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Related Experiment Videos

[Meniscus refixation: suture or anchor?].

M Tingart1, J Höher, B Bouillon

  • 1Abteilung für Unfallchirurgie, Klinikum Köln-Merheim, II. Chirurgischer Lehrstuhl der Universität zu Köln, Ostmerheimer Strasse 200, 51109 Köln.

Der Unfallchirurg
|July 20, 2001
PubMed
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Biodegradable meniscus arrows offer faster surgery and easier technique compared to sutures. However, experimental studies show lower strength, and clinical studies reveal comparable healing rates with potential complications, necessitating further research.

Area of Science:

  • Orthopedic surgery
  • Biomaterials
  • Sports medicine

Background:

  • Suture techniques are standard for meniscus bucket-handle lesions.
  • Biodegradable meniscus implants, like arrows, were introduced in 1993 and are used clinically.

Purpose of the Study:

  • To evaluate and discuss the existing literature on biodegradable meniscus implants.
  • To compare the efficacy and safety of meniscus arrows versus traditional suture techniques.

Main Methods:

  • Literature search of Medline (1966-2000) using keywords 'meniscal repair' and 'arrow'.
  • Analysis of ten retrieved publications focusing on experimental and clinical studies.

Main Results:

  • Meniscus arrows offer reduced operation time, easier technique, and lower neurovascular risk.

Related Experiment Videos

  • Experimental studies indicate lower failure strength for arrows compared to sutures.
  • Clinical studies show comparable meniscal healing rates but report complications like inflammatory reactions and displacement.

    • Conclusions:

    • No definitive judgment on meniscus arrows is possible based on current literature.
    • Individual indications for lesion type and location are recommended.
    • Further prospective randomized studies are needed to evaluate combined techniques and long-term outcomes.