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all-inside meniscal repair

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https://www.readbyqxmd.com/read/28545179/the-efficacy-of-meniscal-treatment-associated-with-lateral-tibial-plateau-fractures
#1
Hyun-Joo Park, Hui-Du Lee, Jin Ho Cho
Purpose: The purpose of this study was to examine the incidence of lateral meniscal tears associated with lateral tibial plateau fractures and report the clinical outcomes of meniscal treatment with internal fixation of fractures. Materials and Methods: All lateral tibial plateau fractures (Schatzker types II and III) in skeletally mature patients treated operatively at our institution between January 2010 and February 2016 were included. All patients underwent open reduction and internal fixation using a buttress plate or cancellous screws...
June 1, 2017: Knee Surgery & related Research
https://www.readbyqxmd.com/read/28346834/outcomes-of-inside-out-meniscal-repair-in-the-setting-of-multiligament-reconstruction-in-the-knee
#2
Jorge Chahla, Chase S Dean, Lauren M Matheny, Justin J Mitchell, Mark E Cinque, Robert F LaPrade
BACKGROUND: Limited evidence exists for meniscal repair outcomes in a multiligament reconstruction setting. Purpose/Hypothesis: The purpose of this study was to assess outcomes and failure rates of meniscal repair in patients who underwent multiligament reconstruction compared with patients who underwent multiligament reconstruction but lacked meniscal tears. The authors hypothesized that the outcomes of meniscal repair associated with concomitant multiligament reconstruction would significantly improve from preoperatively to postoperatively at a minimum of 2 years after the index surgery...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28298056/outcomes-after-biologically-augmented-isolated-meniscal-repair-with-marrow-venting-are-comparable-with-those-after-meniscal-repair-with-concomitant-anterior-cruciate-ligament-reconstruction
#3
Chase S Dean, Jorge Chahla, Lauren M Matheny, Justin J Mitchell, Robert F LaPrade
BACKGROUND: Meniscal repair in the setting of anterior cruciate ligament (ACL) reconstruction has demonstrated superior outcomes compared with isolated meniscal repair. Limited evidence exists for the effects of biological augmentation in isolated meniscal repair, particularly as compared with meniscal repair with concomitant ACL reconstruction. Purpose/Hypothesis: The purpose of this study was to compare the outcomes and survivorship of meniscal repair in 2 cohorts of patients: meniscal repair with biological augmentation using a marrow venting procedure (MVP) of the intercondylar notch, and meniscal repair with concomitant ACL reconstruction...
May 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28289817/the-all-inside-meniscal-repair-technique-has-less-risk-of-injury-to-the-lateral-geniculate-artery-than-the-inside-out-repair-technique-when-suturing-the-lateral-meniscus
#4
Adrián Cuéllar, Ricardo Cuéllar, Jorge Díaz Heredia, Asier Cuéllar, Ignacio García-Alonso, Miguel Angel Ruiz-Ibán
PURPOSE: To evaluate the risk of injury to the inferior lateral geniculate artery with two different techniques for lateral meniscus repair. METHODS: Eight cadaveric knees were used. Inside-out sutures and an all-inside suture device were placed at the most lateral edge of the popliteal hiatus, and 15 and 30 mm anterior to this point. The minimum distances between the sutures and the inferior lateral geniculate artery were measured through a limited lateral arthrotomy...
March 13, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28258328/arthroscopic-meniscus-repair-for-recurrent-subluxation-of-the-lateral-meniscus
#5
Jin Hwan Ahn, Sang Hak Lee, Kang Il Kim, Juhyun Nam
PURPOSE: This study was undertaken to diagnose and to document the clinical results and technical aspects of arthroscopic meniscus repair for recurrent subluxation with peripheral tears around the popliteal hiatus of the lateral meniscus. METHODS: Twenty-three patients (24 knees) with symptomatic recurrent subluxation of the lateral meniscus treated by arthroscopic meniscus repair were included. The inclusion criteria were: (1) patients with knee pain, locking or snapping symptoms despite 3 months of conservative treatment; (2) non-discoid lateral meniscus; (3) stable knee, and (4) tears involving the red-white or red-red zone...
March 3, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28243169/combined-inside-out-and-all-inside-technique-in-bucket-handle-meniscus-tears
#6
Serdar Yılmaz, Deniz Cankaya, Ahmet Fırat, Alper Devecı, Bulent Ozkurt, Murat Bozkurt
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...
July 2016: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/28124287/biomechanical-testing-of-transcapsular-meniscal-repair
#7
Ryo Iuchi, Tatsuo Mae, Konsei Shino, Tomohiko Matsuo, Hideki Yoshikawa, Ken Nakata
BACKGROUND: All of previous biomechanical studies on meniscal repair have examined the meniscus itself without synovial membrane and capsule, although in the clinical setting, the meniscal repair is generally performed including capsule. Therefore, biomechanical properties of transcapsular meniscal repair are unclear. Thus, this study aimed to clarify the biomechanical properties of transcapsular meniscal repair. METHODS: In 70 porcine femur-medial meniscus-tibia complexes with capsules, longitudinal meniscal tears were repaired using different suture techniques (inside-out or all-inside technique), suture methods (vertical or horizontal methods), and numbers of sutures (single or double)...
December 2017: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/28002905/arthroscopic-all-inside-treatment-of-popliteomeniscal-fascicles-tears-surgical-technique-and-results-from-the-first-6-consecutive-patients
#8
R Simonetta, G Di Vico, R Papalia, S Vasta, V Denaro
Athletes whose knees are subjected to sudden changes of direction and high jumps such as martial arts athletes, dancers, wrestlers and football players are at higher risk of injuring popliteomeniscal fascicles. Painful squatting and mechanical symptoms such as locking sensation are common. Current available treatments includes open or arthroscopic in repair. Arthroscopic repair with all-inside device can relieve symptoms and restore knee function. Six patients from two surgical centers with isolated popliteomeniscal fascicles tears were treated with arthroscopic all-inside repair...
October 2016: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/27892399/a-suture-technique-for-easier-reduction-and-repair-of-bucket-handle-meniscal-tears-while-using-the-all-inside-devices
#9
Engin Çetinkaya, Ersin Kuyucu, Murat Gül, Osman Lapçin, Kutalmış Albayrak, Sarper Gürsu
Arthroscopic repair of bucket-handle meniscal tears is difficult due to their complex pathology. Many meniscal repair techniques such as all-inside, inside-out, and outside-in have been described for the treatment of these tears. Loss of reduction is a likely complication with the use of new-generation, all-inside suture instruments, as the tip of the needle is extracted following advancement of the first implant behind the capsule. The complication may be encountered quite often and renders the use of the meniscus repair instrument unusable and causes an irreparable iatrogenic injury in the meniscus...
2016: SICOT-J
https://www.readbyqxmd.com/read/27802925/effects-of-suture-site-or-penetration-depth-on-anchor-location-in-all-inside-meniscal-repair
#10
Ryohei Uchida, Tatsuo Mae, Kunihiko Hiramatsu, Ryo Iuchi, Kazutaka Kinugasa, Konsei Shino, Hideki Yoshikawa, Ken Nakata
BACKGROUND: To evaluate the effects of suture site or penetration depth on anchor location in all-inside meniscal repair. METHODS: Eight fresh-frozen cadaveric knees were evaluated after meniscal repair using eight FasT-Fix360 (FF360) devices (Smith & Nephew Endoscopy, Andover, MA) (16 anchors) for each knee. The penetration depth was 14mm, the distance same from the periphery to insertion point, in four knees (Group A) and that in the remaining four knees (Group B) was 18mm...
December 2016: Knee
https://www.readbyqxmd.com/read/27793159/repair-of-isolated-horizontal-meniscal-tears-with-all-inside-suture-materials-using-the-overlock-method-outcome-study-with-a-minimum-2-year-follow-up
#11
Uğur Tiftikçi, Sancar Serbest
BACKGROUND: This study aimed to consider the use of a meniscal repair in patients in order to close the horizontal cleavage extending up to the avascular zone. The hypothesis was to examine the clinical and arthroscopic outcomes following meniscal repair of degenerative horizontal cleavage tears with new-generation all-inside suture materials using the overlock method. METHODS: We retrospectively reviewed a consecutive series of 55 patients which had a horizontal pattern, and finally, 27 patients with a horizontal tear only which required no additional intra-articular surgical intervention were included in the study...
October 28, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27687060/complications-in-posteromedial-arthroscopic-suture-of-the-medial-meniscus
#12
N Jan, B Sonnery-Cottet, J-M Fayard, C Kajetanek, M Thaunat
INTRODUCTION: All-inside posteromedial suture for lesions of the posterior horn of the medial meniscus in anterior cruciate ligament (ACL) repair provides effective freshening and good healing. HYPOTHESIS: The posteromedial portal provides satisfactory healing rates without increasing morbidity or complications rates. MATERIAL AND METHODS: Intra- and postoperative complications were collected for a consecutive single-center series of 132 patients undergoing posteromedial hook suture of the medial meniscus in ACL repair...
December 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27635413/new-complication-associated-with-all-inside-meniscal-repair-device-ultrasound-aided-diagnosis-and-operative-localization-of-foreign-body-reaction
#13
Lucian C Warth, Matthew J Bollier, Douglas F Hoffman, Justin S Cummins, Mederic M Hall
BACKGROUND: The importance of meniscal preservation has become widely accepted, and meniscal repair techniques have evolved over recent years. With new techniques come new complications, which are critical to recognize. PURPOSE: To describe a new complication of foreign body reaction from a nonabsorbable suture anchor associated with improper placement of the all-inside meniscal device. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: This study was a retrospective review of 3 patients who developed pain associated with a foreign body reaction from a misplaced all-inside meniscal device...
September 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27614390/proximity-of-the-triangular-fibrocartilage-complex-to-key-surrounding-structures-and-safety-assessment-of-an-arthroscopic-repair-technique-a-cadaveric-study
#14
Marshall A Kuremsky, Nahir Habet, Richard D Peindl, R Glenn Gaston
PURPOSE: To quantify the distance of the dorsal ulnar sensory branch, floor of the extensor carpi ulnaris (ECU) subsheath, and ulnar neurovascular bundles from the triangular fibrocartilage complex (TFCC), and secondarily to assess the safety of an all-inside arthroscopic repair of the TFCC with a commonly used meniscal repair device with respect to the aforementioned structures. METHODS: A custom K-wire with 1-mm gradation was used to determine the distance of at-risk structures from the periphery of the TFCC in 13 above-elbow human cadaver specimens...
December 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27567426/pullout-repair-of-a-medial-meniscus-posterior-root-tear-using-a-fast-fix-%C3%A2-all-inside-suture-technique
#15
Y Kodama, T Furumatsu, M Fujii, T Tanaka, S Miyazawa, T Ozaki
A medial meniscus posterior root tear (MMPRT) may increase the tibiofemoral contact pressure by decreasing the tibiofemoral contact area. Meniscal dysfunction induced by posterior root injury may lead to the development of osteoarthritic knees. Repair of a MMPRT can restore medial meniscus (MM) function and prevent knee osteoarthritis progression. Several surgical procedures have been reported for treating a MMPRT. However, these procedures are associated with several technical difficulties. Here, we describe a technique to stabilize a torn MM posterior root using the FasT-Fix(®) all-inside meniscal suture device and a new aiming device...
August 23, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27504467/meniscal-ramp-lesions-anatomy-incidence-diagnosis-and-treatment
#16
Jorge Chahla, Chase S Dean, Gilbert Moatshe, Justin J Mitchell, Tyler R Cram, Carlos Yacuzzi, Robert F LaPrade
Meniscal ramp lesions are more frequently associated with anterior cruciate ligament (ACL) injuries than previously recognized. Some authors suggest that this entity results from disruption of the meniscotibial ligaments of the posterior horn of the medial meniscus, whereas others support the idea that it is created by a tear of the peripheral attachment of the posterior horn of the medial meniscus. Magnetic resonance imaging (MRI) scans have been reported to have a low sensitivity, and consequently, ramp lesions often go undiagnosed...
July 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27274448/inside-out-meniscal-repair-medial-and-lateral-approach
#17
Jorge Chahla, Raphael Serra Cruz, Tyler R Cram, Chase S Dean, Robert F LaPrade
Preservation of meniscal tissue has been proven to be the best approach in most cases of meniscal tears. Currently available techniques for treating a peripheral meniscal tear include inside-out, outside-in, and all-inside techniques. Each of these techniques present potential advantages and disadvantages. Despite technologic advances in all-inside devices, because of implant-related complications, cost concerns, and device availability, the inside-out technique is still the preferred method among many surgeons...
February 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27274444/an-all-inside-repair-for-full-radial-posterior-lateral-meniscus-tears
#18
Takashi Soejima, Kousuke Tabuchi, Kouji Noguchi, Takashi Inoue, Michihiro Katouda, Hidetaka Murakami, Shuji Horibe
There is controversy about the treatment for unstable full radial posterior lateral meniscus tears, particularly that involving the posterior root. Some surgeons have advocated repairing these types of meniscus tears using various techniques, but their methods are somewhat technical. We developed the technique for an all-inside repair for full radial posterior lateral meniscus tears using the Meniscal Viper (Arthrex, Naples, FL). A doubled thread is passed through 1 edge of the radial tear by the Meniscal Viper and is kept in place without tying the knot...
February 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27234653/surgical-techniques-and-outcomes-of-repairing-meniscal-radial-tears-a-systematic-review
#19
REVIEW
Samuel G Moulton, Sanjeev Bhatia, David M Civitarese, Rachel M Frank, Chase S Dean, Robert F LaPrade
PURPOSE: To systematically review meniscal radial tear repair procedures and compare the techniques, outcomes, and complications. METHODS: Studies were identified through a systematic review of the literature using the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, PubMed (1980-2014), Medline (1980-2014), and Embase. Inclusion criteria included a minimum follow-up of 24 months, English language, and publications from 1980 or later...
September 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27184100/repair-of-meniscal-ramp-lesions-through-a%C3%A2-posteromedial-portal-during-anterior-cruciate-ligament-reconstruction-outcome-study-with-a%C3%A2-minimum-2-year-follow-up
#20
Mathieu Thaunat, Nicolas Jan, Jean Marie Fayard, Charles Kajetanek, Colin G Murphy, Barbara Pupim, Roland Gardon, Bertrand Sonnery-Cottet
PURPOSE: To evaluate the results of arthroscopic all-inside suture repair of medial meniscal ramp lesions through a posteromedial portal during anterior cruciate ligament (ACL) reconstruction. METHODS: All patients who underwent a suture of the posterior segment of the medial meniscus using a suture hook device through a posteromedial portal during ACL reconstruction with minimum 2 year-follow-up were included in the study. Repair was performed for longitudinal tears within the rim of less than 3 mm (capsulomeniscal junction or red-red zone) or 3 to 5 mm (red-white zone) of an unstable torn meniscus...
November 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
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