What question did this study set out to answer?

To evaluate the mid-term clinical success and failure rates at a minimum of five years following meniscal repair with a second-generation all-inside repair system, both as an isolated procedure and with concomitant anterior cruciate ligament (ACL) reconstruction.

August 6, 2014Journal of Bone and Joint SurgeryOpen Access

Outcome of All-Inside Second-Generation Meniscal Repair

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Authors

LBLjiljana BogunovicWashington University in St. Louis LKLisa M. KruseUniversity of Wisconsin–Madison AHAmanda K. HaasVanderbilt University

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Implication

Retrospective review reveals an 84% mid-term success rate for all-inside meniscal repair, indicating durable joint preservation whether performed alone or with ACL reconstruction.

Key Points

To evaluate the mid-term clinical success and failure rates at a minimum of five years following meniscal repair with a second-generation all-inside repair system, both as an isolated procedure and with concomitant anterior cruciate ligament (ACL) reconstruction.
Retrospective review of 81 patients (83 repairs) treated with the FAST-FIX all-inside meniscal repair system between 1999 and 2007, with 75 repairs (90%) achieving follow-up.
Patients underwent either isolated meniscal repair (N=26, 35%) or concurrent ACL reconstruction, with a minimum follow-up duration of 5 years (mean, 7 years).
Failure was defined as repeat surgical resection or revision repair, with subjective outcomes tracked using KOOS, IKDC, and Marx activity scores.
Clinical failure occurred in 12 of 75 patients (16%) at an average of 47 months (range, 15 to 95 months) postoperatively, yielding an overall 84% success rate at a minimum of five years.
The failure rate was 12% (95% CI: -0.76% to 23.76%) for isolated repairs compared to 18% (95% CI: 7.47% to 29.13%) for repairs with concurrent ACL reconstruction.
Average time to failure did not differ significantly between isolated repairs and concurrent ACL reconstructions (48.1 months vs. 46.6 months, p = 0.939), with both groups showing comparable KOOS and IKDC scores.

Cite This Study

Bogunovic et al. (2014) studied this question.

synapsesocial.com/papers/6a962bcb55eea20735fb6f0e https://doi.org/10.2106/jbjs.m.00266

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Implication

Retrospective review reveals an 84% mid-term success rate for all-inside meniscal repair, indicating durable joint preservation whether performed alone or with ACL reconstruction.

Outcome of All-Inside Second-Generation Meniscal Repair

Discussion

Member takes

Implication

Key Points

Cite This Study

Outcome of All-Inside Second-Generation Meniscal Repair

Discussion

Member takes

Implication

Key Points

Cite This Study

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