“Posteromedial Knee Incision for Combined Inside-Out and Outside-In Meniscal Repair: A Technical Note”

Abstract

A 17-year-old boy presented with a left medial meniscus bucket handle tear. The patient had been experiencing pain and swelling in his knee for several weeks. The pain was exacerbated when he went up and down stairs or when he tried to twist his knee. The patient underwent arthroscopic surgery to repair the tear. The surgeon performed an inside-out repair for the posterior horn of the meniscus. However, access to the anterior body and horn was challenging. The surgeon had an idea on the spot to do an outside-in repair using the same incision but instead of using spinal needles, he used the same long (inside-out) needles after cutting them short. The meniscus was reduced and fixed. The patient recovered uneventfully and returned to full activity.