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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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All-Suture, All-Inside Meniscus Repair Is Safe and Provides Favorable Short-Term Clinical Outcomes.

Miranda G Manfre1, Bryce Hall1,2, Daniel J Stokes1

  • 1Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, Colorado, U.S.A.

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Knotless, all-suture implants for meniscus repair significantly improve patient outcomes and are safe, with zero hardware complications. This study highlights their reliability for all-inside meniscus tear repair.

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science

Background:

  • Meniscus tears are common knee injuries requiring effective repair strategies.
  • All-inside meniscus repair aims to improve healing and patient outcomes.
  • All-suture implants offer a knotless and potentially less invasive approach.

Purpose of the Study:

  • To evaluate short-term patient-reported outcomes (PROs) after all-inside meniscus repair using an all-suture implant.
  • To assess complications and reoperations associated with this technique.
  • To determine the safety and efficacy of knotless, tensionable, all-suture implants.

Main Methods:

  • Retrospective review of a prospectively maintained database (November 2019 - December 2023).
  • Inclusion of patients undergoing all-inside meniscus repair with a specific knotless, all-suture implant.
  • Analysis of PROs (KSAN, VAS, PROMIS, KOOS) and surgical outcomes over time using statistical methods.

Main Results:

  • Sixty-three patients were included with a mean follow-up of 16.32 months.
  • Significant improvements in all PROs were observed at 6 months and final follow-up compared to preoperative values (P < .001).
  • Zero implant-related complications; 6.35% failure rate (4 retears, 2 partial meniscectomies), and 5 cases of arthrofibrosis with concomitant procedures.

Conclusions:

  • Knotless, tensionable, all-suture implants demonstrate significant and sustained improvements in PROs for meniscus repair.
  • The implants are safe and reliable, with no hardware-related complications.
  • This technique shows promise for effective all-inside meniscus tear repair.