Outside-In Single–Lasso Loop Technique for Meniscal Repair: Fast, Economic, and Reproducible

The current understanding of the biomechanical role of the meniscus, in conjunction with the increasing efforts to achieve its preservation within the orthopaedic community during treatment of meniscal lesions, has prompted the development of different meniscal repair techniques. The outside-in technique is recommended for anterior horn and middle-segment meniscal tears and has been recognized as a low-cost procedure with a low incidence of complications. Diverse modifications of this technique have been published over the past decade. On the basis of these previous outside-in technique modifications and aiming to simplify and reduce the number of surgical steps, as well as simplify suture and/or instrument manipulation, during this technique, we describe the single-lasso loop outside-in technique for meniscal repair. We believe this modified technique represents a simplified, economic, and highly reproducible procedure option whenever an outside-in technique for meniscal repair is considered.