Literature DB >> 11877609

Arthroscopic meniscus repair with bioabsorbable arrows.

Timothy S Petsche1, Harlan Selesnick, Adam Rochman.   

Abstract

PURPOSE: The clinical results of a single surgeon's experience with Meniscus Arrows (Bionx, Blue Bell, PA) for meniscal repair are reviewed and reported to determine the safety and efficacy of this device. TYPE OF STUDY: Consecutive sample.
METHODS: Over a 3-year period, the senior author has used only Meniscus Arrows for all meniscal repairs. All patients who underwent meniscal repair with at least 12 months of follow-up were evaluated for this study. Thirty patients had a meniscal repair, and 29 were available for follow-up. The average age at surgery was 29 years (range, 15 to 45 years) and there were 24 male and 5 female patients; 25 patients had an anterior cruciate ligament (ACL) reconstruction with the meniscal repair, 2 repairs were performed in ACL-deficient knees, and 2 repairs were performed in ACL stable knees. The average follow-up was 24 months (range, 12 to 42 months).
RESULTS: The average Lysholm knee scores for ACL reconstruction, ACL-intact, and ACL-deficient knees improved from 47, 6, and 35, respectively, to 91, 96, and 81 postoperatively. Tegner activity scores improved from 2.7, 0, and 1.5, respectively, to 7.4, 6.5, and 4.5 after surgery. There were no surgical complications, no infections, and no neurovascular injuries. Five patients had mild subcutaneous irritation caused by the Arrow tips, but in each case this resolved within 3 to 7 months. There were 2 failures (7%) that required later arthroscopy and partial meniscectomy. One failure was in an ACL-deficient knee, and the other was in an ACL-reconstructed knee.
CONCLUSIONS: Although the data presented in this report are based on short-term clinical follow-up, the preliminary results of the Meniscal Arrow repair are encouraging.

Entities:  

Mesh:

Year:  2002        PMID: 11877609     DOI: 10.1053/jars.2002.30615

Source DB:  PubMed          Journal:  Arthroscopy        ISSN: 0749-8063            Impact factor:   4.772


  12 in total

Review 1.  Migration of a broken meniscal arrow: a case report and review of the literature.

Authors:  A Y Bonshahi; P Hopgood; G J Shepard
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2003-09-26       Impact factor: 4.342

2.  Clinical Results of Meniscal Repair Using Submeniscal Horizontal Sutures.

Authors:  Amir Mohammad Navali; Hossein Aslani
Journal:  Arch Bone Jt Surg       Date:  2015-07

3.  Chondral injury due to migration of a Mitek RapidLoc meniscal repair implant after successful meniscal repair: a case report.

Authors:  J Gliatis; A Kouzelis; A Panagopoulos; E Lambiris
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2004-10-20       Impact factor: 4.342

4.  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.

Authors:  Janne Sarimo; Jussi Rantanen; Tapio Tarvainen; Markku Härkönen; Sakari Orava
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2005-05-05       Impact factor: 4.342

5.  Clinical results of meniscus repair with the meniscus arrow: a 4- to 8-year follow-up study.

Authors:  Nikolaos Koukoulias; Stergios Papastergiou; Konstantinos Kazakos; Georgios Poulios; Konstantinos Parisis
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2006-07-21       Impact factor: 4.342

Review 6.  [Complications with all-inside devices used in reconstructive meniscal surgery].

Authors:  P Wilmes; O Lorbach; P Brogard; R Seil
Journal:  Orthopade       Date:  2008-11       Impact factor: 1.087

7.  Arthroscopic meniscal repair with an absorbable screw: results and surgical technique.

Authors:  Michael E Hantes; Elias S Kotsovolos; Dimitrios S Mastrokalos; Joerg Ammenwerth; Hans H Paessler
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2004-09-28       Impact factor: 4.342

8.  Complications in medial meniscus suture: a cadaveric study.

Authors:  Alejandro Espejo-Baena; Pau Golano; Stephan Meschian; Jose Maria Garcia-Herrera; J M Serrano Jiménez
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2006-06-07       Impact factor: 4.114

9.  All-inside suture device is superior to meniscal arrows in meniscal repair: a prospective randomized multicenter clinical trial with 2-year follow-up.

Authors:  Nina Jullum Kise; Jon Olav Drogset; Arne Ekeland; Einar Andreas Sivertsen; Stig Heir
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2014-11-09       Impact factor: 4.342

10.  FUNCTIONAL EVOLUTION OF MENISCAL REPAIR USING ABSORBABLE IMPLANTS.

Authors:  Waldo Lino Júnior
Journal:  Rev Bras Ortop       Date:  2015-11-16
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