Outcomes of Arthroscopic Repair Using the All-inside Inter-leaf Vertical Suture Technique for Horizontal Meniscal Tears Sustained in Sports

Overview

Journal Medicine (Baltimore)

Specialty General Medicine

Date 2020 Oct 8

PMID 33031317

Citations 1

Authors

Satoru Atsumi

Kunio Hara

Yuji Arai

Aguri Kamitani

Shuji Nakagawa

Hiroaki Inoue

Toshikazu Kubo

Affiliations

Soon will be listed here.

Abstract

The aim of the study was to evaluate the outcomes of arthroscopic repair using the all-inside inter-leaf vertical suture arthroscopic technique for sports-related horizontal meniscal tears.The inter-leaf vertical suture procedure was performed to repair sports-related horizontal tears in the middle and posterior segments of the medial (11 cases) and lateral (2 cases) menisci in 13 patients (mean age: 30 ± 14 years). Pre- and post-operative Barrett criteria, Lysholm scores, and patient ability to resume sports were assessed. Magnetic resonance imaging (MRI) grades and signal intensity changes near the joint capsule were evaluated in the 9 cases among which pre- and post-operative MRI images were available.All Barrett criteria items were negative following surgery; Lysholm scores increased from 70.2 ± 13.1 before surgery to 98.9 ± 2.64 after surgery (P < .01). All patients were able to resume their sport. Preoperative MRI grade of tears was 3 for all patients; postoperative MRI grades were 1 in 3 cases, 2 in 4 cases, and 3 in 2 cases (P < .05). Importantly, MRI signal intensity at the repaired menisci near the joint capsule was reduced in 8 of these 9 cases postoperatively.The inter-leaf vertical suture procedure is associated with good outcomes for horizontal tears in the middle and posterior segments of the medial and lateral menisci. The procedure is useful and convenient.

Citing Articles

Patients with discoid menisci have similar clinical outcomes to those without discoid menisci when undergoing surgical intervention: a systematic review.

Diao Y, Vivekanantha P, Cohen D, Hoshino Y, Nagai K, de Sa D Knee Surg Sports Traumatol Arthrosc. 2023; 31(8):3369-3380.

PMID: 37016177 DOI: 10.1007/s00167-023-07398-9.

References

Fairbank T . Knee joint changes after meniscectomy. J Bone Joint Surg Br. 1948; 30B(4):664-70. View

Kurzweil P, Lynch N, Coleman S, Kearney B . Repair of horizontal meniscus tears: a systematic review. Arthroscopy. 2014; 30(11):1513-9. DOI: 10.1016/j.arthro.2014.05.038. View

Yim J, Seon J, Song E, Choi J, Kim M, Lee K . A comparative study of meniscectomy and nonoperative treatment for degenerative horizontal tears of the medial meniscus. Am J Sports Med. 2013; 41(7):1565-70. DOI: 10.1177/0363546513488518. View

Sullivan D, Levy I, Sheskier S, Torzilli P, Warren R . Medial restraints to anterior-posterior motion of the knee. J Bone Joint Surg Am. 1984; 66(6):930-6. DOI: 10.2106/00004623-198466060-00015. View

BARRETT G, Field M, Treacy S, Ruff C . Clinical results of meniscus repair in patients 40 years and older. Arthroscopy. 1998; 14(8):824-9. DOI: 10.1016/s0749-8063(98)70018-0. View

Kurosawa H, Fukubayashi T, Nakajima H . Load-bearing mode of the knee joint: physical behavior of the knee joint with or without menisci. Clin Orthop Relat Res. 1980; (149):283-90. View

Madhusudhan T, Kumar T, Bastawrous S, Sinha A . Clinical examination, MRI and arthroscopy in meniscal and ligamentous knee Injuries - a prospective study. J Orthop Surg Res. 2008; 3:19. PMC: 2429899. DOI: 10.1186/1749-799X-3-19. View

Pujol N, Bohu Y, Boisrenoult P, Macdes A, Beaufils P . Clinical outcomes of open meniscal repair of horizontal meniscal tears in young patients. Knee Surg Sports Traumatol Arthrosc. 2012; 21(7):1530-3. DOI: 10.1007/s00167-012-2099-y. View

Stein T, Mehling A, Welsch F, von Eisenhart-Rothe R, Jager A . Long-term outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears. Am J Sports Med. 2010; 38(8):1542-8. DOI: 10.1177/0363546510364052. View

10.

Chatain F, Robinson A, Adeleine P, Chambat P, Neyret P . The natural history of the knee following arthroscopic medial meniscectomy. Knee Surg Sports Traumatol Arthrosc. 2001; 9(1):15-8. DOI: 10.1007/s001670000146. View

11.

Petty C, Lubowitz J . Does arthroscopic partial meniscectomy result in knee osteoarthritis? A systematic review with a minimum of 8 years' follow-up. Arthroscopy. 2010; 27(3):419-24. DOI: 10.1016/j.arthro.2010.08.016. View

12.

Rubman M, Noyes F, Barber-Westin S . Arthroscopic repair of meniscal tears that extend into the avascular zone. A review of 198 single and complex tears. Am J Sports Med. 1998; 26(1):87-95. DOI: 10.1177/03635465980260013301. View

13.

Murakami K, Arai Y, Ikoma K, Kato K, Inoue H, Nakagawa S . Total resection of any segment of the lateral meniscus may cause early cartilage degeneration: Evaluation by magnetic resonance imaging using T2 mapping. Medicine (Baltimore). 2018; 97(23):e11011. PMC: 5999468. DOI: 10.1097/MD.0000000000011011. View

14.

Tiftikci U, Serbest S . Repair of isolated horizontal meniscal tears with all-inside suture materials using the overlock method: outcome study with a minimum 2-year follow-up. J Orthop Surg Res. 2016; 11(1):131. PMC: 5084447. DOI: 10.1186/s13018-016-0466-y. View

15.

Noyes F, Heckmann T, Barber-Westin S . Meniscus repair and transplantation: a comprehensive update. J Orthop Sports Phys Ther. 2011; 42(3):274-90. DOI: 10.2519/jospt.2012.3588. View

16.

Kato K, Arai Y, Ikoma K, Nakagawa S, Inoue H, Kan H . Early postoperative cartilage evaluation by magnetic resonance imaging using T2 mapping after arthroscopic partial medial meniscectomy. Magn Reson Imaging. 2015; 33(10):1274-1280. DOI: 10.1016/j.mri.2015.08.002. View

17.

Warren R, Levy I . Meniscal lesions associated with anterior cruciate ligament injury. Clin Orthop Relat Res. 1983; (172):32-7. View

18.

Gliatis J, Kouzelis A, Panagopoulos A, Lambiris E . Chondral injury due to migration of a Mitek RapidLoc meniscal repair implant after successful meniscal repair: a case report. Knee Surg Sports Traumatol Arthrosc. 2005; 13(4):280-2. DOI: 10.1007/s00167-004-0558-9. View

19.

Atsumi S, Hara K, Arai Y, Yamada M, Mizoshiri N, Kamitani A . A novel arthroscopic all-inside suture technique using the Fast-Fix 360 system for repairing horizontal meniscal tears in young athletes: 3 case reports. Medicine (Baltimore). 2018; 97(7):e9888. PMC: 5839842. DOI: 10.1097/MD.0000000000009888. View

20.

Baratz M, Fu F, Mengato R . Meniscal tears: the effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee. A preliminary report. Am J Sports Med. 1986; 14(4):270-5. DOI: 10.1177/036354658601400405. View