TY - JOUR
T1 - The popliteus tendon provides a safe and reliable location for all-inside meniscal repair device placement
AU - Ouanezar, Hervé
AU - Blakeney, William G.
AU - Latrobe, Charles
AU - Saithna, Adnan
AU - Fernandes, Levi Reina
AU - Delaloye, Jean Romain
AU - Thaunat, Mathieu
AU - Sonnery-Cottet, Bertrand
N1 - Funding Information:
B.S.-C. is a paid consultant, receives royalties and research support, and has made presentations for Arthrex. M.T. is a paid consultant, receives research support, and has made presentations for Arthrex. A.S. is a paid consultant for Arthrex.
Publisher Copyright:
© 2018, European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA).
PY - 2018/12
Y1 - 2018/12
N2 - PURPOSE: Repairs of the posterior horn of the lateral meniscus can be technically challenging. In contrast to medial meniscus repairs, the capsule around the posterior segment attachment of the lateral meniscus is quite thin. This study evaluates the clinical results of an arthroscopic all-inside repair technique for unstable, vertical, lateral meniscus tears, using a suture repair placed directly into the popliteus tendon.METHODS: A retrospective analysis of prospectively collected data from the SANTI database was performed. All patients who had undergone combined ACL reconstruction with lateral meniscus all-inside repair, using sutures placed in the popliteus tendon, between 2011 and 2015, were included. Patients were reviewed clinically at 1 and 2 years' follow-up. At final follow-up, all patients were contacted to identify if they underwent further surgery or had knee pain, locking or effusion. Symptomatic patients were recalled for clinical evaluation by a physician and Magnetic Resonance Imaging of the knee. Operative notes for those undergoing further surgery were reviewed and rates and type of re-operation, including for failed lateral meniscal repair were recorded.RESULTS: Two hundred patients (mean age 28.6 ± 10.2 years) with a mean follow-up of 45.5 ± 12.8 months (range 24.7-75.2) were included. The mean Subjective International Knee Documentation Committee (IKDC) at final follow-up was 85.0 ± 11.3. The post-operative mean side-to-side laxity measured at 1 year was 0.6 ± 1.0 mm. Twenty-six patients underwent re-operation (13%) at a mean follow-up of 14.8 ± 7.8 months. The ACL graft rupture rate was 5.0%. Other causes for re-operation included medial meniscus tear (2.5%), cyclops lesion (1.5%) and septic arthritis (0.5%). The lateral meniscus repair failure rate was 3.5%. No specific complications relating to placement of sutures in the popliteus tendon were identified.CONCLUSION: Arthroscopic all-inside repair of unstable, vertical, lateral meniscus tears using a suture placed in the popliteus tendon is a safe technique. It is associated with a very low failure rate with no specific complications.LEVEL OF EVIDENCE: Level IV.
AB - PURPOSE: Repairs of the posterior horn of the lateral meniscus can be technically challenging. In contrast to medial meniscus repairs, the capsule around the posterior segment attachment of the lateral meniscus is quite thin. This study evaluates the clinical results of an arthroscopic all-inside repair technique for unstable, vertical, lateral meniscus tears, using a suture repair placed directly into the popliteus tendon.METHODS: A retrospective analysis of prospectively collected data from the SANTI database was performed. All patients who had undergone combined ACL reconstruction with lateral meniscus all-inside repair, using sutures placed in the popliteus tendon, between 2011 and 2015, were included. Patients were reviewed clinically at 1 and 2 years' follow-up. At final follow-up, all patients were contacted to identify if they underwent further surgery or had knee pain, locking or effusion. Symptomatic patients were recalled for clinical evaluation by a physician and Magnetic Resonance Imaging of the knee. Operative notes for those undergoing further surgery were reviewed and rates and type of re-operation, including for failed lateral meniscal repair were recorded.RESULTS: Two hundred patients (mean age 28.6 ± 10.2 years) with a mean follow-up of 45.5 ± 12.8 months (range 24.7-75.2) were included. The mean Subjective International Knee Documentation Committee (IKDC) at final follow-up was 85.0 ± 11.3. The post-operative mean side-to-side laxity measured at 1 year was 0.6 ± 1.0 mm. Twenty-six patients underwent re-operation (13%) at a mean follow-up of 14.8 ± 7.8 months. The ACL graft rupture rate was 5.0%. Other causes for re-operation included medial meniscus tear (2.5%), cyclops lesion (1.5%) and septic arthritis (0.5%). The lateral meniscus repair failure rate was 3.5%. No specific complications relating to placement of sutures in the popliteus tendon were identified.CONCLUSION: Arthroscopic all-inside repair of unstable, vertical, lateral meniscus tears using a suture placed in the popliteus tendon is a safe technique. It is associated with a very low failure rate with no specific complications.LEVEL OF EVIDENCE: Level IV.
KW - ACL rupture
KW - All-inside repair
KW - Lateral meniscus tears
KW - Meniscal repair
KW - Popliteus tendon
UR - https://www.scopus.com/pages/publications/85044950651
U2 - 10.1007/s00167-018-4889-3
DO - 10.1007/s00167-018-4889-3
M3 - Article
C2 - 29502169
SN - 0942-2056
VL - 26
SP - 3611
EP - 3619
JO - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JF - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
IS - 12
ER -