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However, it remains unclear which method promotes greater clinical outcomes. This study compared inside-out versus all-inside arthroscopic meniscal repair in terms of patient-reported outcome measures (PROMs), failures, return to play, and symptoms.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This systematic review was conducted in accordance with the PRISMA guidelines. Two authors independently performed the literature search by accessing the following databases: PubMed, Google Scholar, and Scopus in February 2023. All clinical studies which investigated the outcomes of all-inside and\/or inside-out meniscal repair were considered.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Data from 39 studies (1848 patients) were retrieved. The mean follow-up was 36.8 (9 to 120) months. The mean age of the patients was 25.8\u2009\u00b1\u20097.9\u00a0years. 28% (521 of 1848 patients) were women. No difference was found in PROMs: Tegner Activity Scale (<jats:italic>P<\/jats:italic>\u2009=\u20090.4), Lysholm score (<jats:italic>P<\/jats:italic>\u2009=\u20090.2), and International Knee Document Committee score (<jats:italic>P<\/jats:italic>\u2009=\u20090.4) among patients undergoing meniscal repair with all inside or inside-out techniques. All-inside repairs showed a greater rate of re-injury (P\u2009=\u20090.009) but also a greater rate of return to play at the pre-injury level (<jats:italic>P<\/jats:italic>\u2009=\u20090.0001). No difference was found in failures (<jats:italic>P<\/jats:italic>\u2009=\u20090.7), chronic pain (<jats:italic>P<\/jats:italic>\u2009=\u20090.05), reoperation (<jats:italic>P<\/jats:italic>\u2009=\u20090.1) between the two techniques. No difference was found in the rate of return to play (<jats:italic>P<\/jats:italic>\u2009=\u20090.5) and to daily activities (<jats:italic>P<\/jats:italic>\u2009=\u20090.1) between the two techniques.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Arthroscopic all-inside meniscal repair may be of special interest in patients with a particular interest in a fast return to sport, while, for less demanding patients, the inside-out suture technique may be recommended. High-quality comparative trials are required to validate these results in a clinical setting.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Level of Evidence<\/jats:title>\n                <jats:p>Level III, systematic review.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-023-04933-8","type":"journal-article","created":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T06:02:13Z","timestamp":1686117733000},"page":"6273-6282","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Greater rate of return to play and re-injury following all-inside meniscal repair compared to the inside-out technique: a systematic review"],"prefix":"10.1007","volume":"143","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7220-1221","authenticated-orcid":false,"given":"Filippo","family":"Migliorini","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Asparago","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Oliva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Bell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Hildebrand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Maffulli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,6,7]]},"reference":[{"key":"4933_CR1","volume-title":"Miller's Review of Orthopaedics","author":"SR Thompson","year":"2016","unstructured":"Thompson SR, Miller MD (2016) Miller\u2019s Review of Orthopaedics. 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