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Related Experiment Video

Updated: Jul 2, 2026

A Novel Arthroscopic Medial Knot-Tying Suture-Bridge Repair with Rip-Stop Technique for Rotator Cuff Tears
06:41

A Novel Arthroscopic Medial Knot-Tying Suture-Bridge Repair with Rip-Stop Technique for Rotator Cuff Tears

Published on: January 13, 2026

Current concepts in meniscal suturing techniques: indications, advantages, and limitations.

Marta Gabriela Kubisa1, Michał Jan Kubisa2, Agnieszka Grygiel3

  • 1Departament of Orthopaedics and Traumatology of Carolina Hospital, Warsaw, Poland.

EFORT Open Reviews
|July 1, 2026
PubMed
Summary

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Correction: Krakowski et al. Cartilage Integrity: A Review of Mechanical and Frictional Properties and Repair Approaches in Osteoarthritis. <i>Healthcare</i> 2024, <i>12</i>, 1648.

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Clinics and practice·2024

Meniscal tears disrupt knee biomechanics, leading to cartilage damage. This review details three surgical repair techniques (inside-out, outside-in, all-inside), noting no single method is superior, with outcomes depending on tear specifics and patient factors.

Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Biomedical engineering

Background:

  • The meniscus plays a vital role in knee joint load distribution and stability.
  • Meniscal tears disrupt normal biomechanics and can accelerate cartilage degeneration.
  • There is a clinical trend favoring meniscal preservation and repair over meniscectomy.

Purpose of the Study:

  • To review and compare three primary meniscal repair techniques: inside-out, outside-in, and all-inside.
  • To provide stepwise descriptions, indications, advantages, limitations, and complication profiles for each technique.
  • To offer region-specific guidance for aligning repair techniques with tear locations.

Main Methods:

  • Review of established surgical techniques for meniscal repair.
Keywords:
all-insideinside-outknee arthroscopymeniscus repairoutside-in

Related Experiment Videos

Last Updated: Jul 2, 2026

A Novel Arthroscopic Medial Knot-Tying Suture-Bridge Repair with Rip-Stop Technique for Rotator Cuff Tears
06:41

A Novel Arthroscopic Medial Knot-Tying Suture-Bridge Repair with Rip-Stop Technique for Rotator Cuff Tears

Published on: January 13, 2026

  • Stepwise descriptions of inside-out, outside-in, and all-inside approaches.
  • Analysis of device options, fixation strengths, and anatomical considerations.

    • Main Results:

    • Inside-out repair offers strong fixation but requires an additional incision.
    • Outside-in repair is cost-effective for anterior horn tears.
    • All-inside techniques minimize soft-tissue dissection and improve access to posterior tears.
    • No single technique guarantees superior healing or failure rates; outcomes are multifactorial.
    • Concomitant anterior cruciate ligament (ACL) reconstruction may enhance meniscal healing.

    Conclusions:

    • The choice of meniscal repair technique should be tailored to tear characteristics and patient factors.
    • Modern all-suture all-inside devices show promise but require further cost-effectiveness analysis.
    • Optimized surgical technique, including portal placement and suture technique, is crucial for successful repair.
    • Anatomical zoning and matching repair techniques to tear location can preserve biomechanics and reduce complications.