Document Detail


All-inside meniscal repair using a new flexible, tensionable device.
MedLine Citation:
PMID:  16493169     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: A new generation of flexible all-inside meniscal repair devices is available, but clinical studies with these devices are lacking. HYPOTHESIS: The RapidLoc has an intermediate-term meniscal healing rate that is equivalent to literature reports of inside-out suture technique in patients undergoing concurrent anterior cruciate ligament reconstruction. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Retrospective analysis was performed for 75 meniscal tears in 66 consecutive patients undergoing anterior cruciate ligament reconstruction who underwent meniscal repair with the RapidLoc. Patients with at least 2 years' follow-up were evaluated for symptoms suggestive of a meniscal tear and were assessed with the International Knee Documentation Committee form and the Knee Disorders Subjective History visual analog scale. Subjects were asked to return for a clinical examination to include evaluation for an effusion and joint line tenderness as well as McMurray test and KT-1000 arthrometry readings. Patients with symptoms consistent with meniscal repair failure underwent magnetic resonance arthrography and repeat arthroscopy. RESULTS: Twenty patients with 21 meniscal tears were excluded, resulting in 54 meniscal tears in 46 patients. At a mean follow-up of 34.8 months, the clinical success rate for meniscal repair was 90.7% (49/54), with 5 failures requiring meniscectomy. Univariate analysis revealed predictive variables for failure: bucket-handle configuration, multiplanar tears, tear length greater than 2 cm, and chronicity longer than 3 months. Non-predictive variables included compartment, zone, ligament graft choice, gender, age, follow-up, and visual analog scale score. Analysis of healed patients revealed a negative correlation between chronicity of tear and International Knee Documentation Committee score. CONCLUSIONS: The RapidLoc has an acceptable intermediate-term clinical healing rate in patients undergoing concurrent anterior cruciate ligament reconstruction. Predictive variables for failure should be considered during operative decision making.
Authors:
J Scott Quinby; S Raymond Golish; Jennifer A Hart; David R Diduch
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Publication Detail:
Type:  Journal Article     Date:  2006-02-21
Journal Detail:
Title:  The American journal of sports medicine     Volume:  34     ISSN:  0363-5465     ISO Abbreviation:  Am J Sports Med     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-07-13     Completed Date:  2007-05-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609541     Medline TA:  Am J Sports Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1281-6     Citation Subset:  IM    
Affiliation:
Sports Medicine Clinic of North Texas, Dallas, Texas, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Analysis of Variance
Anterior Cruciate Ligament / injuries,  surgery
Arthroscopy
Bone-Patellar Tendon-Bone Graft / instrumentation*
Equipment Design
Female
Follow-Up Studies
Humans
Male
Menisci, Tibial / injuries*,  surgery*
Orthopedic Fixation Devices*
Pain Measurement
Postoperative Complications / etiology,  surgery
Predictive Value of Tests
Reoperation
Retrospective Studies
Rupture / surgery
Second-Look Surgery
Suture Techniques
Treatment Failure
Wound Healing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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