Abstract
Purpose of Review: The purpose of this review is to provide an up-to-date summary on the current literature and trends regarding use of the inside-out approach to meniscus repair. Additionally, the paper describes the authors preferred techniques for inside-out meniscus repair utilizing posteromedial and posterolateral exposures. Recent Findings: There has been a substantial increase in recent publications regarding meniscus repair. However, comparisons regarding the optimal repair technique have not been conclusive. Despite the recent increase in use of all-inside devices, multiple investigations with short-to-mid-term follow-up have demonstrated similar rates of meniscus healing between inside-out and all-inside repair techniques. Similarly, current literature describes comparable failure rates of around 20%. There are variations in the profile of complications, with all-inside devices having more implant-related complications and inside-out techniques with higher neurovascular injuries. Summary: Inside-out meniscus repair is a versatile, cost-effective technique that remains the gold standard for management of most meniscus tear patterns. Through a thoughtful approach, efficient suture retrieval and repair can be performed while protecting critical neurovascular structures. All-inside meniscus repair devices have increased in popularity and surgeon access, but this technique is not without limitations and comparisons to inside-out meniscus repair demonstrates equivocal outcomes.
Original language | English (US) |
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Pages (from-to) | 244-251 |
Number of pages | 8 |
Journal | Current Reviews in Musculoskeletal Medicine |
Volume | 15 |
Issue number | 4 |
DOIs | |
State | Published - Aug 2022 |
Keywords
- Inside-out
- Meniscus
- Meniscus injuries
- Meniscus repair
- Meniscus repair needles
- Meniscus tears
ASJC Scopus subject areas
- Orthopedics and Sports Medicine