Background: Meniscal root tear s are becoming increasingly recognized. They can cause rapidly progressive arthritis. Purpose: The purpose of this study was to document the radiological and functional outcome of arthroscopic management of meniscal root tears injuries. Patients and Methods: This study was held on 20 patients suffered from meniscal root tears at Al-Azhar University Hospitals. There were 11 males and 9 females with mean age 41.63 (23- 50) years old. All patients were evaluated preoperatively and postoperatively with mean follow up 6 months. Results: Clinical outcome measures significantly improved after surgery. Preoperatively there were 13 patients (65%) had poor score and 7 patients (35%) had fair score. Postoperatively there were 3 patients (15%) had poor score, 4 patients (20%) had fair score, 6 patients (30%) had good score and 7 patients (35%) had excellent score. The mean IKDC score for meniscal repair increased, and the mean IKDC score for partial meniscectomy increased. Postoperative MRI showed complete healing in 12 patients and failure in 8 patients.preoperative ME was ˃ 3 mm in 17 patients and ≤ 3 mm in 3 patients .postoperative ME was ≤ 3 mm in 11 patients and ˃ 3 mm in 9 patients. Conclusions: Meniscal root repair has increased in popularity and when done in selected patients results in a high rate of healing and restoring the ability of the meniscus to dissipate axial tibiofemoral loads, thereby slowing or halting arthritic progression.