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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2023, Number 3

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Acta Ortop Mex 2023; 37 (3)

Results of all-inside arthroscopic meniscal sutures, mid-term review

García-Dobarganes-Barlow F, Guevara-Álvarez A, Garcini-Munguía F, López-Villers A, Villavicencio-Ocampo E, Mata-Coronado F, González-Rizo I, Esperanza-González D, Valadez-Soto J, García-Romo V, Saavedra-Islas N

Language: Spanish
References: 55
Page: 152-158
PDF size: 174.27 Kb.


ABSTRACT

Introduction: all-in meniscal suture devices have evolved and simplified meniscal repair. In this study we will formulate the following research questions: what is the rate of survival and failure? What are the risk factors associated with failure? And what are the functional results after meniscal repair surgery? Material and methods: ambispective study from 2001 to 2021 of patients with repairable meniscal injury with all-in meniscal suture devices. The survival and failure ratio were obtained with the Kaplan-Meier test, the risk factors associated with meniscal suture failure were assessed with the logistic regression test, and the pre- and post-surgical functional results were estimated with the test. t-Student. Results: in 20 years of follow-up of 316 menisci repaired with all-in meniscal sutures, a survival rate of 95.9% was obtained. The absence of injury to the anterior horn of the meniscus was shown to be a protective factor [OR = 0.12], together with not practicing impact sports [OR = 0.2]. Post-surgery IKDC and Tegner-Lysholm results were shown to be very good to excellent (p < 0.0001). Conclusion: all-in meniscal suture devices are and will continue to be front-line weapons in the repair of meniscal tears. In 20 years of follow-up, a lower failure rate was evidenced, associated with excellent functional results.


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EVIDENCE LEVEL

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