Background: The long-term unfavorable consequences of meniscectomy; either partial or total is well documented. The purpose of the current study is to demonstrate the long term clinical outcome after arthroscopic meniscal repair using combined all-inside, and outside-in techniques. Patients and methods: A retrospective study of patients who underwent meniscal repair between December 2005 and October 2013. Forty-eight patients were included (42 males and 6 females), with an average age of 24.3 years (range, 10-38) at operation. Meniscal repairs were done using combined outside-in and all-inside techniques. All meniscal tears were repaired using one Fast-Fix posterior all-insides sutures, and multiple outside-in sutures using the remaining Ultrabraid suture and PDS no2-0 non-absorbable suture. Results Only 4 cases required second procedure (partial meniscectomy). At final follow up of an average 80.11 months (range, 24–121), the average IKDC score of the meniscus repair group was 95,18 (±3.9), and the Lysholm score was 93.93 (±4.54). Conclusion Combined all-inside, and outside-in arthroscopic meniscal repair is a safe and a cheap technique, with a good long-term clinical outcome