Summary:An inside-out arthroscopic technique using a single or a double lumen cannula system is an effective means of reducing and stabilizing repairable meniscal tears. Limited posterolateral or posteromedial approaches for capsular exposure are recommended to decrease the incidence of neurovascular complications. Concomitant anterior cruciate ligament (ACL) reconstruction is strongly recommended for ACL-deficient patients with repairable meniscal lesions.