FasT-Fixを用いたall-inside法による半月板縫合術の治療成績

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  • All-inside Technique for Meniscal Tear with the FasT-Fix Meniscal Repair System

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Arthroscopic meniscal repair has been a common treatment for meniscal tears, and several techniques including all-inside, inside-out, and outside-in meniscal suturing are currently available. The FasT-Fix meniscal repair system (Smith and Nephew) is one of the major devices currently used for all-inside meniscal repairs.<br>Methods : We treated 21 knees of 21 patients (16 males and 5 females). The mean age of the patients at surgery was 23 years (range, 12 to 43 years), and the mean follow-up period was 7.2 months (range, 3 to 12 months). All meniscal tears treated by all-inside meniscal repair with the FasT-Fix suture device were evaluated retrospectively. There were 16 red-red zone tears, 8 red-white zone tears, and 1 white-white zone tear, including 6 bucket handle tears. Clinical results were assessed on the basis of the Lysholm knee score.<br>Results : The postoperative Lysholm scores were improved significantly (average: 75 before surgery and 97 after surgery). No case of postoperative extra- or intra-articular complication was encountered.

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