Comparison between INSIDE-OUT vs ALL-INSIDE arthroscopic Bucket Handle meniscal repair (Systematic Review)

Background: Bucket handle tears are common among young people especially young athletes. There are many different arthroscopic techniques but most commonly used are inside-out and ALLinside. This study will compare between them. Aim: This study aims to compare the clinical and radiological outcomes of ALL-INSIDE and INSIDE-OUT repair methods for bucket handle meniscal tears using magnetic resonance imaging (MRI). For anatomical evaluation, some studies relied on a second arthroscopic examination. Material and Methods: Incorporating new research, this meta-analysis compares the Allinside and inside-out methods for repairing meniscal tears in bucket handles Results: Using the following datasets to compare and contrast All-inside and inside-out methods for meniscal healing on bucket handles, including current research from 2010 onwards: EMBASE, Scopus, PubMed, and MEDLINE. As for medical publications: Sports medicine in the United States, THE KNEE, orthopaedic sports medicine journal, AJSM, and COCHRANE library. A total of 482 articles were identified in the database search: MEDLINE, PubMed, Scopus, EMBASE, and medical journals. After duplication and screening of the remaining 357 articles, 125 articles were screened, excluded article 104 and 21 articles met the eligibility criteria. After collecting the articles based on their reported outcomes, 21 remained for our systematic review. Conclusion: The current study emphasizes the short-term and long-term consequences of comparing inside-out with all-inside meniscal healing. In the tiny subset of medium-sized vertical meniscal injuries, both inside-out and all-inside procedures performed today provide comparable failure rates, functional outcomes, and complication rates.