Clinical evaluation of suture materials for transtibial pullout repair of medial meniscus posterior root tear

Hiranaka, Takaaki; Furumatsu, Takayuki; Okazaki, Yuki; Kintaka, Keisuke; Kamatsuki, Yusuke; Zhang, Ximing; Han, Xue; Hamada, Masanori; Ozaki, Toshifumi

doi:10.1186/s43019-022-00167-x

Cited by 4 publications

(1 citation statement)

References 28 publications

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“…Subsequently, a crescent-shaped suture hook (Conmed Linvatec) or Knee Scorpion Suture Passer (Arthrex) is inserted into the joint through the anteromedial working portal, followed by making the stitch at approximately 3–5 mm medial to the posterior portion of the torn edge of the MMPR. This process is repeated on the anterior portion of the first stitch, and then a modified reverse Mason-Allen stitch with an ultra-high molecular weight polyethylene (UHMWPE) suture is made ( Figure 5 ) [ 38 , 74 , 106 ]. We expect this horizontal loop stitch to increase the contact area of the meniscus-to-bone interface by pulling the meniscus, including its peripheral margin, from above.…”

Section: Author’s Treatment Strategies For Mmrtsmentioning

confidence: 99%

Medial Meniscus Posterior Root Tear: How Far Have We Come and What Remains?

et al. 2023

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Medial meniscus posterior root tears (MMRTs), defined as tears or avulsions that occur within 1 cm of the tibial attachment of the medial meniscus posterior root, lead to biomechanically detrimental knee conditions by creating a functionally meniscal-deficient status. Given their biomechanical significance, MMRTs have recently been gaining increasing interest. Accordingly, numerous studies have been conducted on the anatomy, biomechanics, clinical features, diagnosis, and treatment of MMRTs, and extensive knowledge has been accumulated. Although a consensus has not yet been reached on several issues, such as surgical indications, surgical techniques, and rehabilitation protocols, this article aimed to comprehensively review the current knowledge on MMRTs and to introduce the author’s treatment strategies.

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Section: Author’s Treatment Strategies For Mmrtsmentioning

confidence: 99%

Medial Meniscus Posterior Root Tear: How Far Have We Come and What Remains?

et al. 2023

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Suture tapes show superior biomechanical properties and greater meniscal healing compared to conventional sutures in posterior meniscal root tear repairs: A systematic review

Boksh,

Shepherd,

Espino

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThis study aims to perform a systematic review to determine whether ultra‐high molecular weight polyethylene (UHMWPE) tapes have superior biomechanical properties compared to conventional sutures in posterior meniscal root tear (PMRT) repairs, and whether this translates into superior clinical outcomes.MethodsThe Cochrane Controlled Register of Trials, PubMed and Embase were used to perform a systematic review using the following search terms: (meniscus OR meniscal) AND (root OR posterior horn) AND (suture OR tape OR wire OR cord). Data pertaining to certain biomechanical properties (load to failure, stiffness, displacement during cyclical loading and at failure), meniscal healing and patient‐reported outcome measures (PROMs) were extracted.ResultsSeven biomechanical and two clinical studies were included. There were 232 knees for biomechanical testing: 81 with UHMWPE tapes and 151 with conventional sutures (133 with UHMWPE sutures and 18 with Ethibond [Ethicon]). Testing set‐up was similar across studies, but there were differences in repair techniques, including suture configuration, location and method of fixation. In general, the consensus was that tapes had a higher load to failure and stiffness, with similar displacement at failure to that of UHMWPE sutures. A similar trend was also observed when tapes were compared to Ethibond, except for FiberTape (Arthrex). This particular UHMWPE tape showed greater displacement during cyclical loading, resulting from knot slippage. Clinically, there were 73 patients, 41 with UHMWPE tapes and 32 with either UHMWPE sutures (n = 18) or braided polyester sutures (n = 14). Tapes led to greater meniscal healing 1 year postoperatively, with PROMs similar across groups.ConclusionsUHMWPE tapes generally demonstrated superior biomechanical properties compared to conventional sutures in PMRT repairs with a simple stitch configuration. However, further biomechanical studies are required to determine the extent to which tapes contribute to the repaired construct, especially with more complex repair configurations, as the existing evidence displayed a notable amount of methodological heterogeneity.Level of EvidenceLevel IV systematic review of level IV evidence.

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Author Reply to ”Regarding ‘Outcomes of Arthroscopic All-Inside Repair Are Improved Compared to Transtibial Pull-Out Repair of Medial Meniscus Posterior Root Tears’”

Yoon

Park

2023

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Clinical evaluation of suture materials for transtibial pullout repair of medial meniscus posterior root tear

Cited by 4 publications

References 28 publications

Medial Meniscus Posterior Root Tear: How Far Have We Come and What Remains?

Medial Meniscus Posterior Root Tear: How Far Have We Come and What Remains?

Suture tapes show superior biomechanical properties and greater meniscal healing compared to conventional sutures in posterior meniscal root tear repairs: A systematic review

Author Reply to ”Regarding ‘Outcomes of Arthroscopic All-Inside Repair Are Improved Compared to Transtibial Pull-Out Repair of Medial Meniscus Posterior Root Tears’”

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