抄録
Arthroscopic meniscal repair is a common treatment for meniscal tears, and several techniques including all-inside, inside-out, and outside-in meniscal sutures are currently available. The FasT-Fix meniscal repair system (Smith & Nephew) is one of the major devices for all-inside meniscal repairs.
Methods : The results of 19 meniscal tears in 18 patients who underwent all-inside meniscal repairs with the FasT-Fix suture device were retrospectively evaluated. Nine of 14 medial meniscal tears were localized to the posterior compartment and sutured by the FasT-Fix device. Five tears in the middle compartment of medial menisci were treated using the FasT-Fix suture device without technical difficulty. Meniscal suturing with the FasT-Fix was performed for 8 tears of lateral menisci, located in the posterior compartment. The average follow-up period was 8 months (range, 2 to 17 months). Clinical results were assessed on the basis of the Lysholm knee score.
Results : The postoperative Lysholm scores improved significantly (average, 67 preoperative and 94 postoperative). No case of postoperative extra- or intra-articular complication was encountered.
Conclusions : The FasT-Fix meniscal repair system provides a simple all-inside meniscal suture procedure and is a safe technique for repairing vertical meniscal tears in the middle to posterior compartment.
