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Acta ortopédica mexicana
versión impresa ISSN 2306-4102
Resumen
GARCIA-DOBARGANES-BARLOW, FE et al. Results of all-inside arthroscopic meniscal sutures, mid-term review. Acta ortop. mex [online]. 2023, vol.37, n.3, pp.152-158. Epub 06-Mayo-2024. ISSN 2306-4102. https://doi.org/10.35366/113073.
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.
Palabras llave : meniscus; meniscal injury; meniscal repair; all-inside arthroscopic meniscal sutures.