Fig 6.

Arthroscopic view of a bucket-handle tear of the medial meniscus in the left knee. A suture is passed through the inner segment of the bucket-handle tear using an all-inside passer (black arrow) (A, B). A needle with bidirectional groove is inserted at the planned suture exit point from outside the joint capsule under arthroscopic guidance. The suture limbs are sequentially retrieved using the distal end of the groove: the femoral-side limb (open arrow) is retrieved first (C), followed by the tibial-side limb (arrowhead) (D). Both suture limbs (curved arrow) are then tied outside the joint capsule to secure the meniscus in its anatomic position (E).