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Arthroscopic all-inside meniscus repair using a new refixation device: a prospective study
Heinz Laprell1, Volker Stein, Wolf Petersen
1Lubinus Clinicum, Hospital for Orthopaedic Surgery, Kiel, Germany.
Summary
This study shows promising short-term outcomes for meniscus refixation using a new all-inside technique, with most patients experiencing stable repairs and no significant clinical symptoms after one year.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Knee Arthroscopy
Background:
- Meniscus tears are common knee injuries.
- Traditional meniscus repair techniques have limitations.
- All-inside meniscus repair offers a potentially less invasive approach.
Purpose of the Study:
- To evaluate the safety and efficacy of a novel all-inside technique for meniscus refixation.
- To assess clinical outcomes and complication rates following this new procedure.
Main Methods:
- Prospective clinical study involving 37 patients with unstable bucket-handle meniscus tears.
- Tears were located in the red zone or red/white zone.
- Anterior cruciate ligament (ACL) reconstruction was performed in 17 patients concurrently or sequentially.
- Minimum 12-month follow-up with clinical examination and patient-reported outcomes.
Main Results:
- All refixed menisci remained stable in the reduced position in the ACL group.
- Minor complications included superficial cartilage damage (1 case) and staple migration (1 case).
- Five reruptures occurred, all in the red/white zone; however, 32 patients remained symptom-free at 1 year.
- Lysholm and Tegner scores showed a slight decrease postoperatively.
Conclusions:
- The all-inside meniscus repair system demonstrates promising short-term clinical results.
- Further investigation with longer follow-up is warranted to confirm durability and long-term efficacy.