Skip to main content

Advertisement

Log in

Clinical results of arthroscopic all-inside lateral meniscal repair using the Meniscal Viper Repair System

  • Original Article
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

This study examined the postoperative outcome of the all-inside arthroscopic meniscal suture repair technique using the Meniscal Viper Repair System for lateral meniscus tears.

Methods

Between January 2006 and December 2008, 57 patients (27 males and 30 females) with lateral meniscus tears who underwent meniscal repair using the Meniscal Viper Repair System were evaluated prospectively. Among them, 52 cases were tears involving the posterior third of the lateral meniscus, and most were longitudinal tears or bucket handle tears. The postoperative follow-up period ranged from 12 months to 4 years and 2 months, and averaged 19 months.

Results

Both Lysholm and Japanese Orthopaedic Association Score were significantly improved after surgery. Forty-nine of 57 patients (86.0 %) had no locking or catching, no joint line tenderness, and a negative McMurray test at the last follow-up. Of 32 patients who underwent second-look arthroscopy, 24 achieved complete healing, while four showed partial healing and required repeat repair, and four showed no healing and meniscectomy was conducted. The failure rate in all patients was thus 14.0 % (8 of 57 repairs). No major complications associated with the use of the Meniscal Viper Repair System were observed.

Conclusion

The Meniscal Viper System is a convenient and effective device for all- inside lateral meniscal suture, with high success rate and no major complications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Cooper DE, Arnoczky SP, Warren RF (1990) Arthroscopic meniscal repair. Clin Sports Med 9(3):589–607

    CAS  PubMed  Google Scholar 

  2. Turman KA, Diduch DR (2008) Meniscal repair: indications and techniques. J Knee Surg 21(2):154–162

    PubMed  Google Scholar 

  3. Lozano J, Ma CB, Cannon WD (2007) All-inside meniscus repair: a systematic review. Clin Orthop Relat Res 455:134–141

    Article  PubMed  Google Scholar 

  4. Frosch KH, Fuchs M, Losch A, Sturmer KM (2005) Repair of meniscal tears with the absorbable clearfix screw: results after 1–3 years. Arch Orthop Trauma Surg 125(9):585–591. doi:10.1007/s00402-004-0775-1

    Article  CAS  PubMed  Google Scholar 

  5. Miller MD, Kline AJ, Jepsen KG (2004) “All-inside” meniscal repair devices: an experimental study in the goat model. Am J Sports Med 32(4):858–862

    Article  PubMed  Google Scholar 

  6. Feng H, Hong L, Geng XS, Zhang H, Wang XS, Jiang XY (2008) Second-look arthroscopic evaluation of bucket-handle meniscus tear repairs with anterior cruciate ligament reconstruction: 67 consecutive cases. Arthroscopy 24(12):1358–1366. doi:10.1016/j.arthro.2008.07.017

    Article  PubMed  Google Scholar 

  7. Terzidis IP, Christodoulou A, Ploumis A, Givissis P, Natsis K, Koimtzis M (2006) Meniscal tear characteristics in young athletes with a stable knee: arthroscopic evaluation. Am J Sports Med 34(7):1170–1175. doi:10.1177/0363546506287939

    Article  PubMed  Google Scholar 

  8. Perdue PS Jr, Hummer CD 3rd, Colosimo AJ, Heidt RS Jr, Dormer SG (1996) Meniscal repair: outcomes and clinical follow-up. Arthroscopy 12(6):694–698

    Article  PubMed  Google Scholar 

  9. Stone RG, Frewin PR, Gonzales S (1990) Long-term assessment of arthroscopic meniscus repair: a two- to six-year follow-up study. Arthroscopy 6(2):73–78

    Article  CAS  PubMed  Google Scholar 

  10. O’Shea JJ, Shelbourne KD (2003) Repair of locked bucket-handle meniscal tears in knees with chronic anterior cruciate ligament deficiency. Am J Sports Med 31(2):216–220

    PubMed  Google Scholar 

  11. Chang HC, Nyland J, Caborn DN, Burden R (2005) Biomechanical evaluation of meniscal repair systems: a comparison of the Meniscal Viper Repair System, the vertical mattress FasT-Fix Device, and vertical mattress ethibond sutures. Am J Sports Med 33(12):1846–1852

    Article  PubMed  Google Scholar 

  12. Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198:43–49

    PubMed  Google Scholar 

  13. Japanese Orthopaedic Association (1992) Japanese orthopaedic association knee rating system. J Jpn Orthop Assoc 66(11):1212–1219

    Google Scholar 

  14. Chang HC, Caborn DN, Nyland J, Burden R (2006) Effect of lesion location on fixation strength of the meniscal viper repair system: an in vitro study using porcine menisci. Arthroscopy 22(4):394–399. doi:10.1016/j.arthro.2005.12.014

    Article  PubMed  Google Scholar 

  15. Gunes T, Bostan B, Erdem M, Asci M, Sen C, Kelestemur MH (2009) Biomechanical evaluation of arthroscopic all-inside meniscus repairs. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-009-0871-4

    PubMed  Google Scholar 

  16. Asik M, Sen C, Erginsu M (2002) Arthroscopic meniscal repair using T-fix. Knee Surg Sports Traumatol Arthrosc 10(5):284–288. doi:10.1007/s00167-002-0296-9

    PubMed  Google Scholar 

  17. Barber FA, Coons DA (2006) Midterm results of meniscal repair using the BioStinger meniscal repair device. Arthroscopy 22(4):400–405. doi:10.1016/j.arthro.2005.08.052

    Article  PubMed  Google Scholar 

  18. Barber FA, Johnson DH, Halbrecht JL (2005) Arthroscopic meniscal repair using the BioStinger. Arthroscopy 21(6):744–750. doi:10.1016/j.arthro.2005.03.002

    Article  PubMed  Google Scholar 

  19. Haas AL, Schepsis AA, Hornstein J, Edgar CM (2005) Meniscal repair using the FasT-Fix all-inside meniscal repair device. Arthroscopy 21(2):167–175. doi:10.1016/j.arthro.2004.10.012

    Article  PubMed  Google Scholar 

  20. Hantes ME, Zachos VC, Varitimidis SE, Dailiana ZH, Karachalios T, Malizos KN (2006) Arthroscopic meniscal repair: a comparative study between three different surgical techniques. Knee Surg Sports Traumatol Arthrosc 14(12):1232–1237. doi:10.1007/s00167-006-0094-x

    Article  PubMed  Google Scholar 

  21. Kocabey Y, Nyland J, Isbell WM, Caborn DN (2004) Patient outcomes following T-Fix meniscal repair and a modifiable, progressive rehabilitation program, a retrospective study. Arch Orthop Trauma Surg 124(9):592–596. doi:10.1007/s00402-004-0649-6

    Article  PubMed  Google Scholar 

  22. Konan S, Haddad FS (2010) Outcomes of meniscal preservation using all-inside meniscus repair devices. Clin Orthop Relat Res 468(5):1209–1213. doi:10.1007/s11999-009-1184-0

    Article  PubMed  Google Scholar 

  23. Kotsovolos ES, Hantes ME, Mastrokalos DS, Lorbach O, Paessler HH (2006) Results of all-inside meniscal repair with the FasT-Fix meniscal repair system. Arthroscopy 22(1):3–9. doi:10.1016/j.arthro.2005.10.017

    Article  PubMed  Google Scholar 

  24. Koukoulias N, Papastergiou S, Kazakos K, Poulios G, Parisis K (2007) Clinical results of meniscus repair with the meniscus arrow: a 4- to 8-year follow-up study. Knee Surg Sports Traumatol Arthrosc 15(2):133–137. doi:10.1007/s00167-006-0141-7

    Article  PubMed  Google Scholar 

  25. Kurzweil PR, Tifford CD, Ignacio EM (2005) Unsatisfactory clinical results of meniscal repair using the meniscus arrow. Arthroscopy 21(8):905. doi:10.1016/j.arthro.2005.06.002

    Article  PubMed  Google Scholar 

  26. Laprell H, Stein V, Petersen W (2002) Arthroscopic all-inside meniscus repair using a new refixation device: a prospective study. Arthroscopy 18(4):387–393

    Article  PubMed  Google Scholar 

  27. Lee GP, Diduch DR (2005) Deteriorating outcomes after meniscal repair using the meniscus arrow in knees undergoing concurrent anterior cruciate ligament reconstruction: increased failure rate with long-term follow-up. Am J Sports Med 33(8):1138–1141. doi:10.1177/0363546505275348

    Article  PubMed  Google Scholar 

  28. Mastrokalos D, Koulalis D, Zachos K, Pyrovolou N, Kontovazenitis P, Lendi A, Karaliotas G, Sakellariou V, Pandos P (2010) Results of all-inside meniscal repair with fast-fixtm meniscal repair system in 83 cases: a prospective study. J Bone Joint Surg Br 92-B (SUPP_II):324-b-

  29. Oberlander MA, Chisar MA (2005) Meniscal repair using the Polysorb Meniscal Stapler XLS. Arthroscopy 21(9):1148. doi:10.1016/j.arthro.2005.06.007

    Article  PubMed  Google Scholar 

  30. Quinby JS, Golish SR, Hart JA, Diduch DR (2006) All-inside meniscal repair using a new flexible, tensionable device. Am J Sports Med 34(8):1281–1286. doi:10.1177/0363546505286143

    Article  PubMed  Google Scholar 

  31. Sarimo J, Rantanen J, Tarvainen T, Harkonen M, Orava S (2005) Evaluation of the second-generation meniscus arrow in the fixation of bucket-handle tears in the vascular area of the meniscus. A prospective study of 20 patients with a mean follow-up of 26 months. Knee Surg Sports Traumatol Arthrosc 13(8):614–618. doi:10.1007/s00167-004-0610-9

    Article  PubMed  Google Scholar 

  32. Venkatachalam S, Godsiff SP, Harding ML (2001) Review of the clinical results of arthroscopic meniscal repair. Knee 8(2):129–133

    Article  CAS  PubMed  Google Scholar 

  33. Ahn JH, Wang JH, Yoo JC (2004) Arthroscopic all-inside suture repair of medial meniscus lesion in anterior cruciate ligament—deficient knees: results of second-look arthroscopies in 39 cases. Arthroscopy 20(9):936–945. doi:10.1016/j.arthro.2004.06.038

    PubMed  Google Scholar 

  34. Chen NC, Martin SD, Gill TJ (2007) Risk to the lateral geniculate artery during arthroscopic lateral meniscal suture passage. Arthrosc: J Arthrosc Relat Surg 23(6):642–646

    Article  CAS  Google Scholar 

  35. Cohen SB, Boyd L, Miller MD (2007) Vascular risk associated with meniscal repair using Rapidloc versus FasT-Fix: comparison of two all-inside meniscal devices. J Knee Surg 20(3):235–240

    PubMed  Google Scholar 

  36. Ahn JH, Lee YS, Chang JY, Chang MJ, Eun SS, Kim SM (2009) Arthroscopic all inside repair of the lateral meniscus root tear. Knee 16(1):77–80. doi:10.1016/j.knee.2008.07.008

    Article  PubMed  Google Scholar 

  37. Ahn JH, Oh I (2006) Arthroscopic all-inside lateral meniscus suture using posterolateral portal. Arthroscopy 22(5):572 e572–572 e574. doi:10.1016/j.arthro.2005.07.031

    Article  Google Scholar 

  38. Ahn JH, Yoo JC, Lee SH (2012) Posterior horn tears—all-inside suture repair. Clin Sports Med 31(1):113–134

    Article  PubMed  Google Scholar 

  39. Espejo-Baena A, Figueroa-Mata A, Serrano-Fernández J, de la Torre-Solís F (2008) All-inside suture technique using anterior portals in posterior horn Tears of lateral meniscus. Arthrosc:J Arthrosc Relat Surg 24(3):369.e361–369.e364

    Article  Google Scholar 

  40. Jarvela S, Sihvonen R, Sirkeoja H, Jarvela T (2010) All-inside meniscal repair with bioabsorbable meniscal screws or with bioabsorbable meniscus arrows: a prospective, randomized clinical study with 2-year results. Am J Sports Med 38(11):2211–2217. doi:10.1177/0363546510374592

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tetsuo Hagino.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hagino, T., Ochiai, S., Watanabe, Y. et al. Clinical results of arthroscopic all-inside lateral meniscal repair using the Meniscal Viper Repair System. Eur J Orthop Surg Traumatol 24, 99–104 (2014). https://doi.org/10.1007/s00590-012-1138-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00590-012-1138-1

Keywords

Navigation