Meniscal tear repaired with Fast-Fix sutures: clinical results in stable versus ACL-deficient knees
- 590 Downloads
The aim of this prospective study was to analyze the results of meniscal tears repaired with Fast-Fix All-inside suture in stable versus anterior cruciate ligament (ACL)-deficient knees.
Forty patients, everybody professional players, all underwent arthroscopic surgery, were divided into two groups and followed-up for at least 24 months. Group A (stable knee affected with isolated meniscal tears) consisted of 20 patients treated exclusively with Fast-Fix suture. Group B (ACL-deficient knees affected with meniscal tears) consisted of 20 patients in which we performed a Fast-Fix suture with concurrent ACL reconstruction (hamstring duplicated). Comparing both Groups together, we have noticed that the good clinical result of meniscal sutures with ACL reconstruction associated has occurred faster than isolated meniscal suture, regardless of the meniscus, the knee, and age of the patient. In fact 6 months after surgery, in Group A, there was a success by 65% against 85% for the Group B with 8.3 points International Knee Documentation Committee (IKDC) difference in favor of the latter. Whereas 24 months after surgery, the percentage was increased achieving 90% in Group A and 95% in Group B with 12.6 points IKDC difference in favor of the Group B. A statistical analysis of variable, both after 6 and 24 months, showed a significant improvement of knee conditions for patients with ACL reconstruction.
In conclusion, other than observing the better results in meniscal tears with ACL-deficient knee, we observed that among all cases the best healing occurred in patients affected by meniscal longitudinal vertical tears located in Red–Red zone of external meniscus with an extension of 10 mm in ACL-deficient knee, treated with Fast-Fix suture and ACL reconstruction associated.
KeywordsKnee injury Meniscal tears Meniscal suture ACL-deficient knee ACL reconstruction
- 3.Hughston JC, Andrews JR, Cross MJ, Moschi A (1976) Classification of knee ligament instabilities. Part I. The medial compartment and cruciate ligaments. J Bone Jt Surg Am 58:159–172Google Scholar
- 7.Fairbank TJ (1948) Knee joint changes after meniscectomy. J Bone Jt Surg 30B:664–670Google Scholar
- 8.Krause WR, Pope MH, Johnson RJ, Wilder DG (1976) Mechanical changes in the knee after meniscectomy. J Bone Jt Surg 58 A:599–604Google Scholar
- 9.Seedhom BB, Dowson D, Wright V (1974) Function of the menisci: a preliminary study. J Bone Jt Surg 56B:381Google Scholar
- 11.Levi M, Torzilli PA, Warren RF (1982) The effect of medial meniscectomy on anterior–posterior motion of the knee. J Bone J Surg 64A:883–888Google Scholar
- 13.Hsieh H-H, Walker PS (1976) Stabilizing mechanisms of the loaded and unloaded knee joint. J Bone Jt Surg 58A:87–93Google Scholar
- 23.Ellermann A, Siebold R, Buelow JU, Sobau C (2002) Clinical evaluation of meniscus repair with a bioabsorbable arrow: a 2- to3-year follow-up study. Knee Surg Sport Traumatol Arthrosc 10:289–293Google Scholar
- 30.Shelbourne KD, Jari S, Gray T (2003) Outcome of untreated traumatic articular cartilage defects of the knee: a natural history study. J Bone Jt Surg Am 85-A(Suppl 2):8–16Google Scholar