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. 2013 Oct 19;48(5):448-454.
doi: 10.1016/j.rboe.2012.08.010. eCollection 2013 Sep-Oct.

Meniscal repair by all-inside technique with Fast-Fix device

Leonardo José Bernardes Albertoni  1 , Felipe Conrado Schumacher  2 , Matheus Henrique Araújo Ventura  2 , Carlos Eduardo da Silveira Franciozi  3 , Pedro Debieux  4 , Marcelo Seiji Kubota  1 , Geraldo Sérgio de Mello Granata  3 , Marcus Vinícius Malheiros Luzo  5 , Antônio Altenor Bessa de Queiroz  1 , Mario Carneiro Filho  6
Affiliations

Meniscal repair by all-inside technique with Fast-Fix device

Leonardo José Bernardes Albertoni et al. Rev Bras Ortop. .

Abstract
in English, Portuguese

Objective: The objective of this study is to evaluate the results and effectiveness of the technique of meniscal repair type all-inside using Fast-Fix device.

Methods: A retrospective cohort study evaluating 22 patients with meniscal surgery between January 2004 and December 2010 underwent meniscal repair technique for all-inside with the Fast-Fix device with or without ACL reconstruction. Function and quality of life outcomes were chosen by the IKDC and Lysholm score, before and postoperatively, and reoperation rates, relying to the time of final follow-up. Statistical analysis was performed using the Student's t test.

Results: The mean follow-up was 59 months (16-84). The Lysholm score showed 72% (16 patients) of excellent and good results (84-100 points), 27% (6 patients) fair (65-83 points) and no cases classified as poor (<64 points). According to the IKDC: 81% (18 patients) of excellent and good results (75-100 points), 18% of cases regular (50-75 points) and no patient had poor results (<50 points). There were no failures or complications.

Conclusion: The technique of meniscal repair type all-inside using the Fast-Fix device is safe and effective for the treatment of meniscal lesions in the red zone or red-white with or without simultaneous ACL reconstruction, with good and excellent results in most patients Level 4 Study.

Objetivo: Avaliar os resultados e a eficácia da técnica de reparo meniscal tipo all-inside com o uso do dispositivo FasT-Fix.

Métodos: Estudo de coorte retrospectivo com avaliação de 22 pacientes com lesão meniscal operados entre janeiro de 2004 e dezembro de 2010, submetidos ao reparo meniscal pela técnica all-inside com o dispositivo FasT-Fix e associados ou não à reconstrução do LCA. Função e qualidade de vida foram os desfechos escolhidos por meio dos questionários de Lysholm e IKDC, pré e pós-operatoriamente, além das taxas de reoperação, relevando-se o tempo de seguimento final. A análise estatística foi feita com o uso do teste t de Student.

Resultados: O tempo médio de seguimento foi de 59 meses (16–84). O escore de Lysholm apresentou 73% (16 pacientes) de excelentes e bons resultados (84–100 pontos), 27% (seis pacientes) regulares (65–83 pontos) e nenhum caso classificado como ruim (<64 pontos). Segundo o IKDC: 82% (18 pacientes) de excelentes e bons resultados (75–100 pontos); 18% de casos regulares (50–75 pontos) e nenhum paciente obteve resultados ruins (<50 pontos). Não ocorreram falhas ou complicações.

Conclusão: A técnica de reparo meniscal tipo all-inside com o uso do dispositivo FasT-Fix, nos pacientes avaliados, se mostrou eficaz e segura para o tratamento das lesões de menisco na zona vermelha ou zona vermelho-branca associada ou não à reconstrução simultânea do LCA e apresentou resultados bons e excelentes na maioria dos pacientes.

Keywords: Arthroscopy; Menisci tibial; Suture techniques.

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Figures

Fig. 1
Fig. 1
Insertion of the first implant, with the needle starting in the external portion of the meniscus and crossing the capsule.
Fig. 2
Fig. 2
Insertion of the second implant, with the needle entering the internal portion of the meniscus and crossing the capsule.
Fig. 3
Fig. 3
The two implants now positioned after the capsule and the knot pre-assembled on the thread, with the needle already withdrawn from the joint.
Fig. 4
Fig. 4
Tensioning of the suture, using a “knot pusher”, which served for cutting the thread later on.
See this image and copyright information in PMC

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