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Related Experiment Video

Updated: May 8, 2026

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
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All-inside suture meniscal repair using suture passer.

Ryohei Uchida1, Shuji Horibe2, Tomoki Ohori3

  • 1Department of Orthopaedic Sports Medicine, Kansai Rosai Hospital, Amagasaki, Japan.

Annals of Joint
|August 8, 2024
PubMed
Summary
This summary is machine-generated.

All-inside suture (AIS) repair offers an anatomical approach to meniscus repair, potentially improving outcomes for knee osteoarthritis. Further research and device development are needed to fully establish its clinical efficacy.

Keywords:
All-inside suture repair (AIS repair)meniscus repairrepair techniquessuture passer

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomedical Engineering

Background:

  • Expanding indications for meniscus repair aim to preserve the meniscus and prevent knee osteoarthritis progression.
  • Conventional meniscus repair techniques include trans-capsular (TC) methods like inside-out and outside-in, as well as all-inside techniques using implants/anchors.
  • Recent advancements have introduced new suture passers for all-inside meniscus repair.

Purpose of the Study:

  • To review the current status of all-inside suture (AIS) repair for various meniscus tear types.
  • To differentiate AIS repair from conventional all-inside techniques with implants/anchors.
  • To discuss the potential advantages and limitations of AIS repair.

Main Methods:

  • Review of current literature on meniscus repair techniques.
  • Focus on all-inside suture (AIS) repair using novel suture passers.
  • Comparison of AIS repair with trans-capsular (TC) and conventional all-inside repair methods.

Main Results:

  • AIS repair facilitates direct meniscus-to-meniscus suturing without interposing soft tissues, enabling "anatomical meniscus repair".
  • Existing reports suggest biomechanical and clinical advantages of AIS repair.
  • Limited clinical evidence and some disadvantages necessitate further investigation.

Conclusions:

  • AIS repair represents a promising "anatomical meniscus repair" technique.
  • Further studies, device innovation, and surgical technique development are required for AIS repair.
  • This review provides an overview of AIS repair for different meniscus tear types.