Complications of meniscal repair

Edelson, Richard H.; Katchis, Stuart D.; Parker, Richard D.

doi:10.1016/1060-1872(94)90019-1

Cited by 5 publications

(3 citation statements)

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“…The concept of using an arthroscopic device for meniscus fixation as a substitute for sutures is very appealing. Such a device might diminish the operative time and avoid the complications of sutures, which include vascular and nerve injury [3,8,11,12,16] and posterior capsule entrapment [8]. Morgan [14], while attempting to minimize these complications, developed the "all-inside" meniscus repair technique with sutures (PDS) using specially designed instrumentation.…”

Section: Discussionmentioning

confidence: 99%

“…Many experimental and clinical publications have indicated that partial or total meniscectomy produces derangement of knee function [2,5]. As a consequence of this, degenerative changes in the articular cartilage [6,10] and early osteoarthritis of the knee may develop [8,15]. Many orthopedic surgeons, therefore, prefer to repair rather than excise a damaged meniscus whenever possible.…”

Section: Introductionmentioning

confidence: 99%

“…Many orthopedic surgeons, therefore, prefer to repair rather than excise a damaged meniscus whenever possible. Repair of meniscal tears is currently achieved with sutures using the "inside-out," "outside-in," or "inside-inside" techniques, but complications including vascular [8,11,15] and nerve [3,8,12] injuries have been described. Thus, there is an obvious need for an alternative repair technique and/or device that avoids these problems.…”

Section: Introductionmentioning

confidence: 99%

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Meniscal fixation with an absorbable staple

Koukoubis

Glisson

Feagin

et al. 1997

Knee Surgery, Sports Traumatology, Arthroscopy

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An absorbable staple for meniscal fixation was developed and evaluated in an in vivo canine study. The staple consisted of two rigid barbed legs, made of a copolymer of polyglycolic acid and polylactic acid, connected by a flexible suture made of the same absorbable material. The staple was developed for arthroscopic use, eliminating the risk of nerve or vascular injuries associated with suture fixation. Eighty-two mongrel dogs underwent meniscal repair in this study, which was performed in two sequential parts. An incision was made in the medial meniscus at the peripheral third and was fixed with either the staple or with a single 3-0 PDS suture. The animals from the first part of the study, in which the biocompatibility of a prototype staple design, was evaluated were sacrificed at 3 days, 2 weeks, 6 weeks, 3 months, and 9 months. Those from the second part of the study, in which an improved staple design of the same material, was evaluated were sacrificed at 6 weeks, 4 months, and 1 year. The operated menisci were either examined histologically or were mechanically tested for tensile strength. Absorption of the staple began by 3 months and was almost complete by 1 year. Mechanically, the staple provided greater tensile strength augmentation of the meniscus than suture fixation for up to 4 months. In the long term, there was no difference between the staple and suture in enhancement of healing.

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