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Meniscal repair with the MaxFire device: a cadaveric study.

Rickland L Likes¹, Abhishek Julka, Brian C Aros

¹Sports Medicine Center, Department of Orthopaedics, Ohio State University, Columbus, Ohio 43221-3502, USA.

Orthopaedic Surgery

|October 25, 2011

Summary

The MaxFire all-inside meniscal repair device demonstrated an 83% successful placement rate in a cadaver study. This arthroscopic device is easy to use with a low complication risk for meniscus repair.

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Area of Science:

Orthopedic Surgery
Biomedical Engineering
Sports Medicine

Background:

Meniscal tears are common knee injuries requiring effective repair techniques.
All-inside meniscal repair devices aim to simplify and improve the outcomes of meniscal repair surgery.

Purpose of the Study:

To evaluate the efficacy and safety of the MaxFire all-inside meniscal repair device using a cadaveric model.
To assess the ease of use, complication rates, and placement success of the MaxFire device.

Main Methods:

Six fresh-frozen cadaveric knees underwent arthroscopic evaluation and meniscal repair.
The MaxFire device was implanted in medial and lateral menisci using manufacturer guidelines.
Implant placement techniques varied (vertical/horizontal mattress, portal choice) with specific knee flexion angles.

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Main Results:

A total of 54 MaxFire devices were implanted, with 45 (83%) placed successfully.
Nine device failures (17%) were primarily due to tensioning issues, including suture breakage and implant pull-out.
Implant pull-out occurred in degenerative meniscal tissue, not in healthy menisci.

Conclusions:

The MaxFire device is user-friendly and can be rapidly inserted arthroscopically.
The device exhibits a low risk of complications during meniscal repair.
Successful arthroscopic removal of the MaxFire device was confirmed.