Summary: This study indicates that the continuous vertical inside-out meniscal suture technique is biomechanically similar to the technique established in the literature, being a possible therapeutic option to be used

Background

Biomechanical assessment of meniscal repairs is essential for evaluating different meniscal suturing methods and techniques. The continuous meniscal suture technique is a new method of meniscal repair and has not yet been biomechanically evaluated.

Purpose

To evaluate the displacement, stiffness after cyclical loads, and load to failure for a continuous vertical inside-out meniscal suture versus a traditional vertical inside-out meniscal suture in a porcine medial meniscus.
Study Design: Controlled Laboratory Study

Methods

Thirty porcine knees were acquired and divided into two test groups of 15 knees each. A 2.0 cm longitudinal red-white zone transition lesion was created in the body of the medial meniscus of all knees. The continuous suture (CS) group (group A) received four vertical stitches performed with a continuous vertical meniscal suture technique, and the traditional suture (TS) group (group B) received a traditional vertical suture with four stitches.

Results

The displacement after a cyclic test was 0.52 ± 0.12 mm and 0.48 ± 0.07 for the CS and TS groups, respectively. No significant differences were observed between both groups (p = 0.3108). In the load-to-failure test, the ultimate load was 219.9 ± 61.6 N and 238.3 ± 71.3 N in the CS and TS groups, respectively. There were no significant differences between both groups (p = 0.4623). The system's stiffness at the last cycle was 36.2 ± 1.8 N/mm and 35.3 ± 2.4 N/mm for groups A and B, respectively. The two groups had no significant difference (p = 0.2340).

Conclusion

A continuous vertical meniscal suture created a beneficial configuration for treating longitudinal meniscal lesions, biomechanically similar to a traditional vertical suture technique. Therefore, the continuous vertical suture technique appears to be a good option for the surgical treatment of longitudinal tears of the medial meniscus.

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Concomitant Medial Meniscal Ramp Lesions and Lateral Meniscal Tears with Anterior Cruciate Ligament Injuries are Associated with Anterior Tibial Subluxation in Knee Extension ePoster Presentation Hibiki Kakiage, MD, JAPAN Kazuhisa Hatayama, MD, PhD, JAPAN Satoshi Nonaka, MD, JAPAN Masanori Terauchi, MD, JAPAN Atsufumi Oshima, MD, JAPAN HIrotaka Chikuda, MD, PhD, JAPAN
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Bidirectional Evaluation for the Lateral Meniscal Extrusion After Repairing Isolated Longitudinal Tear ePoster Presentation Akira Tsujii, MD, PhD, JAPAN Seira Sato, MD, PhD, JAPAN Tomoki Ohori, MD, PhD, JAPAN Tatsuo Mae, MD, PhD, JAPAN Kazutaka Kinugasa, MD, PhD, JAPAN Yasukazu Yonetani, MD, PhD, JAPAN Masayuki Hamada, MD, JAPAN Ken Nakata, MD, PhD, JAPAN
Biomechanical Comparison Of Novel Meniscus Cap Repair Technique With Simple Meniscus Suture And Collagen Matrix Meniscus Suture Techniques For Complex Tears Of The Medial Meniscus ePoster Presentation Kinga Ciemniewska-Gorzela, PhD, POLAND
Postoperative Subjective Evaluation after Meniscectomy in Patients Older than 70 Years: A Local Retrospective Study ePoster Presentation Ignacio Fernández, Md, CHILE Francesca Castelletto, MD, CHILE Enrique Sebastián Rubio, Md, CHILE Rodrigo Humberto Garcia, MD, CHILE Roberto Cisternas, md, CHILE Ignacio Lopez, CHILE
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A Comparison of Clinical Outcomes Of Discoid Versus Standard Meniscus Tear Procedures: A Systematic Review ePoster Presentation Yi (David) Diao, BMSc, CANADA Prushoth Vivekanantha, MD, CANADA Dan Cohen, MD, CANADA Yuichi Hoshino, MD, PhD, JAPAN Kanto Nagai, MD, PhD, JAPAN Darren L. de SA, MD MBA FRCSC, CANADA

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Continuous Vertical Inside-Out Versus Traditional Vertical Inside-Out Meniscal Repair: A Biomechanical Comparison

Continuous Vertical Inside-Out Versus Traditional Vertical Inside-Out Meniscal Repair: A Biomechanical Comparison

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Conclusion

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Continuous Vertical Inside-Out Versus Traditional Vertical Inside-Out Meniscal Repair: A Biomechanical Comparison

Continuous Vertical Inside-Out Versus Traditional Vertical Inside-Out Meniscal Repair: A Biomechanical Comparison

Background

Purpose

Methods

Results

Conclusion

More 2023 ISAKOS Congress Content