Comparative Outcomes of Radial and Bucket-Handle Meniscal Tear Repair: A Propensity-Matched Analysis

Wu, Isabella T.; Hevesi, Mario; Desai, Vishal; Camp, Christopher L.; Dahm, Diane L.; Levy, Bruce A.; Stuart, Michael J.; Krych, Aaron J.

doi:10.1177/0363546518786035

Cited by 31 publications

(42 citation statements)

References 44 publications

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“…Compared with the control group, the operative time of the observation group is longer. However, the clinical efficacy of two groups is similar, and is also comparable to that reported of other conventional suture methods [34,35] . So, when the tear length of meniscus is longer and unilateral pulled-out anchor is happened during all-inside meniscal repair, this method can reduce the number of newly implanted meniscus repair system.…”

Section: Discussionsupporting

confidence: 83%

The modified cross-suture technique for unilateral pulled-out anchor during all-inside meniscal repair

Shi

Fan

et al. 2019

Preprint

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Background: In consideration of meniscal repair has received increasingly more attention, but for inexperienced doctors, various technical errors may occur when meniscal suture repair is performed, particularly during all-inside meniscal suture repairing. When the errors is happened intraoperatively, how to minimize the loss under the effectiveness of treatment is a topic worth studying. Methods: From May 2014 to May 2017, 28 cases diagnosed with injures of meniscus and anterior cruciate ligaments were enrolled in the study as observation group. All cases underwent anterior cruciate ligament (ACL) reconstruction concurrently. All meniscus injuries were repaired with an allinside meniscal repair technique, and 1-3 needles of unilateral suture anchor pulling out occurred intraoperatively. The method of modified cross-suture was used to remedy the error of anchor pulling out and to eventually complete the effective repair. During postoperative follow-up, the range of motion, Lachman test and pivot shift test were confirmed by physical examination. The clinical healing of meniscus was evaluated according to the Barrett standard. Meniscus healing status was also confirmed with magnetic resonance imaging (MRI). The function of the knee joint was evaluated with the IKDC, Lysholm and Tegner scores. Results: 25 cases of observation group and 28 cases of control group received complete follow-up with an average follow-up of 18.4±5.2 months. All operations were finished by the same surgeon. Atthe follow-up one year after operation, the average knee ROM of two groups were 125.2±4.3 degrees and 124.7±3.8 degrees, the clinical healing rate of the meniscus of two groups were 92.0% (23/25) and 92.9% (26/28), the MRI healing rate of the menniscus of two groups were 72.0% (18/25) and 71.4% (20/28), the IKDC, Lysholm and Tegner scores of two groups were 90.52±2.8, 89.17±3.1, 6.81±1.7 and 91.42±1.9, 90.32±3.4, 7.02±1.4, the differences were not statistically significant (P>0.05).Conclusions: The method of modified cross-suture is effective for arthroscopic remediation for unilateral suture anchor pulling out of an all-inside meniscal repair system. BackgroundMeniscus injury is a kind of common and frequent sports injury, and its treatment should maintain the

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Section: Discussionsupporting

confidence: 83%

The modified cross-suture technique for unilateral pulled-out anchor during all-inside meniscal repair

Shi

Fan

et al. 2019

Preprint

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show abstract

“…Compared with the control group, the observation group had a longer operative time. However, the clinical efficacy of the two groups was similar, and was also comparable to that reported for other conventional suturing methods [37,38]. Therefore, when the meniscus tear length is long and unilateral pulled-out anchor happened during all-inside meniscal repair, this method can reduce the number of new implanted meniscus repair systems needed.…”

Section: Discussionsupporting

confidence: 78%

The modified cross-suture technique for unilateral pulled-out anchor during all-inside meniscal repair

Shi

Fan

et al. 2020

BMC Musculoskelet Disord

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Background: Meniscal repair has received increasing attention, but for inexperienced doctors, unilateral suture anchor pulling out may occur during all-inside meniscal repair, and the treatment outcome may be affected. When the errors happened intraoperatively, how to minimize the loss under guaranteeing of treatment effectiveness is a topic worth studying. Purpose: To explore the practicability and effectiveness of the modified cross-suture method for arthroscopic remediation of unilateral suture anchor pulling out of an all-inside meniscal repair system. Methods: From May 2014 to May 2017, 28 patients diagnosed with injuries of the meniscus and anterior cruciate ligaments (ACL) from the First Department of Orthopaedics of the Second Affiliated Hospital of Xi'an Jiaotong University were enrolled in the study as the observation group, including 18 males and 10 females with an average age of 25.5 ± 2.3 years (range 18-42 years). All patients underwent ACL reconstruction concurrently. All meniscus injuries were repaired with an all-inside meniscal repair technique, and 1-3 needles of unilateral suture anchor pulling out occurred intraoperatively. The modified cross-suture method was used to remedy the error of anchor pulling out and to eventually complete an effective repair. Another 30 patients who underwent ACL reconstruction and all-inside meniscal concurrently without unilateral suture anchor pulling out, including 20 males and 10 females with an average age of 26.3 ± 1.9 years (range 19-45 years), were enrolled as the control group. During postoperative follow-up, range of motion, Lachman test and pivot shift test were performed during the physical examination. The clinical healing of the meniscus was evaluated according to the Barrett standard. The meniscus healing status was also confirmed with magnetic resonance imaging (MRI). The function of the knee joint was evaluated according to the IKDC, Lysholm and Tegner scores.

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“…Meniscus is a vital intra-articular structure to maintain knee stability, consequently slow down the progression to osteoarthritis (OA) [1,2]. It also paly an important role in load transmission, shock absorption and joint lubrication [3,4]. With the development of diagnostic techniques for meniscal injury, the volume of arthroscopic procedures to treat injuried meniscus dramatically increased in recent years.…”

Section: Introductionmentioning

confidence: 99%

Which Factors Are Associated With the Prevalence of Meniscal Repair?

Song

Chen

Xinsheng

et al. 2020

Preprint

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PurposeTo investigate the potential factors associated with the prevalence of meniscal repairMethodsPatients who received partial menisectomy or meniscal repair in our institution from Jan 2015 to Dec 2019 were included in current study. The inclusion criteria were (1) meniscus tear treated using meniscetomy or repair, (2) with or without concomitant anterior cruciate ligament reconstruction, (3) not multiligamentous injury. Demographic data, including sex, age, body mass index (BMI), injury-to-surgery interval and intra-articular factors such as the location of injury, medial or lateral, ACL rupture or not and the option of procedure (partial meniscetomy or repair) were documented from medical records. Univariate analysis consisted of chi-square. Multivariate logistic regression was then performed to adjust for confounding factors.Results592 patients including 399 males and 193 females with a mean age of 28.7 years (range from 10 to 75 years) were included in current study. In the univariate analysis, male (p=0.002), patients aged 40 years or younger (p<0.001), increased weight (p=0.010), Posterior meniscus torn (0.011), concurrent ACL ruputure (p<0.001), lateral meniscus (p=0.039)and early surgery (p<0.001) were all associated with the prevalence of meniscal repair. However, After adjusting for confounding factors, we found that age (OR, 0.35; 95% CI, 0.17 - 0.68, p=0.002), ACL injury (OR, 3.76; 95% CI, 1.97 – 7.21, p<0.001), side of menisci (OR, 3.29; 95% CI, 1.43 – 7.55, p=0.005), site of tear (OR, 0.15; 95% CI, 0.07 – 0.32, p<0.001), and duration of injury (OR, 0.46; 95% CI, 0.28 – 0.82, p=0.008) were associated with the prevalence of meniscus repair. ConclusionsMeniscal tear in aged patients especially those with concomitant ACL injury is likely to be repaired. Additionally, in order to increase the prevalence of repair and slow down progression of OA, the surgical procedure should be performed within two weeks after meniscus tear especially when the tear is located at lateral meniscal posterior.Study DesignCase-control study; level of evidence, 3.

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Comparative Outcomes of Radial and Bucket-Handle Meniscal Tear Repair: A Propensity-Matched Analysis

Cited by 31 publications

References 44 publications

The modified cross-suture technique for unilateral pulled-out anchor during all-inside meniscal repair

The modified cross-suture technique for unilateral pulled-out anchor during all-inside meniscal repair

The modified cross-suture technique for unilateral pulled-out anchor during all-inside meniscal repair

Which Factors Are Associated With the Prevalence of Meniscal Repair?

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