Inside-Out Meniscal Repair in the Mid One-Third of the Menisci

Meniscal repair as an isolated surgical technique developed in the 1970s to treat peripheral longitudinal tears near the meniscosynovial junction. It rapidly evolved into an arthroscopically assisted technique. The development of a myriad of implants has led to evolution to all inside techniques. In the mid one-third of the menisci, classic inside-out meniscal suturing remains widely used due to the relative safety of avoiding important neurovascular structures, the ease of suture retrieval, and its low cost. In recent years, it has been demonstrated that repair of menisci can be extrapolated from just peripheral longitudinal tears to horizontal cleavage tears and deep radial tears. Classic inside-out suturing can be utilized in the mid one-third of the meniscus to repair these varied tear patterns.