Although meniscal injuries are mainly encountered in athletes involved in pivoting maneuvers [
4], even low-impact sports such as swimming have been plagued by meniscal lesions [
5]. Meniscal injuries are one of the most common musculo-skeletal issues and one of the most common orthopedic surgery performed worldwide. Vertical peripheral longitudinal tears [
6‐
8] as well as root tears [
9] should be repaired, leading to superior outcomes in terms of symptoms, function, return to play, and cartilage preservation compared to meniscectomy. In more recent years, there is an increasing body of evidence in favor of repairing horizontal tears, especially in the young patient [
10]. Return to sports after meniscus repair for high-level athletes (basketball, American football, baseball) varies between 80 and 90% [
11]. However, studies on meniscal repair in athletes have found that up to one third of the patients underwent reoperation for pain [
12‐
16]. Concerning the surgical technique of a meniscal repair, there is general agreement to start the procedure performing a debridement and abrasion of the meniscal lesion walls to favor local bleeding [
17], and with regard to the suture technique, vertical or horizontal sutures are recommended [
18,
19], performed either with all-inside, inside-out or outside-in techniques, since no superiority have been demonstrated of one technique over the others [
20,
21]. However, it has been demonstrated that vertical suturing configuration has superior load to failure values compared to a horizontal configuration [
22]. Usually, all-inside sutures are used on the far posterior segments, and inside-out for the middle and anterior meniscal segments. Alvarez-Diaz et al., in a case-series on 29 competitive football players, reported that 26 (89.6%) were able to return to play at the same level of competition at a mean of 4.3 months after surgery [
23].