Fig 4.

Meniscal repair using the inside-out technique. This is a case of a longitudinal tear on the middle part of lateral meniscus of the right knee. The arthroscopic view is from the anterolateral portal, and the arthroscopic probe is inserted through the anteromedial portal. (A) When using the inside-out method, prepare sutures on the femoral side of the tear first. The torn area is shown as the black dashed line. The inside-out needle (black arrowheads) is inserted to the torn meniscus. (B) Another side of the needle (black arrowheads) is inserted to the articular capsule side of the torn part. (C) The tension of the suture is loosened using an arthroscopic probe (black arrow) for easier delivery of the clot under the suture. (D) Deliver the clot with the clot pusher (white arrowheads) under the prepared suture. (E) Complete the suturing of the femoral side. (F) Suture the tibial side after completion of the femoral side. Place a clot on the tibial side first. White arrowheads show the clot pusher. (G) Suture the meniscus across the clot. (H) Completion of suturing after the repair.