Recognizing from experiments performed by R.J. Webber, PhD that meniscus cells have the ability to grow in tissue culture, K.R. Stone, M.D. developed the first meniscus reconstruction device called a collagen regeneration template in 1986. The template or scaffold was composed of glycosaminoglycan (sugar/proteins that make up cartilage tissue) and was designed to have pores into which cells could grow. Its cross-linking preserved the scaffold in the knee joint long enough for new meniscus tissue to grow into it. (Patents 5,158,574, 5,116,374, 5,007,934) This scaffold was tested in animals and subsequently in people and was found to successfully replace lost segments of meniscus tissue (Fig 1). It became widely available in Europe and temporarily in the US in 2009. However, in cases where large areas of meniscus are missing, full intact meniscus transplantation has been suggested.