Dataset Information

All-Inside Arthroscopic Meniscal Stacked Suture Repair for Hypermobile Lateral Meniscus With FASTFIX 360.

ABSTRACT: Even though inside-out repair of meniscal tears is still the gold standard, the need for a posterior incision is a certain disadvantage of this approach. However, all-inside arthroscopic meniscal stacked suture repair can be performed for hypermobile lateral meniscus using all-inside devices and slotted canula. This technique is able not only to reduce surgical invasion but also preserve meniscal mobility, since sutures are placed on the peripheral area of the lateral meniscus. To successfully use the devices required for this procedure, surgeons must understand proper insertion techniques. The purpose of this Technical Note is to demonstrate this technique using FASTFIX 360.

SUBMITTER: Takahashi T

PROVIDER: S-EPMC8322567 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature

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All-Inside Arthroscopic Meniscal Stacked Suture Repair for Hypermobile Lateral Meniscus With FASTFIX 360.

Takahashi Tsuneari T Kimura Masashi M Takeshita Katsushi K

Arthroscopy techniques 20210620 7

Even though inside-out repair of meniscal tears is still the gold standard, the need for a posterior incision is a certain disadvantage of this approach. However, all-inside arthroscopic meniscal stacked suture repair can be performed for hypermobile lateral meniscus using all-inside devices and slotted canula. This technique is able not only to reduce surgical invasion but also preserve meniscal mobility, since sutures are placed on the peripheral area of the lateral meniscus. To successfully u ...[more]

PMID: 34336573

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Project description:With an increased appreciation of the importance an intact meniscus has on normal knee kinematics and function, more meniscal tears are being treated with a repair rather than partial meniscectomy. There are several techniques for repairing torn meniscal tissue, including the outside-in, inside-out, and all-inside repairs. Each technique comes with its advantages and drawbacks. The inside-out and outside-in techniques allow for greater control of the repair using knots outside the joint capsule; however, they pose a risk for neurovascular injury and require additional incisions. Arthroscopic all-inside repairs have seen increasing popularity, but with current techniques, fixation is achieved either with intra-articular knots or extra-articular implants, leading to variable outcomes and the potential for postoperative complications. This technical note describes the use of SuperBall, an all-inside meniscus repair device that provides an all-arthroscopic approach, no intraarticular knots or implants, and surgeon-guided tensioning of the meniscus repair. Technique Video Video 1 Tear of the right lateral meniscus posterior horn repaired with the SuperBall repair device. Right leg is placed in figure-four position, and tear is visualized with an arthroscope via the lateral portal. The Superball depth limiter is adjusted to 16 mm and inserted into medial portal. Red safety button depressed and delivery needle are lowered to desired depth. The first suture bundle is deployed at desired location using the system trigger. Needle is repositioned to the second location for suture bundle, and trigger is pressed until hard stop is felt. Device is then repeatedly triggered until sufficient tension is achieved, and meniscal tear is reduced. Red suture cutting button is depressed, and the blue Superball pusher is retracted to rear position and pushed back down to initial position to deploy Superball suture tail on the peripheral side of the meniscus. The green actuating suture is gently pulled to secure repair, the device is removed, and the suture is cut flush with meniscus. The 2nd SuperBall device is used a few millimeters posterior to the first.

Dataset Information

All-Inside Arthroscopic Meniscal Stacked Suture Repair for Hypermobile Lateral Meniscus With FASTFIX 360.

Publications

All-Inside Arthroscopic Meniscal Stacked Suture Repair for Hypermobile Lateral Meniscus With FASTFIX 360.

Similar Datasets

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