What is Inside Out Meniscal Repair?
Inside out meniscal repair is a surgical technique used to repair certain types of meniscus tears by placing sutures from inside the knee joint and securing them outside the joint capsule. This method is commonly used for tears located in the middle and posterior portions of the meniscus, where stable fixation is required.
The procedure focuses on preserving the natural meniscus, which is essential for knee stability, load distribution, and long-term joint protection.
When is Inside Out Meniscal Repair recommended?
This technique is recommended when the meniscus tear is repairable and located in a region where strong fixation is necessary.
It is usually advised for patients with:
- Traumatic meniscus tears from sports or accidents
- Tears extending into the vascular (healing) zone
- Knee pain associated with locking or catching
- Stable knee ligaments with repairable tear patterns
- Younger or physically active individuals
Proper evaluation helps determine whether this repair method is suitable.
What are the benefits of Inside Out Meniscal Repair?
- Preserves the natural meniscus
- Provides strong and secure tear fixation
- Reduces risk of future knee degeneration
- Maintains knee stability and function
- Supports long-term joint health
Meniscus preservation plays a key role in preventing early arthritis.
How is Inside Out Meniscal Repair performed?
The procedure is carried out using arthroscopic techniques with controlled access to the meniscus.
Step-by-step process:
- Small incisions are made around the knee
- A camera is inserted to visualize the joint
- The torn meniscus is identified and prepared
- Sutures are passed from inside the joint and secured externally
- Stability is confirmed before closing the incisions
The surgery typically takes 60 to 90 minutes, depending on tear complexity.
What is the recovery process like?
Recovery focuses on protecting the repaired meniscus while restoring controlled movement.
- Knee brace support during early healing
- Restricted weight-bearing initially
- Gradual increase in knee motion
- Supervised physiotherapy for strength and flexibility
Strict adherence to rehabilitation is important for successful healing.
How long does it take to recover?
Recovery usually takes 3 to 6 months, depending on:
- Tear size and location
- Quality of meniscus healing
- Patient age and activity level
- Consistency with physiotherapy
Return to sports is planned only after adequate healing and strength recovery.

Which is the best hospital for Inside Out Meniscal Repair in Chennai?
Hospitals with expertise in advanced arthroscopic repair techniques and structured rehabilitation programs provide better outcomes for meniscus preservation surgeries.
Shri Bone & Joint Clinic manages complex meniscus injuries using evidence-based approaches. Depending on tear characteristics, treatment options may include Meniscal Repair Surgery in Chennai or technique-specific procedures such as All Inside Meniscal Repair in Chennai, ensuring personalized care planning.
Who is the best doctor for Inside Out Meniscal Repair in Chennai?
Successful meniscal repair depends on accurate tear assessment, surgical precision, and guided rehabilitation.
Dr. Shriram Krishnamoorthy is an experienced Orthopedic Specialist in Chennai with a focus on joint-preserving knee surgeries. His clinical approach may also involve related procedures such as Arthroscopic Meniscectomy in Chennai, Partial Arthroscopic Meniscectomy in Chennai, or ligament stabilization surgeries like MPFL Reconstruction Surgery in Chennai, when medically indicated.
What is the cost of Inside Out Meniscal Repair in Chennai?
Cost of Inside Out Meniscal Repair in Chennai
| Category | Approx. Range (₹) |
| Non-surgical care / Diagnostics | ₹3,000 – ₹10,000 |
| Standard Surgery / Injection | ₹70,000 – ₹1,30,000 |
| Advanced / Titanium / Biological | ₹1,30,000 – ₹2,20,000 |
| Robotic / Minimally Invasive | ₹1,80,000 – ₹3,00,000 |
| Physiotherapy & Rehab | ₹15,000 – ₹40,000 |
Insurance may cover this procedure if medically necessary.
Better Health Care is Our Mission
Phone
Shri Bone & Joint clinic
No.14/31, 3rd Avenue Indira Nagar, Adyar, Chennai-600020
Phone: 044 4505 5509

