Outcomes show effectiveness of all-inside meniscal repair through 10-year follow-up
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CHICAGO — Primary second-generation all-inside meniscal repair was effective at long-term follow-up when performed with ACL reconstruction, results showed.
In a presentation at the American Academy of Orthopaedic Surgeons Annual Meeting, Rick W. Wright, MD, FAAOS, said, “Eighty-four to 88% of the patients had successful repair at 10-year follow-up. This is consistent with previous descriptions in the literature for inside-out repairs at 10 years.”
Medial failures were earlier than lateral ones, he said as he discussed the data.
Wright and colleagues included in the study 81 patients treated with a second-generation all-inside meniscal repair device. They obtained 10-year follow-up in 85% of these patients, all of whom underwent concomitant ACL reconstruction at the time meniscal surgery.
A repeat surgical intervention, either resection or repair, was used as the definition of clinical failure.
According to study data, researchers found nine patients had a failed meniscal repair, with a 10% failure rate for medial repairs and a 14% failure rate for lateral repairs.
Findings also showed medial repair failed at an average of 2.8 years and lateral repairs failed at an average of 5.8 years.
“No significant differences in patient-reported outcomes were noted at 10 years between successful repairs vs. patients with a failed repair. This may reflect the time it takes for articular cartilage damage to impact patient-reported outcomes and not showing up within 10 years,” Wright said.
He continued, “Failures in the medial meniscus repairs occurred significantly earlier. The patient-reported outcome measures demonstrate favorable results for all-inside repairs at 10 years.”
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Wright RW, et al. Paper 444. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; March 22-26, 2022; Chicago.
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