DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20163799

Clinical results of arthroscopic all-inside meniscal repair

Suresh Perumal, Sadem Amer, Prakash Ayyadurai, Sivaraman Arumugam

Abstract


Background: The meniscus plays a key role in normal knee function. Recently, meniscal repair has become an important mode treatment for meniscal tears. Compared to open surgery, arthroscopic meniscal repair has become popular because of shorter duration of the surgery, the smaller incision and better accessibility to the torn portion, which is particularly difficult during open Surgery. Inside-out, outside-in, and all-inside arthroscopic techniques are widely used. Arthroscopy by all inside meniscal repair has the lowest neurovascular injury rate. In this study we have evaluated clinical outcomes of arthroscopic all inside menisceal repair technique.

Methods: This study prospectively evaluated 24 consecutively treated patients to determine the effectiveness of arthroscopic meniscal repair using the Fast Fix repair system. Average age of patients at the time of surgery was 24.The inclusion criteria for this study were: vertical full thickness tear >10 mm in length; location of the meniscal tear < 6 mm from the menisco-capsular junction, no former meniscus surgery; and no evidence of arthritis during arthroscopy, absence of complex menisceal tear. Anterior cruciate ligament (ACL) deficient knees were reconstructed using a hamstring autograft or BTB graft at the time of the meniscal repair. Follow-up examinations consisted of IKDC score, Lysholm knee score, Tegner activity score.

Results: After an average of 2 years follow-up, no symptoms of meniscal tears were found in 22/24 of the cases. For patients with isolated meniscal repair or concurrent ACL reconstruction, IKDC score, Lysholm and Tegner activity scores had significantly improved postoperatively. One patient had retear for which partial medial meniscectomy was done No neurovascular or other major complications were directly associated with the use of this system.

Conclusions: Arthroscopic all-inside repair using the all inside device appears to be a safe and effective surgery to preserve meniscus.


Keywords


ACL, Arthroscopic meniscus, Neurovascular complications

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