title: Evaluation of success of a meniscus repair device for vertical unstable medial meniscus tears in ACL-reconstructed knees.
abstract: We retrospectively reviewed the success of meniscus repair with the FasT-Fix meniscus repair device for vertical unstable medial meniscus tears at the time of anterior cruciate ligament (ACL) reconstruction. A repair failure was defined as patients having medial knee symptoms leading to a subsequent arthroscopy confirming a tear at the repair site. Objective follow-up was obtained on 27 patients at a mean of 3.1 years postoperatively (range, 2-5 years). Two of 22 repairs (9%) in the red-red vascular zone and 4 of 5 repairs (80%) in the red-white vascular zone retore at the repair site at an average of 9 months postoperatively (range, 3-20 months). The results of this study showed a high failure rate (22%) of unstable vertical medial meniscus repairs with ACL reconstruction, especially for repairs done to tears in the red-white vascular zone.
authors.affiliation: Portland Knee Clinic, Portland, Oregon 97213, USA.
authors.forename: Alex
authors.initials: A
authors.lastname: DeHaan
authors.forename: Richard A
authors.initials: RA
authors.lastname: Rubinstein
authors.forename: James L
authors.initials: JL
authors.lastname: Baldwin
mesh_terms: D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D002648:Child; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis* / Q000601:surgery*; D007718:Knee Injuries / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D012189:Retrospective Studies; D000070600:Tibial Meniscus Injuries; D016896:Treatment Outcome; D055815:Young Adult