Abstract
The aim of this study was to review the published clinical outcomes of meniscal repair using the FasT-Fix device comparing standard rehabilitation program to an accelerated rehabilitation protocol. A review of the Medline database was performed involving searches for clinical outcomes of all-inside meniscus repair performed with the FasT-Fix device. Eight studies were identified for inclusion. On the basis of the clinical outcomes of these studies, there appears to be no notable difference between an accelerated rehabilitation regimen with full weight bearing allowed as soon as tolerated and a standard postoperative rehabilitation program. Failure rate was 13 % for patients following an accelerated rehabilitation regimen, and 10 % for standard protocol. Accelerated rehabilitation after all-inside meniscal repair using the FasT-Fix device appears to be safe, and the incidence of retears is in line with those reported for standard rehabilitation protocol.
Level of evidence IV
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Amis A, McDermott I (2006) The consequences of meniscectomy. J Bone Joint Surg 88:1549–1556
Macnicol MF, Thomas NP (2000) The knee after meniscectomy. J Bone Joint Surg Br 82:157–159
Rangger C, Klestil T, Gloetzer W, Kemmler G, Benedetto KP (1995) Osteoarthritis after arthroscopic partial meniscectomy. Am J Sports Med 23:240–244
Paxton ES, Stock MV, Brophy RH (2011) Meniscal repair versus partial meniscectomy: a systematic review comparing reoperation rates and clinical outcomes. Arthroscopy 27:1275–1288
Baratz ME, Fu F, Mengato R (1986) Meniscal tears: the effect of meniscectomy and of repair on the intra-articular contact areas and stresses in the human knee. Am J Sports Med 14:270–275
Chiang CW, Chang CH, Cheng CY, Chen ACY, Chan YS, Kuo-Yao Hsu KY, Chen WJ (2011) Clinical results of all-inside meniscal repair using the FasT-Fix meniscal repair system. Chang Gung Med J 34:298–305
Haas AL, Schepsis AA, Hornstein J, Edgar CM (2005) Meniscal repair using the FasT-Fix all-inside meniscal repair device. Arthroscopy 21:167–175
Hoffelner T, Resch H, Forstner R, Mayer M, Minnich B, Tauber M (2011) Arthroscopic all-inside meniscal repair—does the meniscus heal? A clinical and radiological follow-up examination to verify meniscal healing using a 3-T MRI. Skeletal Radiol 40:181–187
Kotsovolos ES, Hantes ME, Mastrokalos DS (2006) Results of all-inside meniscal repair with the FasT-Fix meniscal repair system. Arthroscopy 22:3–9
Popescu D, Sastre S, Caballero M, Lee JWK, Ignasi Claret I, Nunez M, Lozano L (2010) Meniscal repair using the FasT-Fix device in patients with chronic meniscal lesions. Knee Surg Sports Traumatol Arthrosc 18:546–550
Tucciarone A, Godente L, Fabbrini R, Garro L, Salate Santone F, Chillemi C (2011) Meniscal tear repaired with Fast-Fix sutures: clinical results in stable versus ACL-deficient knees. Arch Orthop Trauma Surg 11:1391–1395
Albrecht-Olsen P, Kristensen G, Burgaard P, Joergensen U, Toerholm C (1999) The arrow versus horizontal suture in arthroscopic meniscus repair: a prospective randomized study with arthroscopic evaluation. Knee Surg Sports Traumatol Arthrosc 7(5):268–273
Albrecht-Olsen P, Lind T, Kristensen G, Falkenberg B (1997) Failure strength of a new meniscus arrow repair technique: biomechanical comparison with horizontal suture. Arthroscopy 13(2):183–187
Zantop T, Eggers AK, Weimann A, Hassenpflug J, Petersen W (2004) Initial fixation strength of flexible all-inside meniscus suture anchors in comparison to conventional suture technique and rigid anchors: biomechanical evaluation of new meniscus refixation systems. Am J Sports Med 32(4):863–869
Barber FA, Herbert MA, Richards DP (2004) Load to failure testing of new meniscal repair devices. Arthroscopy 20:45–50
Borden P, Nyland J, Caborn DN, Pienkowski D (2003) Biomechanical comparison of the FasT-Fix meniscal repair suture system with vertical mattress sutures and meniscus arrows. Am J Sports Med 31:374–378
Barber FA, Schroeder FA, Oro FB, Beavis RC (2008) FasT-Fix meniscal repair: mid-term results. Arthroscopy 24:1342–1348
Lozano J, Ma CB, Cannon WD (2007) All-inside meniscus repair: a systematic review. Clin Orthop Relat Res 455:134–141
Cannon WD Jr, Vittori JM (1992) The incidence of healing in arthroscopic meniscal repairs in anterior cruciate ligament-reconstructed knees versus stable knees. Am J Sports Med 20(2):176–181
Scott GA, Jolly BL, Henning CE (1986) Combined posterior incision and arthroscopic intra-articular repair of the meniscus: an examination of factors affecting healing. J Bone Joint Surg Am 68(6):847–861
Tenuta JJ, Arciero RA (1994) Arthroscopic evaluation of meniscal repairs: factors that effect healing. Am J Sports Med 22(6):797–802
Wright JG, Swiontkowski MF, Heckman JD (2003) Introducing levels of evidence to the journal. J Bone Joint Surg Am 85(1):1–3
Lysholm J, Gillquist J (1982) Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med 10(3):150–154
Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198:43–49
Konan S, Haddad FS (2010) Outcomes of meniscal preservation using all-inside meniscus repair devices. Clin Orthop Relat Res 468:1209–1213
Caborn D (2001) Meniscal repair with the FasT-Fix suture system. Smith & Nephew Inc, Endoscopy Division, Andover
Barrett GR, Field MH, Treacy SH, Ruff CG (1998) Clinical results of meniscus repair in patients 40 years and older. Arthroscopy 14:824–829
Becker R, Brettschneider O, Grobel KH, von Versen R, Starke C (2006) Distraction forces on repaired bucket-handle lesions in the medial meniscus. Am J Sports Med 34:1941–1947
Richards DP, Barber FA, Herbert MA (2005) Compressive loads in longitudinal lateral meniscus tears: a biomechanical study in porcine knees. Arthroscopy 21:1452–1456
Barber FA (1994) Accelerated rehabilitation for meniscus repairs. Arthroscopy 1994(10):206–210
Buseck MS, Noyes FR (1991) Arthroscopic evaluation of meniscal repairs after anterior cruciate ligament reconstruction and immediate motion. Am J Sports Med 19:489–494
McLaughlin J, DeMaio M, Noyes FR, Mangine RE (1994) Rehabilitation after meniscus repair. Orthopedics 17:465–471
Mariani PP, Santori N, Adriani E, Mastantuono M (1996) Accelerated rehabilitation after arthroscopic meniscal repair: a clinical and magnetic resonance imaging evaluation. Arthroscopy 12:680–686
Zantop T, Eggers AK, Musahl V, Weimann A, Petersen W (2005) Cyclic testing of flexible all-inside meniscus suture anchors: Biomechanical analysis. Am J Sports Med 33:388–394
Kohn D, Siebert W (1989) Meniscus suture techniques: a comparative biomechanical cadaver study. Arthroscopy 5:324–327
Briggs KK, Kocher MS, Rodkey WG, Steadman JR (2006) Reliability, validity, and responsiveness of the Lysholm knee score and Tegner activity scale for patients with meniscal injury of the knee. J Bone Joint Surg Am 88(4):698–705
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Vascellari, A., Rebuzzi, E., Schiavetti, S. et al. All-inside meniscal repair using the FasT-Fix meniscal repair system: Is still needed to avoid weight bearing? A systematic review. Musculoskelet Surg 96, 149–154 (2012). https://doi.org/10.1007/s12306-012-0209-0
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DOI: https://doi.org/10.1007/s12306-012-0209-0