Vertical Continuous Meniscal Suture Technique

Faria, José Leonardo Rocha de; Pavão, Douglas Mello; Cruz, Raphael Serra; Sousa, Eduardo Branco de; Guimarães, João Antônio Matheus; Campos, Marcelo Costa de Oliveira; Mozella, Alan de Paula

doi:10.1016/j.eats.2020.05.014

Cited by 8 publications

(8 citation statements)

References 27 publications

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“…It is a line of research that involves a type of meniscal suture called continuous meniscal suture. [18][19][20][21] In the absence of a laboratory with human cadavers, training with animal models becomes an important method to assist in the training of these and other new arthroscopic surgical techniques.…”

Section: Discussionmentioning

confidence: 99%

How to Create an Arthroscopy Training Laboratory Using a Bovine Knee Model

Faria

Pavão

Sousa

et al. 2021

Arthroscopy Techniques

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Orthopaedic surgeries by video arthroscopy have become increasingly popular, as they allow joint treatment through small incisions and minimal tissue damage. However, their execution requires specific skills from the surgeon, different from open surgery, which can only be achieved through practical training. These skills would be ideally performed on human cadaveric anatomical pieces which, however, can be difficult to access for different reasons. Animal anatomical models for surgical skills training have been used for years in medicine, and we observed that the bovine knee has anatomical characteristics quite similar to that of the human knee. In this study, we explain, step by step, the installation and creation of an arthroscopy laboratory with a bovine model, in an effort to contribute to several training centers in arthroscopic surgery around the world, assisting and guiding such centers to install arthroscopy laboratories and facilitating the improvement of more surgeons.

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Section: Discussionmentioning

confidence: 99%

How to Create an Arthroscopy Training Laboratory Using a Bovine Knee Model

Faria

Pavão

Sousa

et al. 2021

Arthroscopy Techniques

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“…Considering repair approaches, different suture types can be adopted 69 , 75 – 77 and biological approaches (augmentation techniques) can also be used in combination to enhance the healing response (augmentation by platelet rich plasma (PRP) and platelet rich fibrin (PRF) clot derivatives 78 , 79 ; trephination, abrasion, and rasping; wrapping 80 , 81 ). The main drawback with conventional suture techniques relays on long operating time and difficulties in surgery.…”

Section: Tears and Current Treatment Options Overviewmentioning

confidence: 99%

Meniscus regeneration by 3D printing technologies: Current advances and future perspectives

et al. 2022

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Meniscal tears are a frequent orthopedic injury commonly managed by conservative strategies to avoid osteoarthritis development descending from altered biomechanics. Among cutting-edge approaches in tissue engineering, 3D printing technologies are extremely promising guaranteeing for complex biomimetic architectures mimicking native tissues. Considering the anisotropic characteristics of the menisci, and the ability of printing over structural control, it descends the intriguing potential of such vanguard techniques to meet individual joints’ requirements within personalized medicine. This literature review provides a state-of-the-art on 3D printing for meniscus reconstruction. Experiences in printing materials/technologies, scaffold types, augmentation strategies, cellular conditioning have been compared/discussed; outcomes of pre-clinical studies allowed for further considerations. To date, translation to clinic of 3D printed meniscal devices is still a challenge: meniscus reconstruction is once again clear expression of how the integration of different expertise (e.g., anatomy, engineering, biomaterials science, cell biology, and medicine) is required to successfully address native tissues complexities.

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“…26,27 We developed the continuous meniscal suture technique to simplify the surgical technique of inside-out meniscus repair and minimize the time required to perform it. 26,27…”

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confidence: 99%

“…2,24,25,28 Recently, 2 modified inside-out meniscal suture techniques, the vertical and horizontal continuous meniscal repair, were described by our author group. 26,27 We developed the continuous meniscal suture technique to simplify the surgical technique of inside-out meniscus repair and minimize the time required to perform it. 26,27 Several studies have evaluated the different types of meniscal sutures biomechanically in animal models 3,9,11,22,31 and cadaveric knees.…”

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confidence: 99%

Continuous Vertical Inside-Out Versus Traditional Vertical Inside-Out Meniscal Repair: A Biomechanical Comparison

Rocha de Faria,

Santos,

Pavão

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: Biomechanical assessment of meniscal repairs is essential for evaluating different meniscal suturing methods and techniques. The continuous meniscal suture technique is a newer method of meniscal repair that may have biomechanical differences compared with traditional techniques. Purpose: To evaluate the displacement, stiffness after cyclical loading, and load to failure for a continuous vertical inside-out meniscal suture versus a traditional vertical inside-out meniscal suture in a porcine medial meniscus. Study Design: Controlled laboratory study. Methods: A total of 28 porcine knees were acquired and divided into 2 test groups of 14 medial meniscus each. A 2.0-cm longitudinal red-white zone cut was made in the body of the medial meniscus for each knee. The continuous suture (CS) group received 4 vertical stitches performed with a continuous vertical meniscal suture technique, and the inside-out suture (IO) group received a traditional vertical suture with 4 stitches. Two traction tapes were passed between the sutures and positioned in the biomechanical testing fixture device. Each specimen underwent load-to-failure testing at 5 mm/s, and displacement, system stiffness, and maximum load to failure were compared between the groups. Results: The displacement after the cyclic test was 0.53 ± 0.12 and 0.48 ± 0.07 mm for the CS and IO groups, respectively. There was no significant difference between the groups ( P = .2792). The stiffness at the ultimate load testing was 36.3 ± 1.9 and 35.3 ± 2.4 N/mm for groups CS and IO, respectively, with no significant difference between the groups ( P = .2557). In the load-to-failure test, the ultimate load was 218.2 ± 63.9 and 238.3 ± 71.3 N in the CS and IO groups, respectively, with no significant group differences ( P = .3062). Conclusion: A continuous vertical meniscal suture created a configuration for treating longitudinal meniscal lesions that was beneficial and biomechanically similar to a traditional vertical suture technique. Clinical Relevance: The study findings indicate that use of the continuous vertical inside-out meniscal suture technique is a possible therapeutic option.

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Vertical Continuous Meniscal Suture Technique

Cited by 8 publications

References 27 publications

How to Create an Arthroscopy Training Laboratory Using a Bovine Knee Model

How to Create an Arthroscopy Training Laboratory Using a Bovine Knee Model

Meniscus regeneration by 3D printing technologies: Current advances and future perspectives

Continuous Vertical Inside-Out Versus Traditional Vertical Inside-Out Meniscal Repair: A Biomechanical Comparison

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