Determination of the Safe Penetration Depth During All-inside Meniscal Repair of the Posterior Part of the Lateral Meniscus Using the FasT-Fix Suture Repair System

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2011 Apr 7

PMID 21468617

Citations 10

Authors

Mohamed Mahmoud Abouheif

Hayatoshi Shibuya

Takuya Niimoto

Wirat Kongcharoensombat

Masataka Deie

Nobuo Adachi

Mitsuo Ochi

Affiliations

Soon will be listed here.

Abstract

Purpose: The objective of this study was to determine the safe penetration depth of the FasT-Fix meniscal suture repair system during all-inside repair of the posterior part of the lateral meniscus.

Methods: Thirty-one knees from 17 embalmed and formalin-fixed cadavers (11 women, 6 men) were used. In each case, the circumference of the cadaver knee was measured before dissection. After dissection, 41 Fast-Fix meniscal repair devices were used in different predetermined penetration depths ranging from 8 to 16 mm. In this study, non-involvement of the popliteal neurovascular bundle, common peroneal nerve or the inferior lateral genicular vessels by either needle penetration or affixment by the suture bar anchors was considered to be a safe trial.

Results: Out of the 41 FasT-Fix devices used in this study, only one device bent during introduction and was excluded from the study. For the remaining 40 trials, 27 of them were considered safe, while 13 trials were considered unsafe. The ratio of the average penetration depth to the average circumference of the cadaver knee was found to be >0.05 for the unsafe penetrations, and this was statistically significant P < 0.05. Additionally, for the first point, which is more central, there was a trend for the straight needles through the direct lateral approach to be less safe, and this was found to be statistically significant P < 0.05.

Conclusions: Correlating the needle-penetration depth to the measured circumference of the cadaver knee may be an important clinical predictor of safety whereby a ratio of less than 0.05 might be useful as a guide to determine the safe penetration depth of the FasT-Fix suture repair needle during repair of the posterior horn lateral meniscus. Also, it is better to avoid using straight needles through the direct lateral approach during repair of the more central portion of the posterior horn lateral meniscus.

Citing Articles

Identifying Risk Zones for Neurovascular Injury in Pediatric All-Inside Arthroscopic Lateral Meniscal Repair.

Houston A, McDonald C, Eck A, Kotzur T, Momtaz D, Heath D Orthop J Sports Med. 2025; 13(3):23259671241304817.

PMID: 40052185 PMC: 11881937. DOI: 10.1177/23259671241304817.

Lateral Meniscal Tears Can be Safely Repaired "All-Inside" Without Peroneal Nerve Injury: Case Series and Literature Review.

Lassiter E, Farmer N, Lee A, Mustapha R, Yatsonsky D, Sohn D J Orthop Case Rep. 2024; 14(12):148-153.

PMID: 39669039 PMC: 11632516. DOI: 10.13107/jocr.2024.v14.i12.5054.

Tough gel adhesive is an effective method for meniscal repair in a bovine cadaveric study.

Mazy D, Chung-Tze-Cheong C, Ma Z, Huo R, Lamer S, Li J J Exp Orthop. 2023; 10(1):139.

PMID: 38095758 PMC: 10721589. DOI: 10.1186/s40634-023-00691-z.

No risk of iatrogenic peroneal nerve injury in all-inside lateral meniscal repair with either 14- or 18-mm needles through the popliteus tendon in the standard arthroscopic knee conditions.

Asavanapakas P, Boonsri P, Parinyakhup W, Boonriong T, Chuaychoosakoon C Knee Surg Sports Traumatol Arthrosc. 2022; 31(6):2331-2337.

PMID: 36581681 DOI: 10.1007/s00167-022-07297-5.

The Popliteal Artery is Safe in Medial Meniscal Repair Using All Inside Devices in Adults: An MRI-Based Simulation Study.

Shamseer C, Nizaj N, Thomas A, Kandathil J, Theruvil B Indian J Orthop. 2022; 56(12):2077-2085.

PMID: 36507197 PMC: 9705615. DOI: 10.1007/s43465-022-00755-9.

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