Preservation of meniscal tissue has been proven to be the best approach in most cases of meniscal tears.Currently available techniques for treating a peripheral meniscal tear include inside-out, outside-in, and all-inside techniques.Each of these Circle Jewelry Dish techniques present potential advantages and disadvantages.Despite technologic advances in all-inside devices, because of implant-related complications, cost concerns, and device availability, the inside-out technique is still the preferred method among many surgeons.
Although the inside-out repair technique is considered more technically demanding and requires additional incisions, it has several advantages such as the possibility for an increased number of sutures, creating a stronger construct, and greater versatility in their placement.This article describes the inside-out meniscal repair technique Pop Up Tunnel with its corresponding posterolateral and posteromedial surgical approaches.