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.
Similar content being viewed by others
References
Cooper DE, Arnoczky SP, Warren RF (1990) Arthroscopic meniscal repair. Clin Sports Med 9(3):589–607
Turman KA, Diduch DR (2008) Meniscal repair: indications and techniques. J Knee Surg 21(2):154–162
Lozano J, Ma CB, Cannon WD (2007) All-inside meniscus repair: a systematic review. Clin Orthop Relat Res 455:134–141
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
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
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
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
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
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
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
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
Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198:43–49
Japanese Orthopaedic Association (1992) Japanese orthopaedic association knee rating system. J Jpn Orthop Assoc 66(11):1212–1219
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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-
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
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
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
Venkatachalam S, Godsiff SP, Harding ML (2001) Review of the clinical results of arthroscopic meniscal repair. Knee 8(2):129–133
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
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
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
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
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
Ahn JH, Yoo JC, Lee SH (2012) Posterior horn tears—all-inside suture repair. Clin Sports Med 31(1):113–134
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
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
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights 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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00590-012-1138-1