Editorial Commentary: Various Meniscal Repair Techniques Show Similar Biomechanical and Clinical Outcomes, and...

Knee meniscal repair shows favorable outcomes, especially if associated with anterior cruciate ligament reconstruction. However, a favorable clinical outcome does not mean that the meniscus has healed. There is no difference in clinical outcomes between all-inside and inside-out meniscal repair techniques. The all-inside technique is faster and associated with a lower incidence of neurovascular injuries. In terms of biomechanical studies, protocols vary, and no meniscal repair technique (all-inside, inside-out, or outside-in) is clearly superior to any other technique regarding tensile load, tissue failure rate, or restoration of contact mechanics. That said, a vertically oriented meniscal suture captures circumferential collagen bundles and is superior in strength to any horizontal meniscal stitch. A horizontal meniscal stitch orientation should be avoided.