Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2021

Open Access 01-12-2021 | Research article

The predictive factors that are associated with the number of sutures used during meniscal repair

Authors: Xiaoxiao Song, Dongyang Chen, Xinsheng Qi, Qing Jiang, Caiwei Xia

Published in: BMC Musculoskeletal Disorders | Issue 1/2021

Login to get access

Abstract

Purpose

To investigate factors associated with the consumption of a large number of sutures during arthroscopic meniscus repair procedures.

Methods

All patients who received meniscal repair, with or without concomitant anterior cruciate ligament (ACL) reconstruction, in our hospital from January 2015 to December 2019 were included in the current study. Demographic data (sex, age, body mass index (BMI), and injury-to-surgery interval) and surgical data (the site of the tear, side of the meniscus, presence of an ACL rupture or not and the number of sutures) were retrospectively collected from our medical records. The number of sutures was divided into two groups (1–2 sutures versus > 2 sutures). The stitching process was implemented through an all-inside technique using a meniscal repair device (Fast-Fix; Smith & Nephew). According to the length and stability of the meniscal tear, one to seven sutures were used. Univariate analysis consisted of chi-square tests. Multivariate logistic regression was then performed to adjust for confounding factors.

Results

A total of 242 patients, including 168 males and 57 females, was finally included. In the univariate analysis, we found that those patients who underwent meniscus repair within one month after meniscus tear were more likely to need fewer sutures than those who underwent surgery more than one month after injury (70/110 versus 59/115, p=0.062). In total, 75/109 (68.8%) lateral meniscal tears were repaired with fewer sutures than medial (34/72, 47.2%) and bilateral meniscus injuries (20/44, 45.4%; p=0.003). In the multivariate analysis, we found that the duration of injury (OR, 2.06; 95% CI, 1.16–3.64, p=0.013), presence of an ACL injury (OR, 3.76; 95% CI, 1.97–7.21, p< 0.001) and the side of the meniscus (OR, 0.31; 95% CI, 0.14–0.65, p=0.002) were associated with the number of sutures used during meniscal repair procedures.

Conclusions

Patients who underwent meniscal repair within one month after meniscus tear, especially lateral menisci tears, were more likely to need fewer sutures.

Study design

Case-control study; level of evidence, 3.
Literature
1.
Fuchs A, Kloos F, Bode G, Izadpanah K, Sudkamp NP, Feucht MJ. Isolated revision meniscal repair - failure rates, clinical outcome, and patient satisfaction. BMC Musculoskelet Disord. 2018;19(1):446.PubMedPubMedCentralCrossRef
2.
Matsushita T, Nagai K, Araki D, Tanaka T, Matsumoto T, Nishida K, Kurosaka M, Kuroda R. Factors associated with the status of meniscal tears following meniscal repair concomitant with anterior cruciate ligament reconstruction. Connect Tissue Res. 2017;58(3–4):386–92.PubMedCrossRef
3.
Karia M, Ghaly Y, Al-Hadithy N, Mordecai S, Gupte C. Current concepts in the techniques, indications and outcomes of meniscal repairs. Eur J Orthop Surg Traumatol. 2019;29(3):509–20.PubMedCrossRef
4.
Yim JH, Seon JK, Song EK, Choi JI, Kim MC, Lee KB, Seo HY. A comparative study of meniscectomy and nonoperative treatment for degenerative horizontal tears of the medial meniscus. Am J Sports Med. 2013;41(7):1565–70.PubMedCrossRef
5.
Svantesson E, Cristiani R, Hamrin Senorski E, Forssblad M, Samuelsson K, Stalman A. Meniscal repair results in inferior short-term outcomes compared with meniscal resection: a cohort study of 6398 patients with primary anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2018;26(8):2251–8.PubMedCrossRef
6.
Haviv B, Bronak S, Kosashvili Y, Thein R. Which patients are less likely to improve during the first year after arthroscopic partial meniscectomy? A multivariate analysis of 201 patients with prospective follow-up. Knee Surg Sports Traumatol Arthrosc. 2016;24(5):1427–31.PubMedCrossRef
7.
Zimmerer A, Sobau C, Nietschke R, Schneider M, Ellermann A. Long-term outcome after all inside meniscal repair using the FasT-fix system. J Orthop. 2018;15(2):602–5.PubMedPubMedCentralCrossRef
8.
Billieres J, Pujol N, the UCoE. Meniscal repair associated with a partial meniscectomy for treating complex horizontal cleavage tears in young patients may lead to excellent long-term outcomes. Knee Surg Sports Traumatol Arthrosc. 2019;27(2):343–8.PubMedCrossRef
9.
Kramer DE, Kalish LA, Martin DJ, Yen YM, Kocher MS, Micheli LJ, Heyworth BE. Outcomes after the operative treatment of bucket-handle meniscal tears in children and adolescents. Orthop J Sports Med. 2019;7(1):2325967118820305.PubMedPubMedCentralCrossRef
10.
Beaufils P, Pujol N. Meniscal repair: Technique. Orthop Traumatol Surg Res. 2018;104(1S):S137–45.PubMedCrossRef
11.
Yoon KH, Park JY, Kwon YB, Lee YJ, Kim EJ, Kim SG. Inside-out repair of the meniscus in concomitant anterior cruciate ligament reconstruction: absorbable versus nonabsorbable sutures. Arthroscopy. 2020;36(4):1074–82.PubMedCrossRef
12.
Schlechter JA, Nguyen SV, Fletcher KL. Meniscal repairs in the adolescent knee: can the number of fixation sites improve outcomes? Orthop J Sports Med. 2019;7(11):2325967119881963.PubMedPubMedCentralCrossRef
13.
Yeo DYT, Suhaimi F, Parker DA. Factors predicting failure rates and patient-reported outcome measures after arthroscopic meniscal repair. Arthroscopy. 2019;35(11):3146–64 e3142.PubMedCrossRef
14.
Song X, Li Q, Wu Z, Xu Q, Chen D, Jiang Q. Predicting the graft diameter of the peroneus longus tendon for anterior cruciate ligament reconstruction. Medicine (Baltimore). 2018;97(44):e12672.CrossRef
15.
Verdonk R, Madry H, Shabshin N, Dirisamer F, Peretti GM, Pujol N, Spalding T, Verdonk P, Seil R, Condello V, et al. The role of meniscal tissue in joint protection in early osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2016;24(6):1763–74.PubMedCrossRef
16.
Sturnieks DL, Besier TF, Mills PM, Ackland TR, Maguire KF, Stachowiak GW, Podsiadlo P, Lloyd DG. Knee joint biomechanics following arthroscopic partial meniscectomy. J Orthop Res. 2008;26(8):1075–80.PubMedCrossRef
17.
Solheim E, Hegna J, Inderhaug E. Long-term outcome after all-inside meniscal repair using the RapidLoc system. Knee Surg Sports Traumatol Arthrosc. 2016;24(5):1495–500.PubMedCrossRef
18.
19.
Kang DG, Park YJ, Yu JH, Oh JB, Lee DY. A systematic review and meta-analysis of arthroscopic meniscus repair in young patients: comparison of all-inside and inside-out suture techniques. Knee Surg Relat Res. 2019;31(1):1–11.PubMedPubMedCentralCrossRef
20.
Buckley PS, Kemler BR, Robbins CM, Aman ZS, Storaci HW, Dornan GJ, LaPrade RF. Biomechanical comparison of 3 novel repair techniques for radial tears of the medial meniscus: the 2-tunnel Transtibial technique, a "hybrid" horizontal and vertical mattress suture configuration, and a combined "hybrid tunnel" technique. Am J Sports Med. 2019;47(3):651–8.PubMedCrossRef
21.
Nakama GY, Aman ZS, Storaci HW, Kuczmarski AS, Krob JJ, Strauss MJ. Different suture materials for arthroscopic Transtibial pull-out repair of medial meniscal posterior root tears: a human biomechanical study. Orthop J Sports Med. 2019;7(9):2325967119873274.PubMedPubMedCentralCrossRef
22.
Stone JA, Perrone GS, Nezwek TA, Cui Q, Vlad SC, Richmond JC, Salzler MJ. Delayed ACL reconstruction in patients >/=40 years of age is associated with increased risk of medial meniscal injury at 1 year. Am J Sports Med. 2019;47(3):584–9.PubMedCrossRef
23.
Chen KH, Chiang ER, Wang HY, Ma HL. Correlation of meniscal tear with timing of anterior cruciate ligament reconstruction in patients without initially concurrent meniscal tear. J Knee Surg. 2019;32(11):1128–32.PubMedCrossRef
24.
Everhart JS, Kirven JC, Abouljoud MM, DiBartola AC, Kaeding CC, Flanigan DC. Effect of delayed primary anterior cruciate ligament reconstruction on medial compartment cartilage and meniscal health. Am J Sports Med. 2019;47(8):1816–24.PubMedCrossRef
25.
Taketomi S, Inui H, Yamagami R, Kawaguchi K, Nakazato K, Kono K, Kawata M, Nakagawa T, Tanaka S. Surgical timing of anterior cruciate ligament reconstruction to prevent associated meniscal and cartilage lesions. J Orthop Sci. 2018;23(3):546–51.PubMedCrossRef
26.
Lau BC, Conway D, Mulvihill J, Zhang AL, Feeley BT. Biomechanical consequences of meniscal tear, partial Meniscectomy, and meniscal repair in the knee. JBJS Rev. 2018;6(4):e3.PubMedCrossRef
27.
Abram SGF, Beard DJ, Price AJ, Group BMW. National consensus on the definition, investigation, and classification of meniscal lesions of the knee. Knee. 2018;25(5):834–40.PubMedCrossRef
Metadata
Title
The predictive factors that are associated with the number of sutures used during meniscal repair
Authors
Xiaoxiao Song
Dongyang Chen
Xinsheng Qi
Qing Jiang
Caiwei Xia
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2021
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-020-03911-0

Other articles of this Issue 1/2021

BMC Musculoskeletal Disorders 1/2021 Go to the issue

Research

Hidden blood loss in adolescent idiopathic scoliosis patients undergoing posterior spinal fusion surgery: a retrospective study of 765 cases at a single centre

Research article

Quality of life and complications in elderly patients after pronation rotation type III ankle fractures treated with a cast and early weight-bearing

Research

Determining the validity and reliability of spinopelvic parameters through comparing standing whole spinal radiographs and upright computed tomography images

Research

Efficacy of lumbar kinetic chain training for staged rehabilitation after percutaneous endoscopic lumbar discectomy

Case report

An infected aneurysm of the vertebral artery following cervical pyogenic spondylitis: a case report and literature review

Research

Individualized 3D printing-assisted repair and reconstruction of neoplastic bone defects at irregular bone sites: exploration and practice in the treatment of scapular aneurysmal bone cysts