Meniscus repair over resection, when feasible, should be strongly considered in an effort to preserve meniscus integrity and function, especially in younger patients. Currently, a number of techniques and implants may be used to achieve a successful result. Although all-inside meniscus repair devices have evolved significantly since their introduction and have become the repair technique of choice for many surgeons, the classic inside-out repair technique is still very useful to have in one's armamentarium. Though less popular because of the ease of current-generation fixators, the inside-out technique can still offer advantages for those surgeons who are proficient. With the versatility to address most tear patterns, the ability to deliver sutures with smaller needle diameters, and proven long-term results, it has been considered the gold standard in meniscus repair. We review the inside-out repair technique for both a medial and lateral meniscus tear with some helpful tips when performing the technique, and we present a video demonstration of the lateral meniscus repair technique.

Background: Little is known about patient perceptions of outpatient total shoulder arthroplasty (TSA). We evaluated patient-reported satisfaction with TSA in a freestanding ambulatory surgery center (ASC) and an inpatient (INPT) setting. Methods: Patients were mailed a survey regarding hospital admission, surgical site infections, and medical problems after surgery, as well as their satisfaction with the surgery and location. Patients were asked if, given the opportunity, they would change the location of their surgery. Results: Thirty-five patients with ASC surgery and 46 with INPT surgery completed the survey. Satisfaction regarding location and outcomes of surgery was similar, with no differences in readmission rates, need for medical care after surgery, or surgical site infections. A high percentage of patients in the INPT group would have changed their surgery location to an ASC setting. Conclusions: Patients were very satisfied with TSA, as well as the environment of their surgery (ASC or INPT). If given a choice, however, the ASC group preferred having their surgery in the ASC setting, while a high percentage of patients in the INPT group would have preferred to change to an ASC setting. Level of Evidence: Level III. Retrospective comparative study.

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