The FasT-Fix Repair Technique for Ramp Lesion of the Medial Meniscus
10.5792/ksrr.2015.27.1.56
- Author:
Wei ping LI
1
;
Zhong CHEN
;
Bin SONG
;
Rui YANG
;
Weiquan TAN
Author Information
1. Department of Sport Medicine Center, Sun Yat-Sen Memorial Hospital, Guangzhou, China. z62587253@163.com
- Publication Type:Original Article
- Keywords:
Knee;
Anterior cruciate ligament;
Medial meniscus;
Ramp lesion
- MeSH:
Animals;
Anterior Cruciate Ligament;
Architectural Accessibility;
Arthroscopy;
Horns;
Humans;
Joint Capsule;
Knee;
Menisci, Tibial;
Needles
- From:The Journal of Korean Knee Society
2015;27(1):56-60
- CountryRepublic of Korea
- Language:English
-
Abstract:
INTRODUCTION: This technical note describes a new arthroscopic technique to repair the peripheral attachment lesion of the posterior horn of the medial meniscus. The operation was performed under arthroscopy using a standard anterior portal. SURGICAL TECHNIQUE: A FasT-Fix needle was inserted obliquely close to the tibial plateau and the first implant was inserted into the joint capsule depending on its bending angle underneath the meniscus. The second implant was inserted through 1/3 periphery of the meniscus into the meniscocapsular area. The pre-tied self-sliding knot was tensioned to achieve secure fixation of the posterior meniscal peripheral attachment at the original attachment point. MATERIALS AND METHODS: From August 2011 to February 2014, 23 knees were diagnosed as ramp lesion, underwent meniscal repair using FasT-Fix technique. RESULTS: All patients were followed up for average 14 months. The Lysholm score improved from preoperative 64.4+/-4.52 to postoperative 91.2+/-4.60. CONCLUSIONS: We believe that the FasT-Fix technique via the standard anterior portal can be a more convenient and less traumatic alternative for repair of the peripheral attachment lesion of the posterior horn of the medial meniscus in the anterior cruciate ligament deficient knee.
