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All-inside meniscus repair: a systematic review.
Jesus Lozano1, C Benjamin Ma, W Dilworth Cannon
1University of California, San Francisco School of Medicine, CA 94143, USA.
Clinical Orthopaedics and Related Research
|December 21, 2006
Summary
All-inside meniscus repair devices show similar failure rates, regardless of type or follow-up duration. More randomized controlled studies are needed to compare clinical outcomes of these popular surgical interventions for meniscal tears.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomedical Engineering
Background:
- All-inside meniscus repair techniques are increasingly utilized for treating meniscal tears.
- Various devices like arrows, darts, screws, and staples facilitate these all-inside repairs.
Purpose of the Study:
- To conduct an evidence-based review assessing the effectiveness of different all-inside meniscus repair devices.
- To analyze failure rates and clinical outcomes associated with these surgical interventions.
Main Methods:
- Systematic review of existing literature on all-inside meniscus repair devices.
- Analysis of study designs, including case series, retrospective, prospective comparative, and randomized studies.
- Evaluation of reported failure rates and follow-up durations across different devices.
Main Results:
- The majority of studies reviewed were case series (77%).
- Failure rates for all-inside meniscus repair devices ranged widely from 0% to 43.5%.
- No significant differences in failure rates were observed among various devices or with varying follow-up lengths.
Conclusions:
- Current evidence suggests comparable failure rates among different all-inside meniscus repair devices.
- The paucity of high-quality randomized controlled trials limits definitive conclusions on comparative clinical outcomes.
- Further research with robust study designs is necessary to guide optimal device selection for meniscal tear treatment.