All-Inside Meniscal Repair: Updates on Technique

Most of the increasing popularity of the all-inside meniscal repair is related to the possibility to perform a meniscal repair with no additional skin incision. Moreover, the all-inside techniques allow the possibility of placing sutures in the different meniscal tear patterns such as horizontal, vertical, oblique, or longitudinal. In this situation, it can be more attractive to a knee surgeon, because they could offer potential benefits that include a shorter operative time and a lower risk of neurovascular injury. However, as well as any other surgical procedure, the anatomy and the biomechanical concepts are points that the surgeon should keep in mind when performing an all-inside meniscal repair. Some factors have a direct influence on the decision of repairing a meniscal tear, such as the tear location, tear type, the size of a meniscal tear, the quality of meniscal tissue, and the configuration and the stability of the meniscal tear.