arthroscopic outcomes. On the basis of the second-look arthroscopic findings, 64, 22, and 29 menisci were classified as healed, incompletely healed, and not healed, respectively. A Tegner activity score of 8 or more, recurrent instability, tears in the red-white to white-white zones, and time from injury to surgery of 4 months or longer were recognized as clinical factors significantly associated with failure when the not healed condition was described as failed repair. In conclusion, a healing rate (including incomplete healing) of 75% was attained by meniscal repair in ACL reconstructed knees with expanded indications. Clinical factors including high sports activity level, recurrent ACL instability, poor vascularity of the repaired site, and long term from injury to surgery were conferred to weaken the healing status.