Background: Medial meniscus tears are commonly associated with ACL tears, with an incidence ranging from 55% to 80%, and a higher incidence observed in cases of chronic instability compared to initial trauma. Present study aimed to analyze the novel technique for inside out meniscus repair in concomitant ACL reconstruction using the hamstring graft harvest incision and to evaluate the Tegner-Lysholm scores of these patients post-operatively. Materials and Method: 15 patients with an ACL tear associated with a bucket handle tear of the medial meniscus were included in study. All 15 patients underwent Arthroscopic ACL Reconstruction using a hamstring graft and inside out medial meniscus repair under spinal anaesthesia by a single surgeon. The patients were then put on a standard post operative rehabilitation protocol with non-weight bearing ambulation with crutch assistance and knee range of motion was started immediately. After suture removal at 2 weeks, the patient was put on partial weight bearing and full weight bearing at 4 weeks post operatively. Results: The mechanism of injury was a fall in seven patients (46.67%), a sports related injury in four patients (26.67%), a trip and fall in three patients (20%) and a dance related injury in one patient (6.67%). The mean time since injury to surgery was 7.27 ± 4.73 months. The patients were followed up for a period of 6 months, during which one patient reported serous discharge from the wound which resolved with regular dressing after suture removal. No other adverse events, re-injury or other postoperative complications were reported. None of the patients had any complaints related to neurological injury such as tingling and numbness. At the end of 6 months, the Tegner - Lysholm Knee Score was calculated to evaluate the outcomes. The mean score was 92 ± 6.85. Seven patients (46.67%) had an excellent score (range: 95-100), suggesting an asymptomatic knee, six patients (40%) had a good score (range: 84-94) and two patients (13.33%) had a fair score (<84). Conclusion: Inside-out medial meniscus repair during ACL reconstruction demonstrates promising outcomes, with high Tegner–Lysholm Knee Scores and minimal postoperative complications, suggesting its viability as a practical and safer alternative in meniscal repair during concomitant ACL Reconstruction.