The FasT-Fix Repair Technique for Ramp Lesion of the Medial Meniscus

Overview

Journal Knee Surg Relat Res

Publisher Biomed Central

Date 2015 Mar 10

PMID 25750895

Citations 31

Authors

Wei-Ping Li

Zhong Chen

Bin Song

Rui Yang

Weiquan Tan

Affiliations

Soon will be listed here.

Abstract

Introduction: This technical note describes a new arthroscopic technique to repair the peripheral attachment lesion of the posterior horn of the medial meniscus. The operation was performed under arthroscopy using a standard anterior portal.

Surgical Technique: A FasT-Fix needle was inserted obliquely close to the tibial plateau and the first implant was inserted into the joint capsule depending on its bending angle underneath the meniscus. The second implant was inserted through 1/3 periphery of the meniscus into the meniscocapsular area. The pre-tied self-sliding knot was tensioned to achieve secure fixation of the posterior meniscal peripheral attachment at the original attachment point.

Materials And Methods: From August 2011 to February 2014, 23 knees were diagnosed as ramp lesion, underwent meniscal repair using FasT-Fix technique.

Results: All patients were followed up for average 14 months. The Lysholm score improved from preoperative 64.4±4.52 to postoperative 91.2±4.60.

Conclusions: We believe that the FasT-Fix technique via the standard anterior portal can be a more convenient and less traumatic alternative for repair of the peripheral attachment lesion of the posterior horn of the medial meniscus in the anterior cruciate ligament deficient knee.

Citing Articles

Approaching ramp lesions from the different world of posterior knee compartment: A review of evidence with a proposal of a new classification and treatment.

Keyhani S, Mirahmadi A, Maleki A, Vosoughi F, Verdonk R, LaPrade R J Exp Orthop. 2024; 11(4):e70018.

PMID: 39371429 PMC: 11450316. DOI: 10.1002/jeo2.70018.

How to repair medial meniscal ramp lesions: A systematic review of surgical techniques.

Pizza N, Urda L, Sanchez F, Ibanez M, Zaffagnini S, Perelli S J Exp Orthop. 2024; 11(3):e12037.

PMID: 38887657 PMC: 11180972. DOI: 10.1002/jeo2.12037.

Biomechanical characteristics of the meniscocapsular junction of the posterior segment of the medial meniscus.

Nicolas Q, Samargandi R, Calloch S, Dubrana F, Gunepin F, Di Francia R Eur J Orthop Surg Traumatol. 2024; 34(6):2915-2923.

PMID: 38809423 DOI: 10.1007/s00590-024-03987-7.

Searching for the Best Treatment for Ramp Lesions: A Systematic Review and Network Meta-Analysis.

Marin F, Soto J, Barahona M, Negrin R Cureus. 2023; 15(7):e41651.

PMID: 37435014 PMC: 10332486. DOI: 10.7759/cureus.41651.

Meniscus tears treatment: The good, the bad and the ugly-patterns classification and practical guide.

Simonetta R, Russo A, Palco M, Costa G, Mariani P World J Orthop. 2023; 14(4):171-185.

PMID: 37155506 PMC: 10122773. DOI: 10.5312/wjo.v14.i4.171.

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