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Meniscus arrow in meniscal arrow.

S N Schreiber1

  • 1Desert Orthopaedics and Rehabilitation, Phoenix, AZ.

Surgical Technology International
|November 27, 2002
PubMed
Summary

The meniscus arrow offers an all-inside arthroscopic technique for repairing longitudinal meniscal tears. This sutureless fastener, made of polylactic acid, simplifies meniscus repair and is absorbed over time.

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Area of Science:

  • Orthopedic surgery
  • Biomaterials science
  • Sports medicine

Background:

  • Meniscal tears are common knee injuries, often requiring surgical repair.
  • Traditional meniscus repair techniques can be complex and time-consuming.
  • The vascular zone of the meniscus has a greater healing potential.

Purpose of the Study:

  • To introduce and describe the meniscus arrow device.
  • To detail the all-inside technique for meniscal tear repair using the meniscus arrow.
  • To highlight the advantages of this novel repair method.

Main Methods:

  • The meniscus arrow is a T-shaped fastener made of self-reinforced polylactic acid.
  • It is designed for an "all inside" arthroscopic repair of longitudinal meniscal tears.
  • The device is impacted across the tear, with the head securing to the meniscus surface and the barbed shaft fixing to the periphery.

Main Results:

  • The technique allows for arthroscopic repair through portals without posterior incisions.
  • No sutures are required, eliminating the need for tying knots.
  • The device is rigid for impaction and designed for secure fixation.

Conclusions:

  • The meniscus arrow provides a simplified, sutureless, all-inside technique for meniscal tear repair.
  • The device is gradually degraded and absorbed by the body between 4 to 24 months post-implantation.
  • This method offers a potentially less invasive and more efficient approach to meniscus repair.

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