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all-inside meniscal repair

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...
September 26, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
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
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...
September 7, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
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
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
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
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
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
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...
May 13, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Robert W Westermann, Kyle R Duchman, Annunziato Amendola, Natalie Glass, Brian R Wolf
BACKGROUND: Meniscal tears are frequently repaired during anterior cruciate ligament reconstruction (ACLR). PURPOSE: To systematically evaluate differences in clinical failures between all-inside and inside-out meniscal repairs performed during ACLR. STUDY DESIGN: Meta-analysis; Level of evidence, 4. METHODS: A systematic review was perfomed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
April 25, 2016: American Journal of Sports Medicine
Anant Joshi, Sajeer Usman, Bhushan Sabnis, Abhishek Kini
Posteromedial meniscocapsular separation of the knee has received renewed interest, with many articles describing a high incidence in association with anterior cruciate ligament injury. Various techniques have been described to address these lesions using all-inside meniscal repair sutures or using rotator cuff repair instruments through the posteromedial portal. Most orthopaedic surgeons are accustomed to using the "inside-out" meniscal repair technique with a double-armed suture. This technique is cost-effective and, in our opinion, more efficient in repairing such tears...
February 2016: Arthroscopy Techniques
Patrick C McCulloch, Hugh L Jones, Jeffrey Lue, Jesal N Parekh, Philip C Noble
PURPOSE: To identify desired minimum depth setting for safe, effective placement of the all-inside meniscal suture anchors. METHODS: Using 16 cadaveric knees and standard arthroscopic techniques, 3-dimensional surfaces of the meniscocapsular junction and posterior capsule were digitized. Using standard anteromedial and anterolateral portals, the distance from the meniscocapsular junction to the posterior capsule outer wall was measured for 3 locations along the posterior half of medial and lateral menisci...
August 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Tomasz Piontek, Kinga Ciemniewska-Gorzela, Jakub Naczk, Roland Jakob, Andrzej Szulc, Monika Grygorowicz, Michal Slomczykowski
OBJECTIVE: To collect and analyze the 2-year follow-up clinical and MRI results of patients treated with an arthroscopic technique of collagen membrane-based meniscus repair. DESIGN: 53 consecutive patients with combined (horizontal and radial or longitudinal component) and complex meniscal tears (tear extended through avascular zones or/and composed with two or more morphological tear pattern) were treated with an "all-inside" arthroscopic suture of meniscus and wrapping with a collagen membrane (Chondro-Gide) technique with bone marrow blood injection...
April 2016: Cartilage
Yale A Fillingham, Jonathan C Riboh, Brandon J Erickson, Bernard R Bach, Adam B Yanke
BACKGROUND: Meniscal tears are common in the young, active population. In this group of patients, repair is advised when possible. While inside-out repair remains the standard technique, recent advances in all-inside repair devices have led to a growth in their popularity. Previous reviews on the topic have focused on outdated implants of limited clinical relevance. PURPOSE: To determine the difference in failure rates, functional outcomes, and complications between inside-out and modern all-inside repairs...
March 17, 2016: American Journal of Sports Medicine
Patrick C McCulloch, Hugh L Jones, Kendall Hamilton, Michael G Hogen, Jonathan E Gold, Philip C Noble
BACKGROUND: The objective of rehabilitation following meniscal repair is to promote healing by limiting stresses on repairs, while simultaneously preserving muscle strength and joint motion. Both protective protocols limiting weight bearing and accelerated which do not, have shown clinical success. This study assesses the effects of physiologic gait loading on the kinematic behavior of a repaired medial meniscus. METHODS: The medial menisci of eight fresh cadaveric knees were implanted with arrays of six 0...
December 2016: Journal of Experimental Orthopaedics
Hiroshi Ohuchi
Performing an all-inside repair or inside-out fixation for the posterior third in meniscus allograft transplantation is discussed. Less invasiveness is always important when the results are the same, and surgeons' personal experience may be a determining factor for this procedure.
February 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Ana Ma Martin-Fuentes, Cristina Ojeda-Thies, Jesus Vila-Rico
INTRODUCTION: The purpose of this study is to analyze the clinical results of meniscal tears repaired with an all-inside suture with special attention to the results in stable versus anterior cruciate ligament (ACL)-deficient knees. METHODS: We studied 45 meniscal tears (32 medial, 13 lateral) repaired in 43 patients using a single all-inside suture system. The patients were divided in two groups and followed-up for at least 12 months. Group A (stable knees with isolated meniscal tears) consisted of 19 patients treated with all-inside sutures...
December 2015: Acta Orthopaedica Belgica
Eduard Alentorn-Geli, J H James Choi, Joseph J Stuart, Alison P Toth, William E Garrett, Dean C Taylor, Claude T Moorman
The purpose was to evaluate which meniscal repair technique for radial tears of the midbody of the lateral meniscus demonstrates the best biomechanical properties. An electronic literature search was conducted using PubMed, EMBASE, CINAHL, and ScienceDirect databases. Biomechanical studies investigating the repair characteristics of radial tears in the midbody of the lateral meniscus were included. After appropriate screening, a total of 54 studies were reviewed in detail (full text), and 6 met inclusion criteria...
December 30, 2015: Journal of Knee Surgery
Tang Hengtao, Su Xuntong
BACKGROUND: Total meniscus resection after meniscus tear usually leads to faster degeneration and osteoarthritis of the knee joint. Preservation and repair of the injured menisci are therefore of great clinical importance. The aim of this study was to evaluate the clinical effects of arthroscopic repair of meniscal injuries using the Fast-Fix device. MATERIALS AND METHODS: 96 patients (58 males, 38 females) with mean age of 24.3 years (range 12-46 years)) with a meniscus injury were treated with the Fast-Fix device under arthroscopy between July 2007 and June 2009...
September 2015: Indian Journal of Orthopaedics
L Osti, A Del Buono, N Maffulli
BACKGROUND: Management of tears of the anterior and posterior roots of the meniscus is still controversial. We wish to propose a simple technique of suture anchor to repair tears of the anterior root of the medial meniscus. METHODS: Twelve patients, active males, underwent arthroscopic repair of the anterior meniscal horn between 2009 and 2011. All were assessed postoperatively at an average follow-up of 1 year after the index operation. RESULTS: At the last appointment, the average Lysholm scores was improved from a pre-operative average value of 48±17 to a postoperative value of 91±7 (P<0...
May 2015: Translational Medicine @ UniSa
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