title: COMBINED INSIDE-OUT AND ALL-INSIDE TECHNIQUE IN BUCKET-HANDLE MENISCUS TEARS.
abstract: OBJECTIVE
  To determine the outcomes after combined inside-out and all-inside repair technique of bucket-handle meniscus tears.
  
  
  METHODS
  A retrospective review was made of patients with bucket-handle meniscus tears repaired with combined techniques, using the all-inside technique in posterior meniscal tears and the inside-out technique in the middle part of the meniscal tears. Meniscal healing was assessed clinically using Barrett's criteria and MRI.
  
  
  RESULTS
  The study comprised 52 patients with a mean age of 28.4 years old (range, 19-52 years old). The mean follow-up period was 31.3 months (range, 24-59 months). Two patients had ACL re-rupture, and complete meniscal healing was achieved in all but one patient. Although improved from preoperative status, Tegner and Lysholm scores were lower in the ACL reconstructed patients than in the intact ACL patients.
  
  
  CONCLUSIONS
  Combined inside-out and all-inside meniscal repair technique is a successful and cost-effective treatment method in bucket-handle meniscus tears.Level of Evidence IV, Therapeutic Study.
authors.affiliation: . Ankara Numune Training and Research Hospital, Department of Orthopaedics and Traumatology, Ankara, Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Yılmaz
authors.affiliation: . Ankara Numune Training and Research Hospital, Department of Orthopaedics and Traumatology, Ankara, Turkey.
authors.forename: Deniz
authors.initials: D
authors.lastname: Cankaya
authors.affiliation: . Ankara Ataturk Training and Research Hospital, Department of Orthopaedics and Traumatology, Ankara, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Fırat
authors.affiliation: . Ankara Numune Training and Research Hospital, Department of Orthopaedics and Traumatology, Ankara, Turkey.
authors.forename: Alper
authors.initials: A
authors.lastname: Devecı
authors.affiliation: . Ankara Numune Training and Research Hospital, Department of Orthopaedics and Traumatology, Ankara, Turkey.
authors.forename: Bulent
authors.initials: B
authors.lastname: Ozkurt
authors.affiliation: . Ankara Ataturk Training and Research Hospital, Department of Orthopaedics and Traumatology, Ankara, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Bozkurt
keywords: Arthroscopy; Knee; Menisci; tibial/injuries