Modified Outside-in Repair Technique for Chronic Retracted, Unstable Bucket-Handle Anterior Horn Lateral Meniscal Tear

Meniscus-Side-Knot-tying Technique Instead of Capsular-Side-Knot-Tying in Arthroscopic Outside-In Meniscal Repair: A Small but Meaningful Modification

“…Tying the final knot on the outer surface of the capsule has reported complications such as (1) catching sensory nerves like the saphenous nerve under the knot with a resultant focal sensory loss and paresthesia and (2) pain under the skin because of irritation from the knot. 11 …”

“…Tying the knot on the outer surface of the capsule in outside-in technique can result in injury of sensory nerves such as the saphenous nerve when the knot is inadvertently tied around the nerve or its branches, resulting in focal sensory loss or paresthesia. 2 , 11 …”

Outside‐in repair technique is effective in traumatic tears of the meniscus in active adults: a systematic review

“…The most common indication is an anterior horn tear, given the difficulty of reaching this area using the all‐inside technique [37, 53]. The lesion must be in the red‐red or red‐white zone, although successful meniscal repairs have been described in the white–white zone using fibrin clot augmentation [13, 36, 60]. The surgical technique entails passing two needles, from outside inward, through the capsule and the meniscal tear [29, 51].…”

Application of Continuous Sewing Machine-Like Suture Technique in Meniscus Injury

“…The main types of meniscus injury include posterior horn tear, body tear, anterior horn tear, bucket-handle tear, and root injury. 1 , 2 , 3 , 4 , 5 Severe meniscus injury can lead to instability of the knee and, without standard surgical treatment, easily can lead to more complex bone and joint diseases, such as osteoarthritis. 6 Therefore, it is necessary to pay more attention to the surgical treatment of meniscus injury.…”