{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T13:28:12Z","timestamp":1786973292405,"version":"build-2736575974"},"reference-count":79,"publisher":"Bioscientifica","issue":"7","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:p>The meniscus is critical for load distribution and joint stability; tears disrupt biomechanics and accelerate cartilage degeneration, prompting a shift from meniscectomy toward preservation and repair. We review three core techniques \u2013 inside-out, outside-in, and all-inside \u2013 with stepwise descriptions, indications, advantages\/limitations, devices, and complication profiles. Inside-out offers precise, strong fixation but requires an accessory incision and neurovascular precautions; outside-in is reproducible and cost-efficient for anterior horn tears; and all-inside reduces soft-tissue dissection and operative time, improving access to posterior\/body regions. No single meniscal repair technique demonstrates clear superiority in healing or failure rates; outcomes depend on tear characteristics and patient factors. Although modern all-suture all-inside devices show favorable biomechanics, their higher cost and unclear cost-effectiveness limit definitive clinical advantage. Technical pearls include optimized portal placement, peripheral bites, protection of neurovascular structures, and avoidance of soft-tissue bridges. Concomitant ACL reconstruction enhances healing \u2013 likely via improved stability and marrow-derived biologic augmentation. Region-specific guidance is provided using medial and lateral anatomical zoning, aligning suture patterns (inside-out, outside-in, and all-inside) to tear location to preserve biomechanics and reduce complications.<\/jats:p>","DOI":"10.1530\/eor-2025-0236","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T12:50:35Z","timestamp":1782910235000},"page":"815-826","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":0,"title":["Current concepts in meniscal suturing techniques: indications, advantages, and limitations"],"prefix":"10.1530","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0209-357X","authenticated-orcid":true,"given":"Marta Gabriela","family":"Kubisa","sequence":"first","affiliation":[{"name":"Departament of Orthopaedics and Traumatology of Carolina Hospital, Warsaw, Poland 1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micha\u0142 Jan","family":"Kubisa","sequence":"additional","affiliation":[{"name":"Departament of Orthopaedics and Traumatology of Medical University of Warsaw, Warsaw, Poland 2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnieszka","family":"Grygiel","sequence":"additional","affiliation":[{"name":"Masovian Center for Neuropsychiatry, Warsaw, Poland 3"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Omilian","sequence":"additional","affiliation":[{"name":"Departament of Orthopaedics and Traumatology of Carolina Hospital, Warsaw, Poland 1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Przemys\u0142aw","family":"Krakowski","sequence":"additional","affiliation":[{"name":"Departament of Orthopaedics and Traumatology of Carolina Hospital, Warsaw, Poland 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