Meniscal repair using the FasT-Fix device in patients with chronic meniscal lesions.
The aim of this prospective study was to evaluate meniscal suturing using the FasT-Fix device for chronic meniscal tears. This procedure was carried out on 25 patients between 2006 and 2007. Nineteen patients were male and the median age was 31 (14-47) years. The median waiting time to surgery was 27 (6-80) months and the median follow-up was 20 (14-29) months. Eleven patients (44%) required reconstruction of an associated anterior cruciate ligament (ACL) injury. 20 patients (80%) showed medial meniscus tears. All tears were located in the red zone or red-white zone. According to Barett's criteria, meniscal tear healing was achieved in 21 patients (84%). Lysholm and Tegner scale scores improved from 60 (47-77) preoperatively to 95 (58-100) postoperatively and from 3 (2-6) preoperatively to 6 (3-9) postoperatively, respectively. There were no neurovascular complications. Revision surgery was necessary in one patient, in whom a partial meniscectomy was performed. The results obtained suggest that chronic meniscal tears in the zones described can be healed.
Department of Orthopedic and Trauma Surgery, Hospital Clínic, C/Vilarroell 170, 08036, Barcelona, Spain. drag_popescu@yahoo.es
Dragos
D
Popescu
Sergi
S
Sastre
Miguel
M
Caballero
Jin Woo Kim
JW
Lee
Ignasi
I
Claret
Montserrat
M
Nuñez
Luis
L
Lozano
D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy / Q000379:methods*; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery*; D008875:Middle Aged; D011446:Prospective Studies; D013536:Suture Techniques / Q000295:instrumentation*; D000070600:Tibial Meniscus Injuries; D016896:Treatment Outcome; D055815:Young Adult