The popliteus tendon provides a safe and reliable location for all-inside meniscal repair device placement

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Ouanezar, H., Blakeney, W.G., Latrobe, C., Saithna, A. ORCID: 0000-0002-2408-5307, Fernandes, L.R., Delaloye, J.R., Thaunat, M. and Sonnery-Cottet, B., 2018. The popliteus tendon provides a safe and reliable location for all-inside meniscal repair device placement. Knee Surgery, Sports Traumatology, Arthroscopy. ISSN 0942-2056

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Official URL: http://doi.org/10.1007/s00167-018-4889-3

Abstract

Background: Tears of the posterior horn of the lateral meniscus are challenging to repair because, in contrast to medial meniscal repairs, the capsule and its attachment are thin.

Purpose: To evaluate the clinical results of an arthroscopic all-inside repair technique for unstable, vertical, lateral meniscus tears, using a suture anchor device placed directly into the popliteus tendon.

Study Design: Case Series; Level of evidence, 4.

Methods: A retrospective analysis of prospectively collected data from the ***** database was performed. All patients who had undergone combined ACL reconstruction with lateral meniscus all-inside repair, using sutures placed in the popliteus tendon, between January 2011 and February 2015, were included. At final follow-up, all patients were contacted by telephone to identify if they underwent further surgery or had pain, locking or effusion. Symptomatic patients were recalled for clinical/imaging evaluation. Operative notes for those undergoing further surgery were reviewed and rates and type of re-operation, including for failed lateral meniscal repair were recorded.

Results: Two hundred patients (mean age, 28.6 ± 10.2 years) with a mean follow-up of 45.5 ± 12.8 months (range, 24.7-75.2) were included. The mean Subjective International Knee Documentation Committee (IKDC) at final follow-up was 85.0 ± 11.3. The post-operative mean side-to-side laxity measured at one year was 0.6 ± 1.0 mm. Twenty-six patients underwent re-operation (13%) at a mean follow-up of 14.8 ± 7.8 months. The ACL graft rupture rate was 5.0%. Other causes for re-operation included medial meniscus tear (2.5%), cyclops lesion (1.5%) and septic arthritis (0.5%). The lateral meniscus repair failure rate was 3.5%. No specific complications relating to placement of suture anchors in the popliteusn tendon were identified.

Conclusion: Arthroscopic all-inside repair of unstable, vertical, lateral meniscal tears using a suture anchor placed in the popliteus tendon is a safe, efficient and reproducible technique. It is associated with a very low failure rate without specific complications.

Item Type:

Journal article

Publication Title:

Knee Surgery, Sports Traumatology, Arthroscopy

Creators:

Ouanezar, H., Blakeney, W.G., Latrobe, C., Saithna, A., Fernandes, L.R., Delaloye, J.R., Thaunat, M. and Sonnery-Cottet, B.

Date:

3 March 2018

ISSN:

0942-2056

Identifiers: