English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Objectives: In the setting of injury, meniscal repair and preservation is the goal when possible. Current research on second generation all-inside repair systems is limited to a maximum of three year follow-up. The purpose of this study is to evaluate the long-term (> 5 years) clinical success of isolated meniscal repairs and those performed with concomitant ACL reconstruction using a second generation all-inside repair device. Methods: This a retrospective review of patients who underwent meniscal repair utilizing the all-inside FasT-Fix meniscal repair system (Smith & Nephew Arthroscopy, Andover, MA) between December 1999 and January 2007. Eighty-three meniscal repairs in 81 patients were identified and follow-up was obtained in 90%. Twenty-six patients (35%) had isolated meniscal repair. Clinical failure was defined as repeat surgical intervention involving resection or revision repair. Clinical outcomes (KOOS, IKDC, Marx Activity) were also assessed. Results: Minimum follow-up was 5 years (avg. 7 years). Twelve patients failed meniscal repair (16%). The average time to failure was 47 months (range, 15 - 94). There was no difference in average patient age, sex or number of sutures utilized between successful repairs and failures. There was no difference in failure rate between isolated repairs (11.5% CI: -0.76%-23.76%) and those performed with concurrent ACL reconstruction (18.3% CI: 7.47%-29.13%) and the average time to failure was similar between these two groups (48.1 months versus 46.6 months, p=0.243). Postoperative outcome scores were also similar (KOOS and IKDC). Conclusion: This first report of long term (> 5 yrs) follow-up of second generation all-inside meniscal repair demonstrates it is an effective method of primary meniscal repair for both isolated repairs and those performed with concurrent ACL reconstruction. After minimum five year follow-up, over 84% of patients continue to demonstrate successful repair. Treatment success is further supported by favorable results on patient based outcome measures.

Outcome of All-Inside Second Generation Meniscal Repair: Minimum 5-year Follow-up