{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T23:51:55Z","timestamp":1791157915539,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Meniscal preservation is a priority in the treatment of knee injuries because of the fundamental role of the meniscus in load absorption, joint stability, and chondral protection. Several repair techniques have been described, including inside\u2010out, outside\u2010in, and all\u2010inside approaches. More recently, continuous suturing techniques have emerged as a promising alternative, allowing multiple fixation points with shorter operative time and reduced costs. We describe a hybrid continuous meniscal repair technique that combines initial all\u2010inside fixation with additional outside\u2010in sutures using the excess suture limb from the implant. The repair begins with meniscal fixation using an all\u2010inside device, after which the free suture end is redirected percutaneously through successive outside\u2010in passages, creating a continuous vertical suture construct. This strategy enables multiple fixation points from a single device, potentially enhancing biomechanical stability and reducing the need for additional implants. The integration of all\u2010inside and outside\u2010in fixation allows the entire extent of the tear to be addressed in a safe, reproducible, and cost\u2010effective manner. The described hybrid technique expands the applicability of continuous meniscal suturing and may contribute to improved clinical outcomes in meniscal preservation.<\/jats:p>","DOI":"10.1002\/atn2.70265","type":"journal-article","created":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T23:11:02Z","timestamp":1791155462000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hybrid Sequential Meniscal Suture Technique"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2635-1469","authenticated-orcid":false,"given":"Jose Leonardo","family":"Rocha de Faria","sequence":"first","affiliation":[{"name":"National Institute of Traumatology and Orthopedics of Brazil  Rio de Janeiro Rio de Janeiro Brazil"},{"name":"School of Medicine from University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor Araujo","family":"Farias","sequence":"additional","affiliation":[{"name":"School of Medicine from University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2112-7652","authenticated-orcid":false,"given":"Rafael Erthal","family":"de Paula","sequence":"additional","affiliation":[{"name":"National Institute of Traumatology and Orthopedics of Brazil  Rio de Janeiro Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra Tie Nishibe","family":"Minamoto","sequence":"additional","affiliation":[{"name":"National Institute of Traumatology and Orthopedics of Brazil  Rio de Janeiro Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5702-1529","authenticated-orcid":false,"given":"Diego","family":"Ariel","sequence":"additional","affiliation":[{"name":"Universidade Federal Rural do Semi\u2010\u00c1rido \u2010 UFERSA  Mossor\u00f3 Rio Grande do Norte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0363-3968","authenticated-orcid":false,"given":"Yuri Di Cavalcanti","family":"Sampaio","sequence":"additional","affiliation":[{"name":"National Institute of Traumatology and Orthopedics of Brazil  Rio de Janeiro Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naasson Trindade","family":"Cavanellas","sequence":"additional","affiliation":[{"name":"National Institute of Traumatology and Orthopedics of Brazil  Rio de Janeiro Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Antonio Matheus","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"National Institute of Traumatology and Orthopedics of Brazil  Rio de Janeiro Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geraldo da Rocha","family":"Motta","sequence":"additional","affiliation":[{"name":"National Institute of Traumatology and Orthopedics of Brazil  Rio de Janeiro Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Paulo Gabbi Arambur\u00fa","family":"Filho","sequence":"additional","affiliation":[{"name":"National Institute of Traumatology and Orthopedics of Brazil  Rio de Janeiro Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1139-2524","authenticated-orcid":false,"given":"Camilo Partezani","family":"Helito","sequence":"additional","affiliation":[{"name":"School of Medicine from University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phelippe Valente","family":"Maia","sequence":"additional","affiliation":[{"name":"National Institute of Traumatology and Orthopedics of Brazil  Rio de Janeiro Rio de Janeiro 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