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Comparison of new and old all-inside suture devices in meniscal cyst formation rates after meniscal repair

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Abstract

Purpose

We compared the magnetic resonance imaging (MRI)-confirmed cyst formation rate after meniscal tear repair using a new all-inside suture device (N group) versus the older all-inside suture device (O group).

Methods

Between October 2008 and July 2017, 94 consecutive menisci of 89 patients were diagnosed with meniscal tears and underwent arthroscopic meniscal repair using the all-inside suture device. Five of these patients were lost to follow-up within 12 months and were excluded from the study. The remaining 89 menisci were followed up for at least 12 months and were included in this retrospective cohort study. Older all-inside suture devices (FasT-Fix, Ultra FasT-Fix) were used until December 2012, while the new all-inside suture device (FasT-Fix 360) was used from January 2013 onwards. Meniscal cysts were detected on T2-weighted fat-suppressed MRI at 12 months postoperatively. Multiple logistic regression analysis was used to identify demographic and clinical factors associated with the use of the new all-inside suture device and cyst formation.

Results

In total, 36 and 53 menisci were included in the N and O groups, respectively. The incidence of meniscal cysts was significantly greater in the O group (14 out of 53, 26.4%) than in the N group (two out of 36, 5.56%) (P = 0.012). Two patients in the O group had symptomatic cysts that required removal. Multivariate logistic analyses showed that the cyst formation risk significantly decreased after using the new all-inside suture device than the older all-inside suture devices (odds ratio = 0.139; P = 0.04).

Conclusions

The MRI-confirmed cyst formation rate after meniscal tear repair was significantly lower using the new than the older all-inside suture devices, indicating that the use of a low-profile device may decrease the cyst formation rate.

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Availability of data and materials

The data and materials of the current study are available from the corresponding author on reasonable request.

Abbreviations

AI:

All-inside

MRI:

Magnetic resonance imaging

DLM:

Discoid lateral meniscus

ACL:

Anterior cruciate ligament

OR:

Odds ratios

CI:

Confidence intervals

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Acknowledgements

We would like to thank Editage (www.editage.com) for English language editing.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, 545-8585, Japan

    Takuya Kinoshita, Yusuke Hashimoto, Kazuya Nishino, Yohei Nishida, Shinji Takahashi & Hiroaki Nakamura

Authors
  1. Takuya Kinoshita
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  2. Yusuke Hashimoto
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  3. Kazuya Nishino
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  4. Yohei Nishida
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  5. Shinji Takahashi
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  6. Hiroaki Nakamura
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Takuya Kinoshita, Yusuke Hashimoto, Kazuya Nishino, Yohei Nishida, Shinji Takahashi, and Hiroaki Nakamura. The first draft of the manuscript was written by Takuya Kinoshita and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Yusuke Hashimoto.

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Ethics approval

This study was approved by the hospital ethics committee and the internal review board of our institution (3071).

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Informed consent was obtained from all participants included in the study.

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Patients signed informed consent regarding publishing their data and photographs.

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The authors declare no competing interests.

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Kinoshita, T., Hashimoto, Y., Nishino, K. et al. Comparison of new and old all-inside suture devices in meniscal cyst formation rates after meniscal repair. International Orthopaedics (SICOT) 46, 1563–1571 (2022). https://doi.org/10.1007/s00264-022-05375-4

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  • DOI: https://doi.org/10.1007/s00264-022-05375-4

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