The all-inside all-suture technique demonstrated better biomechanical behaviors in meniscus radial tear repair

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Timothy DoigStephen Lemos

Abstract

The purpose of this study was to evaluate the effectiveness of three constructs and techniques for repair of radial tears of the meniscus. Thirty fresh frozen porcine menisci were divided equally into three groups consisting of (1) inside-out repair group, (2) a commonly used all-inside suture with anchor hybrid repair construct (AISAH) (Meniscal Cinch™), and (3) an all-inside all-suture repair construct (AIAS) (Knee Scorpion™). Radial tears were created and repaired and then the menisci were secured to the materials testing machine. Both cyclic loading and load-to-failure testing were performed. The displacement, stiffness, response to cyclic loading, and mode of failure were recorded and analyzed statistically. The displacement after cyclic loading (DACL) of the Cinch repair construct group was significantly higher than that of the inside-out repair construct group (p = 0.000) and AIAS repair construct (p = 0.000). There was not a statistical difference of DACL between inside-out and AIAS groups (n.s.). The inside-out construct failed at a significantly higher load than the AISAH repair construct (p = 0.000) and AIAS construct (p = 0.006). The AIAS construct failed at a significantly higher load than the AISAH repair construc...Continue Reading

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Citations

Oct 8, 2020·Journal of Experimental Orthopaedics·Guanqi HangDenny Tijauw Tjoen Lie

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