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Outside-in meniscus suture technique: 5 years' follow-up
Rodica Marinescu1, Dan Laptoiu, Mihai Negrusoiu
1Orthopedics and Trauma Department, Colentina Clinical Hospital, 21 Stefan cel Mare, Sector 2, Bucharest, Romania. florin@celsius2000.com
Summary
This study shows that arthroscopic outside-in meniscus suture is effective for acute vertical tears, with 91% of patients achieving good clinical results and returning to activity. Failures were rare, occurring in 6% of cases due to meniscus rerupture.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Knee Arthroscopy
Background:
- Meniscal tears are common knee injuries.
- Suture repair aims to preserve meniscus function.
- Outside-in techniques offer an alternative approach.
Purpose of the Study:
- To evaluate the efficacy of the arthroscopic outside-in meniscus suture technique.
- To assess clinical outcomes and failure rates for specific tear types.
Main Methods:
- Prospective study of 68 patients undergoing arthroscopic outside-in meniscus suture.
- Inclusion of acute vertical tears, solitary or with radial tears.
- Use of resorbable sutures (2-0 PDS, 2-0 Maxon).
- Follow-up included clinical, radiographic, and second-look arthroscopies (n=10).
Main Results:
- Successful outcomes in 91% of patients, with complete recovery and return to activity.
- Mild symptoms in 3% of patients.
- A 6% failure rate due to meniscus rerupture.
- Four cases of rerupture observed.
Conclusions:
- Arthroscopic outside-in meniscus suture is a viable option for specific meniscal tear types.
- High success rates and return to activity are achievable.
- Meniscus rerupture is an infrequent complication.