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Related Experiment Video

Updated: Jul 17, 2026

Destabilization of the Medial Meniscus and Cartilage Scratch Murine Model of Accelerated Osteoarthritis
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All-Inside Versus Inside-Out Meniscal Repair: A Comparative Study of Healing Rates And Functional Outcomes.

Stanzin Sonam1, Manik Rana2, Swar Desai3

  • 1Department of Orthopaedics, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.

Journal of Orthopaedic Case Reports
|July 10, 2026
PubMed
Summary

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The all-inside meniscal repair technique offers a shorter operative time and fewer complications compared to the inside-out method. Both techniques provide excellent knee joint healing and functional outcomes for patients with meniscal tears.

Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Knee biomechanics

Background:

  • Meniscal injuries are common knee injuries requiring surgical repair to preserve joint health.
  • All-inside and inside-out arthroscopic techniques are primary methods for meniscal restoration.
  • Current literature lacks consensus on the comparative efficacy of these repair methods.

Purpose of the Study:

  • To prospectively compare the all-inside and inside-out arthroscopic meniscal repair techniques.
  • To evaluate differences in operative time, complication rates, healing, and functional outcomes.
  • To determine the optimal surgical approach for meniscal tear treatment.

Main Methods:

  • A prospective comparative study of 50 patients with meniscal tears undergoing arthroscopic repair.
Keywords:
All-inside techniquefunctional outcomeinside-out techniqueknee arthroscopymeniscal repair

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  • Patients were randomized into two groups: all-inside repair (n=25) and inside-out repair (n=25).
  • Assessment included operative time, complications, healing rates, Lysholm knee score, and IKDC score over a 6-month follow-up.

    • Main Results:

    • The all-inside group had a significantly shorter operative time (42±6 min vs. 58±8 min).
    • Healing rates were high in both groups (84% all-inside, 92% inside-out).
    • Both techniques showed significant improvements in Lysholm and IKDC scores; the all-inside group had fewer complications.

    Conclusions:

    • Both all-inside and inside-out meniscal repair techniques yield excellent healing and functional results.
    • The all-inside technique is more time-efficient and associated with fewer complications.
    • The inside-out technique demonstrated a marginally higher healing rate.