clinical results of meniscal repair using submeniscal horizontal sutures

نویسندگان

amir mohammad navali department of orthopedic surgery, shahid gazi hospital, tabriz university of medical sciences, tabriz, iran

hossein aslani department of orthopedic surgery, shahid gazi hospital, tabriz university of medical sciences, tabriz, iran

چکیده

background:  parts of the implants placed over the meniscus during meniscal repair can wear down the cartilage in the contact zones and cause chronic synovitis. placing horizontal sutures under the meniscus may overcome this potential hazard. the purpose of this prospective study was to evaluate the midterm results of arthroscopic meniscal repair using submeniscally placed out-in horizontal sutures.  methods:  one hundred and three meniscal repairs with submeniscal horizontal out-in technique in 103 patients were performed between 2009 and 2012. our indications for meniscal repair were all longitudinal tear in red-red and redwhite zone with acceptable tissue quality. clinical evaluation included the tegner and lysholm knee scores and clinical success was defined as absence of joint-line tenderness, locking, swelling, and a negative mcmurray test. results:  the average follow-up was 19 months (range, 14 to 40 months). the time interval from injury to meniscal repair ranged from 2 days to 390 days (median, 96 days). at the end of follow-up, the clinical success rate was 86.5%.  fourteen of 103 repaired menisci (13.5%) were considered failures according to barrett’s criteria. the mean lysholm score significantly improved from 39.6 preoperatively to 84.5 postoperatively (p˂0.001). eighty five patients (82.5%) had an excellent or good result according to lysholm knee score. tegner activity score improved significantly (p˂0.01) from an average of 3.4 (range, 2-6) preoperatively to 5.9 (range, 5-8) postoperatively. statistical analysis showed that age, simultaneous anterior cruciate ligament reconstruction, chronicity of injury did not affect the clinical outcome.  conclusion:  our results showed that acceptable midterm results are expected from submeniscal horizontal out-in repair technique. this technique is cheap, safe and has the advantage of avoiding chondral abrasion caused by solid implants and suture materials placed over the meniscus.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Clinical Results of Meniscal Repair Using Submeniscal Horizontal Sutures

Background:  Parts of the implants placed over the meniscus during meniscal repair can wear down the cartilage in the contact zones and cause chronic synovitis. Placing horizontal sutures under the meniscus may overcome this potential hazard. The purpose of this prospective study was to evaluate the midterm results of arthroscopic meniscal repair using submeniscally placed out-in horizontal sut...

متن کامل

Clinical results of all-inside meniscal repair using the FasT-Fix meniscal repair system.

BACKGROUND The meniscus plays a key role in the functioning of the knee. At the present time, meniscal repair has becomes the main treatment for meniscal tear. Compared to open surgery, arthroscopic meniscal repair has become popular because of shorter time need for the operation, the smaller wound, and better accessibility to the tear portion, which is particularly difficult during open surger...

متن کامل

Clinical results following meniscal sutures: does concomitant acl repair make a difference?

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 grou...

متن کامل

Vertical Lasso and Horizontal Lasso Sutures for Repair of Horizontal Cleavage and Horizontal Oblique Meniscal Tears: Surgical Technique and Indications

Horizontal cleavage and horizontal oblique meniscal tears have traditionally been treated with partial meniscectomy. Recent research has shown the deleterious long-term effects of meniscectomy in these patients regarding the development of osteoarthritis. Meniscal preservation is thus the preferred method of surgical treatment in patients with these tears. However, traditional repair techniques...

متن کامل

Pull-out strength and stiffness of meniscal repair using absorbable arrows or Ti-Cron vertical and horizontal loop sutures.

We tested pull-out strength and linear stiffness of meniscal repair using bioabsorbable arrows and vertical and horizontal loop sutures in fresh-frozen bovine lateral menisci. In phase I, menisci repaired either with 2-0 Ti-Cron vertical or horizontal loop suture, or 10-, 13-, or 16-mm Meniscus Arrows were loaded to failure at 12.5 mm/sec. In phase II, we examined the number of barbs engaged an...

متن کامل

Results of arthroscopic meniscal repair

This open‐access article is published and distributed under the Creative Commons Attribution ‐ NonCommercial ‐ No Derivatives License (http://creativecommons.org/licenses/by‐nc‐nd/3.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article w...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
the archives of bone and joint surgery

جلد ۳، شماره ۳، صفحات ۱۷۹-۱۸۳

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023