Introduction. Sports popularization as well as better diagnostic options contribute to the relevance of the problem of knee meniscus injuries in children. Current trends in the management of meniscus injuries in Russia are between the choice – meniscectomy or meniscus suturing. There is a global tendency to reduce the number of performed meniscectomies because there has been proven correlation between this surgical intervention and osteoarthritis development.Material and methods. In the present review, the authors analyze outcomes after surgical treatment of knee meniscus injuries, which is still a controversial issue. They have selected sources published in PubMed, EMBASE, CyberLeninka, RSCI databases till September 15, 2022 (most of the articles published in 2017–2022). Keywords for the search were: meniscus suture, meniscectomy, children, osteoarthritis.Conclusion. Meniscus suturing is a more complicated procedure for both surgeons and patients, but it leads to better long-term clinical and radiological outcomes.