This paper is only available as a PDF. To read, Please Download here.
Summary
Fifty-seven patients, 45 males and 12 females with a median age of 23 years (range
8–56), underwent meniscal refixation by suture from 1986 through 1991. We used an
arthroscopic outside-in technique with PDS sutures through injection cannulas. Thirty-six
knees were stable and 21 had anterior cruciate insufficiency, five of which were subjected
to surgery concomitantly with patellar tendon reconstruction and two of which were
subjected to surgery at a later occasion. Fifty-one patients could be evaluated at
a follow-up time of 2 months to 5.5 years (median 1.5, mean 2), and calculations were
made using the BMDP statistical package and the Kaplan-Meier survival analysis. No
serious complications were encountered. Twenty patients (39%) have undergone reoperation
because of meniscal rerupturing. At 5 years, the cumulative survival rate is 50%.
Smaller (posterior) lesions healed better than did more extensive lesions. No statistical
influence of factors such as medial or lateral localization, age of patient or lesion,
present displacement of meniscus, instability of the knee, or experience of the surgeon
was evident.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ArthroscopyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Knee joint changes after meniscectomy.J Bone Joint Surg [Am]. 1948; 51: 664-670
- Late degenerative changes after meniscectomy.J Bone Joint Surg [Br]. 1984; 66: 666-671
- Arthroskopische Chirurgie: Meniskusrefixation und Meniskusheilung.Orthopade. 1990; 19: 82-89
- Open meniscus repair. Technique and two to nine year results.Am J Sports Med. 1989; 17: 788-795
- Knee function after meniscus repair and total meniscectomy—a 7-year follow-up study.Arthroscopy. 1987; 3: 166-169
- Arthroscopic meniscal repair with two-year follow-up: a clinical review.Arthroscopy. 1988; 4: 168-173
- Arthroscopic meniscal repair evaluated by second-look arthroscopy.Am J Sport Med. 1991; 19: 632-637
- Arthroscopic meniscal repair: a soft approach to the posterior horns.Arthroscopy. 1986; 2: 3-12
- Dixon WJ BMDP statistical software. University of California Press, Berkeley, CA1990
- A comparison between arthroscopic meniscectomy and modified open meniscectomy.J Bone Joint Surg [Br]. 1984; 66: 189-192
- Meniscus repair: results of an arthroscopic technique.Arthroscopy. 1987; 3: 25-30
- 82 arthroskopische Meniskusrefixationen und Nachuntersuchungergebnisse.Zentralbl Chir. 1989; 114: 1521-1525
- The arthroscopic meniscal repair. Technique and clinical experience.Am J Sport Med. 1988; 16: 137-142
- Arthroscopic meniscal repair.Clin Sports Med. 1990; 9: 589-607
- Long-term assessment of arthroscopic meniscal repair: a two- to six-year follow-up study.Arthroscopy. 1990; 6: 73-78
- Combined posterior incision and arthroscopic intra-articular repair of the meniscus. An examination of factors affecting healing.J Bone Joint Surg [Am]. 1986; 68: 847-861
Article info
Identification
Copyright
© 1994 Arthroscopy Association of North America. All rights reserved. Published by Elsevier Inc.
