Skip to main content
SpringerLink
Log in

Meniscal Repair: Intra- and Postoperative Complications

  • Chapter
  • First Online:
The Meniscus

Abstract

Arthroscopic meniscal procedures have a relatively low complication rate. In a large retrospective study sponsored by the Arthroscopy Association of North America (AANA) in 1985, De Lee [15] reported an overall complication rate of 0.6%. In this survey, focusing on diagnostic arthroscopy and first-generation arthroscopic surgical procedures, some serious neurological and vascular complications were identified. This rate was believed to be underestimated, and specific complications of meniscal repair procedures were not considered. Variability in the reported overall complication rate of arthroscopic meniscal surgery depends on the criteria used to define a surgical complication. In a prospective study conducted together with the French Arthroscopy Society (SFA), reporting an overall complication rate of 16%, Coudane and Buisson [14] defined a complication as every phenomenon considered abnormal by the patient or the surgeon during and after an arthroscopic procedure. In a prospective survey of 8,741 knee joint procedures, the AANA evaluated complications in arthroscopic surgery [46]: the overall complication rate was 1.8%, and the incidence of complications was not higher for meniscal repair (1.2%) than for partial meniscectomy (1.7%). An analysis of large surveys of meniscal repair procedures performed by the AANA [45–47] and SFA [28] showed that serious injury involving neurovascular structures was rarely encountered in the most recent studies (Table 6.2.1).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Albrecht-Olsen P, Kristensen G, Burgaard P et al (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

    Article  CAS  PubMed  Google Scholar 

  2. Asik M, Atalar AC (2002) Failed resorption of bioabsorbable meniscus repair devices. Knee Surg Sports Traumatol Arthrosc 10(5):300–304

    PubMed  Google Scholar 

  3. Nakamae A, Deie M, Yasumoto M, Kobayashi K, Ochi M (2004) Synovial cyst formation resulting from nonabsorbable meniscal repair devices for meniscal repair. Arthroscopy 20(S2):16–19

    Article  PubMed  Google Scholar 

  4. Barber FA (1987) Meniscus repair: results of an arthroscopic technique. Arthroscopy 3(1):25–30

    Article  CAS  PubMed  Google Scholar 

  5. Barber FA, Coons DA, Ruiz-Suarez M (2006) Meniscal repair with the RapidLoc meniscal repair device. Arthroscopy 22(9):962–966

    Article  PubMed  Google Scholar 

  6. Blevins FT, Salgado J, Wascher DC et al (1999) Septic arthritis following arthroscopic meniscus repair: a cluster of three cases. Arthroscopy 15(1):35–40

    Article  CAS  PubMed  Google Scholar 

  7. Bohnsack M, Börner C, Schmolke S et al (2003) Clinical results of arthroscopic meniscal repair using biodegradable screws. Knee Surg Sports Traumatol Arthrosc 11(6):379–383

    Article  PubMed  Google Scholar 

  8. Boyd KT, Myers PT (2003) Meniscus preservation; rationale, repair techniques and results. Knee 10(1):1–11

    Article  PubMed  Google Scholar 

  9. Brasseur P, Sukkarieh F (1990) Iatrogenic pseudo-aneurysm of the popliteal artery. Complication of arthroscopic meniscectomy. Apropos of a case. J Radiol 71(4):301–304

    CAS  PubMed  Google Scholar 

  10. Calder SJ, Myers PT (1999) Broken arrow: a complication of meniscal repair. Arthroscopy 15(6):651–652

    Article  CAS  PubMed  Google Scholar 

  11. Carlin RE, Papenhausen M, Farber M et al (2001) Sural artery pseudoaneuryms after knee arthroscopy: treatment with transcatheter embolization. J Vasc Surg 33:170–173

    Article  CAS  PubMed  Google Scholar 

  12. Coen MJ, Caborn DN, Urban W et al (1999) An anatomic evaluation of T-Fix suture device placement for arthroscopic all-inside meniscal repair. Arthroscopy 15(3):275–280

    Article  CAS  PubMed  Google Scholar 

  13. 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 Jul 20(3):235–240

    Google Scholar 

  14. Coudane H, Buisson P (2001) Symposium: complications de l’arthroscopie. Perspectives en arthroscopie. Congrès SFA, vol 2, La Baule, pp 120–137

    Google Scholar 

  15. De Lee J (1985) Complications of arthroscopy and arthroscopic surgery: results of a national survey. Arthroscopy 1:214–220

    Article  Google Scholar 

  16. Dejour D, Levigne C, Dejour H (1995) La rotule basse postopératoire. Traitement par allongement du tendon rotulien. Rev Chir Orthop 81:286–295

    CAS  PubMed  Google Scholar 

  17. Delis KT, Hunt N, Strachan RK et al (2001) Incidence, natural history and risk factors of deep vein thrombosis in elective knee arthroscopy. Thromb Haemost 86(3):817–821

    CAS  PubMed  Google Scholar 

  18. Demers C, Marcoux S, Ginsberg JS et al (1998) Incidence of venographically proved deep vein thrombosis after knee arthroscopy. Arch Intern Med 158(1):47–50

    Article  CAS  PubMed  Google Scholar 

  19. Deutsch A, Wyzykowski R, Victoroff B (1999) Evaluation of the anatomy of the common peroneal nerve. Am J Sports Med 27:10–15

    CAS  PubMed  Google Scholar 

  20. Espejo-Baena A, Golano P, Meschian S et al (2007) Complications in medial meniscus suture: a cadaveric study. Knee Surg Sports Traumatol Arthrosc 15(6):811–816

    Article  PubMed  Google Scholar 

  21. Farng E, Sherman O (2004) Meniscal repair devices: a clinical and biomechanical literature review. Arthroscopy 20(3):273–286

    Article  PubMed  Google Scholar 

  22. Haas AL, Schepsis AA, Hornstein J et al (2005) Meniscal repair using the FasT-Fix all-inside meniscal repair device. Arthroscopy 21(2):167–175

    Article  PubMed  Google Scholar 

  23. Hechtman KS, Uribe JW (1999) Cystic hematoma formation following use of a biodegradable arrow for meniscal repair. Arthroscopy 15(2):207–210

    Article  CAS  PubMed  Google Scholar 

  24. Henning CE, Lynch MA, Yearout KM et al (1990) Arthroscopic meniscal repair using an exogenous fibrin clot. Clin Orthop Relat Res 252:64–72

    PubMed  Google Scholar 

  25. Hoppener MR, Ettema HB, Henny CP et al (2006) Low incidence of deep vein thrombosis after knee arthroscopy without thromboprophylaxis: a prospective cohort study of 335 patients. Acta Orthop 77(5):767–771

    Article  PubMed  Google Scholar 

  26. Hürel C, Mertens F, Verdonk R (2000) Biofix resorbable meniscus arrow for meniscal ruptures: results of a 1-year follow-up. Knee Surg Sports Traumatol Arthrosc 8(1):46–52

    Article  PubMed  Google Scholar 

  27. Jurist KA, Greene PW III, Shirkhoda A (1989) Peroneal nerve dysfunction as a complication of lateral meniscus repair: a case report and anatomic dissection. Arthroscopy 5(2):141–147

    Article  CAS  PubMed  Google Scholar 

  28. Katabi M, Beaufils P, Cassard X (2004) Réparation méniscale, Symposium de la Société Française d’Arthroscopie, analyse de la série globale. Rev Chir Orthop 90(3S): 59–62

    Google Scholar 

  29. Kline AJ, Miller MD (2003) Complications in meniscal surgery. Oper Tech Sports Med 11(2):134–143

    Article  Google Scholar 

  30. Krivic A, Stanec S, Zic R et al (2003) Lesion of the common peroneal nerve during arthroscopy. Arthroscopy 19(9): 1015–1018

    Article  PubMed  Google Scholar 

  31. Kurzweil PR, Tifford CD, Ignacio EM (2005) Unsatisfactory clinical results of meniscal repair using the meniscus arrow. Arthroscopy 21(8):905–907

    Article  PubMed  Google Scholar 

  32. 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

    Article  PubMed  Google Scholar 

  33. Menche DS, Phillips GI, Pitman MI et al (1999) Inflammatory foreign-body reaction to an arthroscopic bioabsorbable meniscal arrow repair. Arthroscopy 15(7):770–772

    Article  CAS  PubMed  Google Scholar 

  34. Ménétrey J, Seil R, Rupp S et al (2002) Chondral damage after meniscal repair with the use of a bioabsorbable implant. Am J Sports Med 30(6):896–899

    PubMed  Google Scholar 

  35. Miller MD, Blessey PB, Chhabra A (2003) Meniscal repair with the Rapid Loc device: a cadaveric study. J Knee Surg 16(2):79–82

    PubMed  Google Scholar 

  36. Morgan CD, Casscells SW (1986) Arthroscopic meniscus repair: a safe approach to the posterior horns. Arthroscopy 2(1):3–12

    Article  CAS  PubMed  Google Scholar 

  37. O’Brien SJ, Ngeow J, Gibney MA et al (1995) Reflex sympathetic dystrophy of the knee. Causes, diagnosis, and treatment. Am J Sports Med 23(6):655–659

    Article  PubMed  Google Scholar 

  38. Oliverson TJ, Lintner DM (2000) Biofix arrow appearing as a subcutaneous foreign body. Arthroscopy 16(6):652–655

    Article  CAS  PubMed  Google Scholar 

  39. Otte S, Klinger HM, Beyer J, Baums MH (2002) Complica­tions after meniscal repair with bioabsorbable arrows: two cases and analysis of literature. Knee Surg Sports Traumatol Arthrosc 10(4):250–253

    PubMed  Google Scholar 

  40. Petsche TS, Selesnick H, Rochman A (2002) Arthroscopic meniscus repair with bioabsorbable arrows. Arthroscopy 18(3):246–253

    Article  PubMed  Google Scholar 

  41. Sarimo J, Rantanen J, Tarvainen T et al (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

    Article  PubMed  Google Scholar 

  42. Schneider F, Schroeder JH, Labs K (2003) Failed meniscus repair. Arthroscopy 19(8):E93–E96

    Article  PubMed  Google Scholar 

  43. Seil R, Rupp S, Dienst M et al (2000) Chondral lesions after arthroscopic meniscus repair using meniscus arrows. Arthroscopy 16(7):E1

    Article  Google Scholar 

  44. Siebold R, Dehler C, Boes L et al (2007) Arthroscopic all-inside repair using the Meniscus Arrow: long-term clinical follow-up of 113 patients. Arthroscopy 23(4):394–399

    Article  PubMed  Google Scholar 

  45. Small NC (1986) Complications in arthroscopy: the knee and other joints. Arthroscopy 2:253–258

    Article  Google Scholar 

  46. Small NC (1988) Complications in arthroscopic surgery performed by experienced arthroscopists. Arthroscopy 4(3): 215–221

    Article  CAS  PubMed  Google Scholar 

  47. Small NC (1990) Complications in arthroscopic meniscal surgery. Clin Sports Med 9(3):609–617

    CAS  PubMed  Google Scholar 

  48. Song EK, Lee KB, Yoon TR (2001) Aseptic synovitis after meniscal repair using the biodegradable meniscus arrow. Arthroscopy 17(1):77–80

    Article  CAS  PubMed  Google Scholar 

  49. Soubrier M, Dubost JJ, Urosevic Z et al (1995) Contracture of the patellar tendon: an infrequently recognized complication of reflex sympathetic dystrophy of the knee. Rev Rhum Engl Ed 62(5):399–400

    CAS  PubMed  Google Scholar 

  50. Spindler KP, McCarty EC, Warren TA et al (2003) Prospective comparison of arthroscopic medial meniscal repair technique: inside-out suture versus entirely arthroscopic arrows. Am J Sports Med 31(6):929–934

    PubMed  Google Scholar 

  51. Stone RG, Miller GA (1985) A technique of arthroscopic suture of a torn meniscus. Arthroscopy 1:226–232

    Article  CAS  PubMed  Google Scholar 

  52. Tsai AM, McAllister DR, Chow S et al (2004) Results of meniscal repair using a bioabsorbable screw. Arthroscopy 20(6):586–590

    Article  CAS  PubMed  Google Scholar 

  53. Whitman TL, Diduch DR (1998) Case report transient posterior knee pain with the meniscal arrow. Arthroscopy 14(7):762–763

    Article  CAS  PubMed  Google Scholar 

  54. Wirth T, Schneider B, Misselwitz F et al (2001) Prevention of venous thromboembolism after knee arthroscopy with low-molecular weight heparin (reviparin): results of a randomized controlled trial. Arthroscopy 17(4):393–399

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Clinique Sainte Marie, 1 rue Christian Barnard, 95520, Osny, France

    M. Katabi

  2. Orthopaedic Department, Centre Hospitalier de Versailles, 177, rue de Versailles, 78157, Le Chesnay, France

    N. Pujol & P. Boisrenoult

Authors
  1. M. Katabi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. N. Pujol
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. P. Boisrenoult
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. Katabi .

Editor information

Editors and Affiliations

  1. Service Chirurgie Orthopedique et, Traumatologique, Hopital Andre Mignot, rue de Versailles, Le Chesnay CX, 78157, France

    Philippe Beaufils

  2. Akademisch Ziekenhuis, Dept.Physical Medicine and, Universiteit Gent, De Pintelaan 185, Gent, 9000, Belgium

    René Verdonk

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Katabi, M., Pujol, N., Boisrenoult, P. (2010). Meniscal Repair: Intra- and Postoperative Complications. In: Beaufils, P., Verdonk, R. (eds) The Meniscus. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02450-4_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-02450-4_24

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-02449-8

  • Online ISBN: 978-3-642-02450-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation