PURPOSE: To report on the results of 12 complete radial tears of the meniscus treated using arthroscopic inside-out repair with fibrin clots, the results showed good meniscal healing and excellent clinical outcomes. METHODS: From 2007 to 2009, 12 patients with complete radial tears of the meniscus were treated by arthroscopic inside-out repair with fibrin clots. In all patients, the International Knee Documentation Committee (IKDC) subjective knee form and Lysholm score were determined pre- and post-operatively. We performed magnetic resonance imaging (MRI) and if indicated, we performed a second-look arthroscopic examination. RESULTS: At a mean of 30 ± 4 postoperative months, the Lysholm score and IKDC subjective knee score had improved from 65 ± 6 and 57 ± 7 to 94 ± 3 and 92 ± 3, respectively. Eleven of 12 cases showed complete healing on follow-up MRI. Six of 7 patients undergoing a second-look arthroscopic examination had healed completely. CONCLUSION: This study shows successful meniscal repairs using fibrin clots in complete radial tears. This surgical procedure appears to be a good treatment method for complete radial tear of the meniscus. LEVEL OF EVIDENCE: Case series, level IV.
PURPOSE: To report on the results of 12 complete radial tears of the meniscus treated using arthroscopic inside-out repair with fibrin clots, the results showed good meniscal healing and excellent clinical outcomes. METHODS: From 2007 to 2009, 12 patients with complete radial tears of the meniscus were treated by arthroscopic inside-out repair with fibrin clots. In all patients, the International Knee Documentation Committee (IKDC) subjective knee form and Lysholm score were determined pre- and post-operatively. We performed magnetic resonance imaging (MRI) and if indicated, we performed a second-look arthroscopic examination. RESULTS: At a mean of 30 ± 4 postoperative months, the Lysholm score and IKDC subjective knee score had improved from 65 ± 6 and 57 ± 7 to 94 ± 3 and 92 ± 3, respectively. Eleven of 12 cases showed complete healing on follow-up MRI. Six of 7 patients undergoing a second-look arthroscopic examination had healed completely. CONCLUSION: This study shows successful meniscal repairs using fibrin clots in complete radial tears. This surgical procedure appears to be a good treatment method for complete radial tear of the meniscus. LEVEL OF EVIDENCE: Case series, level IV.
Authors: Justin W Griffin; Michael M Hadeed; Brian C Werner; David R Diduch; Eric W Carson; Mark D Miller Journal: Clin Orthop Relat Res Date: 2015-02-06 Impact factor: 4.176
Authors: Marco Nitri; Jorge Chahla; David Civitarese; Sanjeev Bhatia; Samuel G Moulton; Christopher M LaPrade; Robert F LaPrade Journal: Arthrosc Tech Date: 2016-08-15
Authors: Evan W James; Christopher M LaPrade; John A Feagin; Robert F LaPrade Journal: Knee Surg Sports Traumatol Arthrosc Date: 2014-06-03 Impact factor: 4.342
Authors: Levent Surer; Can Yapici; Claudia Guglielmino; Carola F van Eck; James J Irrgang; Freddie H Fu Journal: Knee Surg Sports Traumatol Arthrosc Date: 2016-04-16 Impact factor: 4.342