Fast-Fix combined with sodium hyaluronate in meniscal repair under arthroscope

doi:10.3969/j.issn.2095-4344.2015.24.004

Abstract

Abstract:

BACKGROUND: Sodium hyaluronate is a polysaccharide polymer biomaterial, which is considered to have a certain effect to repair the cartilage surface, reduce the release of inflammatory mediators, and promote meniscal repair.
OBJECTIVE: To observe the therapeutic effect of Fast-Fix combined with sodium hyaluronate in meniscal repair under arthroscope.
METHODS: Eighty-six patients with meniscus injury admitted at the Department of Orthopedics, CNPC Central Hospital, from March 2008 to March 2014 were enrolled in the study. The average age was 25.5 years, and the average duration of disease was 1.5 months. The main clinical manifestations included knee joint pain and swelling after exercise and positive McMurray signs. The MRI results showed meniscus tear or degeneration. Arthroscopic repairing surgeries were performed with Fast-Fix combined with sodium hyaluronate injection
(2.5 mL at the end of surgery), and then sodium hyaluronate was injected intraarticularly at 1, 2, 3 weeks after surgery. Each patient was assessed with Lysholm knee joint score system before and after operation．
RESULTS AND CONCLUSION: Eighty-one patients were followed up for an average of 1.5 years and five patients were lost to follow-up. Joint locking, significant tenderness and movement disorder symptoms disappeared in 79 of 81 patients, and meniscal healing was shown on MRI review within 1 year after surgery; the Lysholm score was higher than 75 points, and the excellent rate was 98%. Only the remained two patients felt swelling and tenderness and the movement was slightly restricted when going down or standing up. The Fast-Fix combined with sodium hyaluronate in meniscal repair under arthroscope has good effect and good function of knee joint.

中国组织工程研究杂志出版内容重点：干细胞；骨髓干细胞；造血干细胞；脂肪干细胞；肿瘤干细胞；胚胎干细胞；脐带脐血干细胞；干细胞诱导；干细胞分化；组织工程

Key words: Hyaluronic Acid, Menisci, Tibial, Arthroscopy

CLC Number:

R318

Wu Jian-wei, Fan Guo-feng, Zhang Tian-yi, Qiao Jin-huan, Lu Bo, Kong Fan-lin, Wang Zeng-li. Fast-Fix combined with sodium hyaluronate in meniscal repair under arthroscope [J]. Chinese Journal of Tissue Engineering Research, 2015, 19(24): 3788-3792.

Figures/Tables 2

References

[1] Zantop T, Eggers AK, Musahl V,et al.Cyclic testing of flexible all-inside meniscus suture anchors: biomechanical analysis. Am J Sports Med. 2005;33(3):388-394.

[2] Vascellari A, Rebuzzi E, Schiavetti S, et al.All-inside meniscal repair using the FasT-Fix meniscal repair system: is still needed to avoid weight bearing? A systematic review. Musculoskelet Surg. 2012; 96(3):149-154.

[3] Barber FA, Herbert MA, Schroeder FA, et al.Biomechanical testing of new meniscal repair techniques containing ultra high-molecular weight polyethylene suture.Arthroscopy. 2009; 25(9):959-967. [4] Chang HC, Nyland J, Caborn DN, et al.Biomechanical evaluation of meniscal repair systems: a comparison of the Meniscal Viper Repair System, the vertical mattress FasT-Fix Device, and vertical mattress ethibond sutures.Am J Sports Med. 2005; 33(12):1846-1852.

[5] McDermott ID, Richards SW, Hallam P, et al.A biomechanical study of four different meniscal repair systems, comparing pull-out strengths and gapping under cyclic loading.Knee Surg Sports Traumatol Arthrosc. 2003;11(1):23-29.

[6] Naqui SZ, Thiryayi WA, Hopgood P,et al.A biomechanical comparison of the Mitek RapidLoc, Mitek Meniscal repair system, clearfix screws and vertical PDS and Ti-Cron sutures.Knee. 2006;13(2):151-157.

[7] Nyland J, Chang H, Kocabey Y, et al.A cyclic testing comparison of FasT-Fix and RapidLoc devices in human cadaveric meniscus.Arch Orthop Trauma Surg. 2008; 128(5):489-494.

[8] Kalliakmanis A, Zourntos S, Bousgas D,et al.Comparison of arthroscopic meniscal repair results using 3 different meniscal repair devices in anterior cruciate ligament reconstruction patients.Arthroscopy. 2008;24(7):810-816.

[9] Quinby JS, Golish SR, Hart JA, et al.All-inside meniscal repair using a new flexible, tensionable device.Am J Sports Med. 2006; 34(8):1281-1286.

[10] Haas A, Schepsis AA, Hornstein J, et al.Meniscal repair using the FasT-Fix all-inside meniscal repair device.Arthroscopy. 2005;21(2):167-175.

[11] Gill SS, Diduch DR.Outcomes after meniscal repair using the meniscus arrow in knees undergoing concurrent anterior cruciate ligament reconstruction.Arthroscopy. 2002; 18(6):569-577.

[12] 陆伟,王大平,韩云,等.关节镜TRapidLoc与FasTFix缝合器修复内侧半月板后角损伤40例[J].中国组织工程研究与临床康复, 2008,12(48):9465-9468.

[13] 陈朗新,李宝丰,沈洪园,等.FasT-Fix全内缝合器治疗半月板损伤80例[J].中国骨科临床与基础研究杂志,2013,(2):84-88.

[14] 陈铁柱,李晓声,陈宏文,等.关节镜下FasT-Fix缝合半月板损伤132例中期疗效观察[J].中国骨与关节损伤杂志,2014,29(6):607-608.

[15] 龚熹,余家阔,敖英芳. 关节镜下FasT-Fix 系统修复半月板中期疗效观察[J].中国微创外科杂志,2010,10(11):1000-1002.

[16] Results of all-inside meniscal repair with the FasT-Fix meniscal repair system.Arthroscopy. 2006;22(1):3-9.

[17] Tsai AM, McAllister DR, Chow S, et al.Results of meniscal repair using a bioabsorbable screw.Arthroscopy. 2004; 20(6):586-590.

[18] Rosso C,Kovtun K,Dow W. Comparison of all-inside meniscal repair devices with matched inside-out suture repair.Am J Sports Med. 2011;39(12):2634-2639.

[19] Rosso C, Müller S, Buckland DM, et al. All-inside meniscal repair devices compared with their matched inside-out vertical mattress suture repair: introducing 10,000 and 100,000 loading cycles.Am J Sports Med. 2014; 42(9):2226-2233.

[20] 20 Grant JA, Wilde J, Miller BS, et al.Comparison of inside-out and all-inside techniques for the repair of isolated meniscal tears: a systematic review.Am J Sports Med. 2012; 40(2):459-468.

[21] 刘俊阳,张卓,马连君,等.关节镜术后玻璃酸钠关节内注射治疗半月板损伤伴骨关节炎的疗效[J].中国老年医学杂志,2012,32(23): 5327-5328.

[22] 张鹏.关节镜下缝合成形结合玻璃酸钠治疗膝关节半月板损伤38例分析[J].现代中西医结合杂志,2011,20(28):3548-3549.

[23] Hempfling H.Intra-articular hyaluronic acid after knee arthroscopy: a two-year study.Knee Surg Sports Traumatol Arthrosc. 2007;15(5):537-546.

[24] Kocabey Y, Chang HC, Brand JC Jr, et al.A biomechanical comparison of the FasT-Fix meniscal repair suture system and the RapidLoc device in cadaver meniscus.Arthroscopy. 2006; 22(4):406-413.

[25] Kocabey Y, Nyland J, Isbell WM, et al.Patient outcomes following T-Fix meniscal repair and a modifiable, progressive rehabilitation program, a retrospective study.Arch Orthop Trauma Surg. 2004; 124(9):592-596.

[26] Barber FA,Schroeder FA,Oro FB,et al.Fast-Fix meniscal repair:mid-term results.Arthroscopy,2008,24(12):1342-1348．

[27] Barber FA, Coons DA, Ruiz-Suarez M.Meniscal repair with the RapidLoc meniscal repair device.Arthroscopy. 2006; 22(9):962-966.

[28] Li WP, Chen Z, Song B, et al.The FasT-Fix Repair Technique for Ramp Lesion of the Medial Meniscus.Knee Surg Relat Res. 2015; 27(1):56-60.

[29] Tachibana Y,Sakaguchi K,Goto T,et al.Repair integrity evaluated by second look arthroscopy after arthroscopic meniscal repair with the Fast-Fix during anterior cruciate ligament reconstruction．Am J Sports Med.2010;38(5): 965-971．

[30] Feng H, Hong L, Geng XS, et al.Second-look arthroscopic evaluation of bucket-handle meniscus tear repairs with anterior cruciate ligament reconstruction: 67 consecutive cases.Arthroscopy. 2008; 24(12):1358-1366.