Modified inside-out technique for meniscal repair

A modified technique of the inside-out suture for arthroscopic repair of meniscus is described. Although the conventional inside-out technique is a fine modality of a meniscal repair, it is difficult to perform vertical suture and to attain good coaptation and strong fixation. We introduce a modified inside-out suture, which uses a suture hook, a zone-specific cannula, and a specially designed looped needle for an efficient meniscal repair. The modified inside-out suture technique provides vertically oriented suture, excellent tissue coaptation, and firm fixation. We recommend this technique as an excellent method for repairing a tear in most parts of the meniscus, especially the posteromedial corner.