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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2001, Number 5

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Acta Ortop Mex 2001; 15 (5)

Clinical results from the treatment of meniscal lesions with bioabsorbable arrows

Villalobos GFE, Calzada PL, Torres MJL, Carbajal CR, Axotla BV, Pérez RAL

Language: Spanish
References: 24
Page: 215-220
PDF size: 71.22 Kb.


ABSTRACT

Objective. To recover meniscal integrity, in order to preserve isometrics of the knee. Material and methods. A retrospective series of 30 individuals, 21 male and 9 female, from 15 to 50 years of age (av. 26.1) who had meniscal injuries that were treated by absorbable arrows is reported. All meniscal tears, either acute or chronic, were located at the red-red (16 cases) or at the red-white (12 cases) zones of the menisci and a combination occurred in the remaining 2. More frequent tears were longitudinal, at the posterior horn of the lateral meniscus, in 9 cases (30%). According to the size of rupture, a variable number of biodegradable arrows were applied by arthroscopic assistance as follows: 1 arrow in 19 cases, 2 in 8 cases and 3 in other 3. Reconstruction of diverse coexisting capsular or ligament injuries was performed in 18 cases in the same operative time. Patients’ evaluation was recorded at 1, 2, 4 and 6 months. Results. At 1 month, 13 knees (43%) had up to 110 degrees of flexion, while complete flexion was achieved at 2nd month in 20 cases (66%), at 4th month in 25 (83%), and in 27 (90%) at 6 months. The remaining 3 cases had an ACL reconstruction and maximum flexion at 6 months was 110 degrees. Symptoms of meniscal tears disappeared in all cases. Conclusion. It can be realized that absorbable arrows are effective for reconstruction of meniscal tears when located in vascular zones, as far as all symptoms disappeared and meniscal healing was observed in some cases by arthroscopy. Temporary residual stiffness is produced in a decreasing rate of cases since transient synovitis often appears in spite of the biodegradable nature of arrows.


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