[Complications with all-inside devices used in reconstructive meniscal surgery]

Area of Science:

• Orthopedic Surgery
• Biomedical Engineering

Background:

• All-inside devices are increasingly used for meniscal repair.
• They present an alternative to conventional suture techniques, offering easier handling and lower neurovascular risk.
• Despite advantages, complications such as chondral injury and implant loosening have been reported.

Purpose of the Study:

• To review the literature on complications associated with all-inside meniscal repair devices.
• To evaluate the evolving safety and efficacy of these devices in meniscal reconstruction.
• To provide insights for risk assessment when choosing meniscal repair techniques.

Main Methods:

• Literature review of clinical investigations and biomechanical studies.
• Analysis of reported complications including chondral injuries, implant issues, and inflammatory reactions.
• Assessment of infection rates and comparison with conventional techniques.

Main Results:

• Complications like chondral injuries, implant loosening, and irritation have been documented.
• No evidence suggests a higher infection rate compared to other intra-articular techniques.
• Recent literature indicates a decreasing complication rate due to device and technique improvements.

Conclusions:

• All-inside devices are a viable alternative for meniscal reconstruction, with potential benefits.
• Awareness of potential complications and surgical pitfalls is essential for risk evaluation.
• Continuous refinement of devices and techniques is enhancing their safety and effectiveness.