2017 ISAKOS Biennial Congress ePoster #1346
Repairing Ramp Injury Of Meniscus Combined With Acl Rupture By Fast Suture With Fastfix
Zhibin Shi, PhD, Xi'an CHINA
Jianlong Ni, MD, Xi'an CHINA
Lihong Fan, PhD, Xi'an, Shaanxi CHINA
Yilun Tang, MD, Xi'an CHINA
Chen Zhang, PhD, Xi'an CHINA
Second affiliated hospital of Xi'an Jiaotong University, xi'an, shaanxi, CHINA
FDA Status Cleared
Summary
The effect of repairing ramp injury of posterior horn of medial meniscus by all-inside suture with FASTFIX using the fossa intercondyloidea approach is same as by suture with suture hook using posteromedial assisted approach. The knee joint function score is satisfactory postoperatively. The intraoperative suture time is shorter and the operation is more rapidly. The advantage of this method is mo
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Abstract
Objective
To discuss the effectiveness and possibility of repairing ramp injury of posterior horn of medial meniscus by all-inside fast suture with FASTFIX under arthroscope combined with anterior cruciate ligament (ACL) rupture
Methods
From September 2012 to April 2015, a total of 31 cases of ramp injury of posterior horn of medial meniscus combined with ACL rupture were diagnosed with arthroscopic. Repairing ramp injury of posterior horn of medial meniscus by all-inside suture with FASTFIX using the fossa intercondyloidea approach and by suture with suture hook using posteromedial assisted approach respectively when ACL reconstruction with autologous hamstring. Evaluation methods of knee joint function include operation time, preoperative and postoperative MRI imaging examination, Lysholm score, IKDC, and VAS pain score.
Results
All patients were underwent single bundle ACL reconstruction. The mean follow-up time was 27.2 ± 9.7 months (12 to 38 months). The time of suturing ramp injury of two groups were 20 ± 5.6 min and 50.4 ± 11.2 min respectively, the differences were statistically significant. The Lysholm score, IKDC score and VAS pain score of the knees postoperatively have significant difference compared with preoperatively (P < 0.001) , there was no significant difference between the two groups. All patients received MRI at 1 year postoperatively, the ramp injury of 28 patients were healed completely, the healing rate was 95.1%. 20 patients received second look with arthroscopy, and all of whose ramp injury were healed completely, the healing rate was 90%.
Conclusion
The effect of repairing ramp injury of posterior horn of medial meniscus by all-inside suture with FASTFIX using the fossa intercondyloidea approach is same as by suture with suture hook using posteromedial assisted approach. The knee joint function score is satisfactory postoperatively. The intraoperative suture time is shorter and the operation is more rapidly. The advantage of this method is more obvious for patients with ACL rupture.