Meniscus Suture Repair

Steadman, J. Richard; Matheny, Lauren M.; Singleton, Steven B.; Johnson, Nicholas S.; Rodkey, William G.; Crespo, Bernardo; Briggs, Karen K.

doi:10.1177/0363546515591260

Cited by 81 publications

(42 citation statements)

References 25 publications

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“…Considering that horizontal tears are common in patients aged 40 years or older, in a recent study comparing the results of meniscus repair in a cohort of patients aged 40 years or older versus a cohort younger than 40 years, Steadman et al. 11 provided valuable evidence supporting repair. They found no significant differences in repair failure rates or outcome scores between the 2 groups, with a minimum follow-up period of 10 years and an average follow-up period of 16 years.…”

Section: Discussionmentioning

confidence: 99%

Vertical Lasso and Horizontal Lasso Sutures for Repair of Horizontal Cleavage and Horizontal Oblique Meniscal Tears: Surgical Technique and Indications

Brooks

2017

Arthroscopy Techniques

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Horizontal cleavage and horizontal oblique meniscal tears have traditionally been treated with partial meniscectomy. Recent research has shown the deleterious long-term effects of meniscectomy in these patients regarding the development of osteoarthritis. Meniscal preservation is thus the preferred method of surgical treatment in patients with these tears. However, traditional repair techniques using inside-out sutures or suture anchor–based devices do not address the horizontally aligned nature of these particular tears and thus do not compress the meniscal tissue in the correct plane. The recent development of an arthroscopic suture-passing system now allows surgeons to place arthroscopic sutures in any pattern or direction. This allows surgeons to treat tears of any type with sutures ideally placed to repair the given tears. This Technical Note describes and demonstrates 2 all-suture, all-inside, arthroscopic meniscus repair techniques to treat these challenging horizontal tear types. The repair techniques are named the vertical lasso and horizontal lasso.

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Section: Discussionmentioning

confidence: 99%

Vertical Lasso and Horizontal Lasso Sutures for Repair of Horizontal Cleavage and Horizontal Oblique Meniscal Tears: Surgical Technique and Indications

Brooks

2017

Arthroscopy Techniques

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“…Steadman et al. 14 looked at long-term follow-up (minimum, 10 years) of meniscal repairs in a population aged 40 years or older and compared this with meniscal repairs performed in a younger population. The failure rate at 10 years was 5.5% in the younger group and 5.3% in the older group.…”

Section: Discussionmentioning

confidence: 99%

All-inside Arthroscopic Meniscal Repair Technique Using a Midbody Accessory Portal

Hendrix

Kwapisz

Wyland

2017

Arthroscopy Techniques

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Treatment of symptomatic meniscal tears continues to evolve as we improve our understanding of the biomechanical role of the meniscus and its long-term importance to the health of the knee joint. Suture repair of meniscal tears is challenging, yet the incidence of repairs among our colleagues continues to rise as we aim to preserve meniscal tissue. Many elements of performing a repair are tedious and difficult, including proper meniscal preparation, reduction, mattress suture placement, and fixation. The tear pattern and location present another layer of difficulty. The most widely used all-inside repair devices are harpoon-style devices and present their own challenges in using them without causing harm to the meniscus and surrounding cartilage. In this article, we describe a simple all-inside meniscal repair technique to improve the reproducibility and reliability of meniscal repairs using an accessory midbody meniscal portal and a surgical probe. This ensures proper placement of mattress sutures in a reduced meniscus, with a reduced risk of collateral injury to the meniscus and articular cartilage. Furthermore, this surgical technique is adaptable to any meniscal fixation method to the medial or lateral meniscus.

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“…Based on this knowledge, previously developed regenerative-medicine-based meniscus therapy options have focused on successful repair strategies, such as meniscus suturing that has been established in the clinical routine for peripheral meniscus lesions in the vascular area [14,15]. However, due to the poor intrinsic regenerative potential in the avascular meniscus areas, partial meniscectomy still remains the main treatment option in meniscus surgery [16,17,18].…”

Section: Introductionmentioning

confidence: 99%

Bone Marrow Aspirate Concentrate for the Treatment of Avascular Meniscus Tears in a One-Step Procedure—Evaluation of an In Vivo Model

Koch

Hammer

Fuellerer

et al. 2019

IJMS

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Avascular meniscus tears show poor intrinsic regenerative potential. Thus, lesions within this area predispose the patient to developing knee osteoarthritis. Current research focuses on regenerative approaches using growth factors or mesenchymal stem cells (MSCs) to enhance healing capacity within the avascular meniscus zone. The use of MSCs especially as progenitor cells and a source of growth factors has shown promising results. However, present studies use bone-marrow-derived BMSCs in a two-step procedure, which is limiting the transfer in clinical praxis. So, the aim of this study was to evaluate a one-step procedure using bone marrow aspirate concentrate (BMAC), containing BMSCs, for inducing the regeneration of avascular meniscus lesions. Longitudinal meniscus tears of 4 mm in size of the lateral New Zealand White rabbit meniscus were treated with clotted autologous PRP (platelet-rich plasma) or BMAC and a meniscus suture or a meniscus suture alone. Menisci were harvested at 6 and 12 weeks after initial surgery. Macroscopical and histological evaluation was performed according to an established Meniscus Scoring System. BMAC significantly enhanced regeneration of the meniscus lesions in a time-dependent manner and in comparison to the PRP and control groups, where no healing could be observed. Treatment of avascular meniscus lesions with BMAC and meniscus suturing seems to be a promising approach to promote meniscus regeneration in the avascular zone using a one-step procedure.

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Meniscus Suture Repair

Cited by 81 publications

References 25 publications

Vertical Lasso and Horizontal Lasso Sutures for Repair of Horizontal Cleavage and Horizontal Oblique Meniscal Tears: Surgical Technique and Indications

Vertical Lasso and Horizontal Lasso Sutures for Repair of Horizontal Cleavage and Horizontal Oblique Meniscal Tears: Surgical Technique and Indications

All-inside Arthroscopic Meniscal Repair Technique Using a Midbody Accessory Portal

Bone Marrow Aspirate Concentrate for the Treatment of Avascular Meniscus Tears in a One-Step Procedure—Evaluation of an In Vivo Model

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