Inside-Out Meniscal Repair: Medial and Lateral Approach

• Published in: Arthroscopy techniques (Amsterdam) Vol. 5; no. 1; pp. e163 - e168
• Main Authors: Chahla, Jorge, M.D, Serra Cruz, Raphael, M.D, Cram, Tyler R., A.T.C., O.T.C, Dean, Chase S., M.D, LaPrade, Robert F., M.D., Ph.D
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.02.2016; Elsevier
• Subjects: Orthopedics; Technical Note
• ISSN: 2212-6287; 2212-6287
• DOI: 10.1016/j.eats.2015.10.017

Abstract Preservation of meniscal tissue has been proven to be the best approach in most cases of meniscal tears. Currently available techniques for treating a peripheral meniscal tear include inside-out, outside-in, and all-inside techniques. Each of these techniques present potential advantages and disadvantages. Despite technologic advances in all-inside devices, because of implant-related complications, cost concerns, and device availability, the inside-out technique is still the preferred method among many surgeons. Although the inside-out repair technique is considered more technically demanding and requires additional incisions, it has several advantages such as the possibility for an increased number of sutures, creating a stronger construct, and greater versatility in their placement. This article describes the inside-out meniscal repair technique with its corresponding posterolateral and posteromedial surgical approaches.