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Results with all-inside meniscal suture in pediatrics
A Schmitt1, F Batisse2, C Bonnard3
1Service de Chirurgie Orthopédique et Traumatologique, CHU de Tours, avenue de la République, 37000 Tours, France; Service de Chirurgie Orthopédique et Traumatologique Infantile, CHU de Tours, Tours, France; Université François-Rabelais, Tours, France.
Orthopaedics & Traumatology, Surgery & Research : OTSR
|February 21, 2016
Summary
Pediatric meniscal repair using FasT-Fix all-inside devices shows high success rates. This technique offers good functional outcomes and knee chondroprotection in children, with a low complication risk.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Sports medicine
Background:
- Meniscal lesions are increasingly diagnosed in children.
- Meniscectomy can have detrimental long-term effects.
- Meniscal repair is preferred to preserve joint function.
Purpose of the Study:
- To evaluate the efficacy of FasT-Fix all-inside arthroscopic meniscal repair devices in pediatric patients.
- To compare functional outcomes with other suture techniques.
- To assess the long-term healing and chondroprotective effects.
Main Methods:
- Retrospective study of 19 pediatric patients undergoing arthroscopic meniscal repair with FasT-Fix devices.
- Mean follow-up of 6 years (range 3-9 years).
- Functional outcomes assessed using Lysholm, IKDC, Tegner, and KOOS scores; healing confirmed by MRI, arthroscopy, or CT-arthrography.
Main Results:
- Meniscal survival rate of 89.5% at last follow-up.
- Excellent functional results: Lysholm 95.7/100, subjective IKDC 90.7/100, Tegner 7.64.
- Systematic healing confirmed by imaging.
Conclusions:
- All-inside arthroscopic meniscal repair is a viable option for pediatric patients.
- FasT-Fix devices provide good functional knee outcomes and long-term chondroprotection.
- Low complication rates support the use of this technique in children and adolescents.

