Outside-in continuous suturing is superior to interrupted suturing for repairing peripheral meniscus lesions: an in vitro biomechanical study using a porcine model.

Purpose: This in vitro biomechanical study using a porcine model compared peripheral longitudinal vertical meniscus lesion (PLVML) outside-in suture repair fixation strength using either interrupted or continuous "N" configuration No. 2-0 braided polyester sutures.

Methods: Porcine lateral menisci were randomly assigned to group 1 (continuous) or group 2 (interrupted).

Indications for 2-incision anterior cruciate ligament surgery.

Two-incision anterior cruciate ligament reconstruction uses an outside-in femoral drilling technique. Advantages include anatomic femoral tunnel placement and increased versatility with regard to graft position and fixation in the femoral tunnel or distal femur. The authors believe that transtibial femoral tunnel drilling is inferior because of nonanatomic femoral tunnel placement and the requirement of the posterior footprint placement of the tibial tunnel.