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58935

ALL-INSIDE ARTHROSCOPIC MENISCAL REPAIR BY SUTURES WITH PRETIED KNOT ON THE NEEDLE

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Last updated: 04 Jan 2025

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Abstract

Background: Meniscal tears in younger higher demand patients should be prepared to optimize the healing environment and be meticulously repaired, particularly in the setting of concurrent anterior cruciate ligament reconstruction. Objectives: Evaluation of results of arthroscopic meniscal repair by sutures with pre-tied sliding knot and preloaded implants on the needle as regard clinical and functional outcome. Patients and Methods: From June 2012 to June 2015 at Al-Azhar University Hospitals, 30 patients with a mean age of 27 (range, 19-36) years with 30 meniscal tears underwent meniscal repair utilizing the all-inside meniscal repair technique entailing a pre loaded suture anchor. All tears were located at red-red or red-white zones. Concurrent anterior cruciate ligament reconstruction was performed in 15 (50%) of the patients. Patients were evaluated postoperatively based on the Lysholm Knee Scoring Scale, clinical examination, magnetic resonance imaging and 2nd look arthroscopy. Presence of locking, joint line tenderness, effusion, and positive McMurray test were considered to indicate clinical failure. Results: The mean follow-up was 6 (range: 6-12) months. An average of 2 (range: 1 to 3) suture devices were used per patient. The mean tear size was 20 (range: 10-40) mm. In all, 4 (13.33%) of the tears had failed clinically and 2 (6.66%) appeared unhealed on postoperative imaging. No postoperative extra- or intra-articular complications were encountered. Conclusion: All-inside meniscal repair using a pre-loaded suture anchor was safe and effective, and yielded an 86.66% clinical and 93.33% radiological success rate.

DOI

10.12816/0026276

Keywords

Meniscus tear, meniscus repair, vascular area, Healing, sutures and rehabilitation

Authors

First Name

Bahaa

Last Name

EL-Din Ali Kornah

MiddleName

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Affiliation

Department of Orthopedic Surgery, Al-Azhar Faculty of Medicine

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First Name

Kamal

Last Name

Abd Al-Rahman Abd Al-Hafez

MiddleName

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Affiliation

Department of Orthopedic Surgery, Al-Azhar Faculty of Medicine

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Orcid

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First Name

Labib

Last Name

Yosry Abd El-Latief

MiddleName

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Affiliation

Department of Orthopedic Surgery, Al-Azhar Faculty of Medicine

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First Name

Mohamed

Last Name

Abd AL-Moneam Negm

MiddleName

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Affiliation

Department of Orthopedic Surgery, Al-Azhar Faculty of Medicine

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Orcid

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First Name

Abd Al-Hamid

Last Name

El-Said Abd Al - Hamid Hendy

MiddleName

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Affiliation

Department of Orthopedic Surgery, Al-Azhar Faculty of Medicine

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Orcid

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Volume

45

Article Issue

1

Related Issue

8925

Issue Date

2016-01-01

Receive Date

2016-01-01

Publish Date

2016-01-01

Page Start

97

Page End

110

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_58935.html

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https://amj.journals.ekb.eg/service?article_code=58935

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Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

ALL-INSIDE ARTHROSCOPIC MENISCAL REPAIR BY SUTURES WITH PRETIED KNOT ON THE NEEDLE

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Article

Created At

22 Jan 2023