2017 ISAKOS Biennial Congress ePoster #1349

 

Analysis Of All-Inside Versus Outside In Technique For Repairing Meniscal Tears: A Prospective Study

Neeraj A. Adkar, DNB, D.Ortho, MBBS, Pune, Maharashtra INDIA
SaiShree Orthopedic Superspeciality & Joint Replacement Centre, Pune, Maharashtra, INDIA

FDA Status Cleared

Summary

Clinical as well as radiological outcomes of all inside technique are comparable with outside in technique.

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Abstract

Background

A meniscus tear is a common knee injury. All-inside meniscal repair techniques is one of the effective technique. The advantages of an all-inside technique include short operating time, easier technique, and potentially lower risk of neurovascular lesions, especially when posterior horns are involved.

Aim

To compare clinical and radiological outcomes of Meniscal injury repair using an all-inside technique and traditional outside in suture technique.

Methodology

A prospective study was carried out from January 2014 to December 2015 at Private Orthopedics Hospital in Pune city, India. 140 Patients with tears in the posterior horn or the body of the meniscus who underwent closed meniscus repair were divided in two groups: 70 managed by an outside in technique; and 70 managed by an all-inside technique. All patients underwent the same postoperative program of partial weight bearing, immediate motion, and rehabilitation of the knee. Patients were evaluated postoperatively and on regular follow up based on the International Knee Documentation Committee score, clinical examination, and magnetic resonance imaging. Presence of locking, joint-line tenderness, effusion, and positive McMurray test were considered to indicate clinical failure.

STATISTICAL ANALYSIS:
Mean, Standard Deviation, Range, Percentages, Proportion were used for descriptive statistics. Paired “t” test was used as test of significance

Results

The mean follow-up was 16 (range, 8-24) months. An average of 2 (range, 1 to 4) suture devices was used per patient. Mean International Knee Documentation Committee scores on latest follow up was 92 (SD=5.4) in patients treated with all inside technique, while it was 87 (SD=7.4) in patients treated with outside in technique (p=0.07; not significant). No difference was observed in clinical or radiological outcomes between the two groups of patients. There were no signs of clinical failure in patients of the both the groups.

Conclusion

Clinical as well as radiological outcomes of all inside technique are comparable with outside in technique.

Key words:
Meniscus tear, Repair, All inside, Outside in, Comparison, Clinical, Radiological