Xiaoxiao Song1, Dongyang Chen2, Xinsheng Qi1, Qing Jiang2, Caiwei Xia3. 1. Department of Orthopedics, Affiliated Taikang Xianlin Drum Tower Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, People's Republic of China. 2. Department of Sports Medicine and Adult Reconstructive Surgery, Nanjing Drum Tower Hospital, School of Medicine, Nanjing University, 321 Zhongshan Road, Nanjing, 210008, Jiangsu, People's Republic of China. 3. Department of Orthopedics, Affiliated Taikang Xianlin Drum Tower Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, People's Republic of China. njusummer@163.com.
Abstract
PURPOSE: To investigate factors associated with the consumption of a large number of sutures during arthroscopic meniscus repair procedures. METHODS: All patients who received meniscal repair, with or without concomitant anterior cruciate ligament (ACL) reconstruction, in our hospital from January 2015 to December 2019 were included in the current study. Demographic data (sex, age, body mass index (BMI), and injury-to-surgery interval) and surgical data (the site of the tear, side of the meniscus, presence of an ACL rupture or not and the number of sutures) were retrospectively collected from our medical records. The number of sutures was divided into two groups (1-2 sutures versus > 2 sutures). The stitching process was implemented through an all-inside technique using a meniscal repair device (Fast-Fix; Smith & Nephew). According to the length and stability of the meniscal tear, one to seven sutures were used. Univariate analysis consisted of chi-square tests. Multivariate logistic regression was then performed to adjust for confounding factors. RESULTS: A total of 242 patients, including 168 males and 57 females, was finally included. In the univariate analysis, we found that those patients who underwent meniscus repair within one month after meniscus tear were more likely to need fewer sutures than those who underwent surgery more than one month after injury (70/110 versus 59/115, p=0.062). In total, 75/109 (68.8%) lateral meniscal tears were repaired with fewer sutures than medial (34/72, 47.2%) and bilateral meniscus injuries (20/44, 45.4%; p=0.003). In the multivariate analysis, we found that the duration of injury (OR, 2.06; 95% CI, 1.16-3.64, p=0.013), presence of an ACL injury (OR, 3.76; 95% CI, 1.97-7.21, p< 0.001) and the side of the meniscus (OR, 0.31; 95% CI, 0.14-0.65, p=0.002) were associated with the number of sutures used during meniscal repair procedures. CONCLUSIONS: Patients who underwent meniscal repair within one month after meniscus tear, especially lateral menisci tears, were more likely to need fewer sutures. STUDY DESIGN: Case-control study; level of evidence, 3.
PURPOSE: To investigate factors associated with the consumption of a large number of sutures during arthroscopic meniscus repair procedures. METHODS: All patients who received meniscal repair, with or without concomitant anterior cruciate ligament (ACL) reconstruction, in our hospital from January 2015 to December 2019 were included in the current study. Demographic data (sex, age, body mass index (BMI), and injury-to-surgery interval) and surgical data (the site of the tear, side of the meniscus, presence of an ACL rupture or not and the number of sutures) were retrospectively collected from our medical records. The number of sutures was divided into two groups (1-2 sutures versus > 2 sutures). The stitching process was implemented through an all-inside technique using a meniscal repair device (Fast-Fix; Smith & Nephew). According to the length and stability of the meniscal tear, one to seven sutures were used. Univariate analysis consisted of chi-square tests. Multivariate logistic regression was then performed to adjust for confounding factors. RESULTS: A total of 242 patients, including 168 males and 57 females, was finally included. In the univariate analysis, we found that those patients who underwent meniscus repair within one month after meniscus tear were more likely to need fewer sutures than those who underwent surgery more than one month after injury (70/110 versus 59/115, p=0.062). In total, 75/109 (68.8%) lateral meniscal tears were repaired with fewer sutures than medial (34/72, 47.2%) and bilateral meniscus injuries (20/44, 45.4%; p=0.003). In the multivariate analysis, we found that the duration of injury (OR, 2.06; 95% CI, 1.16-3.64, p=0.013), presence of an ACL injury (OR, 3.76; 95% CI, 1.97-7.21, p< 0.001) and the side of the meniscus (OR, 0.31; 95% CI, 0.14-0.65, p=0.002) were associated with the number of sutures used during meniscal repair procedures. CONCLUSIONS: Patients who underwent meniscal repair within one month after meniscus tear, especially lateral menisci tears, were more likely to need fewer sutures. STUDY DESIGN: Case-control study; level of evidence, 3.
Authors: Jonathan A Stone; Gabriel S Perrone; Teron A Nezwek; Qingping Cui; Steven C Vlad; John C Richmond; Matthew J Salzler Journal: Am J Sports Med Date: 2019-01-09 Impact factor: 6.202
Authors: Rene Verdonk; Henning Madry; Nogah Shabshin; Florian Dirisamer; Giuseppe M Peretti; Nicolas Pujol; Tim Spalding; Peter Verdonk; Romain Seil; Vincenzo Condello; Berardo Di Matteo; Johannes Zellner; Peter Angele Journal: Knee Surg Sports Traumatol Arthrosc Date: 2016-04-16 Impact factor: 4.342