Advertisement

Archives of Orthopaedic and Trauma Surgery

, Volume 131, Issue 3, pp 331–333 | Cite as

The “butterfly” suture technique for meniscal repair

  • Taner GunesEmail author
  • Bora Bostan
  • Mehmet Erdem
  • Murat Asci
  • Cengiz Sen
  • Mehmet Halidun Kelestemur
Arthroscopy and Sports Medicine

Abstract

One of the important factors effecting meniscal healing is the strength of primary fixation obtained by repairing technique. From this perspective, it is important to choose the technique ensuring a higher primary fixation strength for meniscal repairs. We described a new technique for meniscal repair called “butterfly” technique using Viper device and hypothesized that high primary fixation strength can be obtained with this technique. The study was performed on calve knees. Full-thickness longitudinal tears 2 cm in length and 3 mm medial from the periphery were created in corpora of medial menisci of 14 calves. After creating tears, menisci were divided into two equal groups. In Group 1, two vertical loop sutures 1 cm apart were placed using a Viper device. Whereas in Group 2, tears were repaired using “butterfly” sutures. The mean load to failure was 156.3 ± 13.1 and 186 ± 15.8 N in Group 1 and 2, respectively (p = 0.002). The fixation strength in Group 2 was significantly higher than in Group 1. We suggest that, using Viper device and all-inside “butterfly” suturing techniques, meniscal ruptures with appropriate locations can be repaired with higher primary fixation strength.

Keywords

Meniscus Repair “Butterfly” technique Viper device 

Notes

Acknowledgments

This study was supported financially by Gaziosmanpasa University Scientific Research Council (Project Number: 2005/57). The authors do not have any conflict of interest.

Supplementary material

Supplementary material 1 (WMV 4,564 kb)

References

  1. 1.
    Allen PR, Denham RA, Swan AV (1984) Late degenerative changes after meniscectomy. Factors affecting the knee after operation. J Bone Jt Surg Br 66:666–671Google Scholar
  2. 2.
    Asik M, Sener N (2002) Failure strength of repair devices versus meniscus suturing techniques. Knee Surg Sports Traumatol Arthrosc 10:25–29CrossRefPubMedGoogle Scholar
  3. 3.
    Barber FA, Herbert MA (2000) Meniscal repair devices. Arthroscopy 16:613–618CrossRefPubMedGoogle Scholar
  4. 4.
    Boenisch UW, Faber KJ, Ciarelli M, Steadman JR, Arnoczky SP (1999) Pull-out strength and stiffness of meniscal repair using absorbable arrows or Ti-Cron vertical and horizontal loop sutures. Am J Sports Med 27:626–631PubMedGoogle Scholar
  5. 5.
    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 22:394–399CrossRefPubMedGoogle Scholar
  6. 6.
    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 33:1846–1852CrossRefPubMedGoogle Scholar
  7. 7.
    Karaoglu S, Duygulu F, Inan M, Baktir A (2002) Improving the biomechanical properties of the T-fix using oblique direction: in vitro study on bovine menisci. Knee Surg Sports Traumatol Arthrosc 10:198–201CrossRefPubMedGoogle Scholar
  8. 8.
    Kocabey Y, Taser O, Nyland J, Doral MN, Demirhan M, Caborn DN, Sarban S (2006) Pullout strength of meniscal repair after cyclic loading: comparison of vertical, horizontal, and oblique suture techniques. Knee Surg Sports Traumatol Arthrosc 14:998–1003CrossRefPubMedGoogle Scholar
  9. 9.
    Proctor CS, Schmidt MB, Whipple RR, Kelly MA, Mow VC (1989) Material properties of the normal medial bovine meniscus. J Orthop Res 7:771–782CrossRefPubMedGoogle Scholar
  10. 10.
    Rankin CC, Lintner DM, Noble PC, Paravic V, Greer E (2002) A biomechanical analysis of meniscal repair techniques. Am J Sports Med 30:492–497PubMedGoogle Scholar
  11. 11.
    Sgaglione NA, Steadman JR, Shaffer B, Miller MD, Fu FH (2003) Current concepts in meniscus surgery: resection to replacement. Arthroscopy 19(Suppl 1):161–188CrossRefPubMedGoogle Scholar
  12. 12.
    Small NC (1988) Complications in arthroscopic surgery performed by experienced arthroscopists. Arthroscopy 4:215–221CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Taner Gunes
    • 1
    Email author
  • Bora Bostan
    • 1
  • Mehmet Erdem
    • 1
  • Murat Asci
    • 1
  • Cengiz Sen
    • 1
  • Mehmet Halidun Kelestemur
    • 2
  1. 1.Department of Orthopedics and Traumatology, School of MedicineGaziosmanpasa UniversityTokatTurkey
  2. 2.Department of Metallurgy, Engineering FacultyFirat UniversityElazigTurkey

Personalised recommendations