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2022, Vol. 26 ›› Issue (10): 1495-1500Application of meniscus suture wrapped by suture device versus traditional total internal suture device in the treatment of lateral meniscus popliteal tendon injuryXing Jisi1, 2, Lu Mingfeng2, Zhao Lilian2, He Lilei2, Liu Xiaofang1
Abstract: BACKGROUND: To preserve the annular structure of the lateral meniscus and the function of the knee joint as much as possible. At present, there are two kinds of suture methods commonly used in arthroscopic repair of lateral meniscus popliteal tendon hiatus area injury: total internal suture and inside-out suture. All of them have some shortcomings. OBJECTIVE: To investigate the difference of clinical efficacy between arthroscopic meniscal suture with suture device wrapping and total internal suture device in repairing lateral meniscus popliteal tendon hiatus injury. METHODS: Totally 84 patients with lateral meniscus popliteal tendon injury treated in the Foshan Hospital of Traditional Chinese Medicine from January to December 2019 were enrolled in this study. The patients, aged 23-32 years, were divided into two groups: the meniscus suture passer group (n=40) and total internal suture device group (n=44). The operation time, the number of stitches and the total cost of hospitalization were collected in the two groups. IKDC score, Lysholm score and Tegner score were used to evaluate knee joint function before and after operation. Simultaneously, Barrett evaluation criteria, MRI examination and secondary arthroscopic exploration were used to evaluate the meniscus healing. This study was approved by Ethics Committee of Foshan Hospital of Traditional Chinese Medicine (approval No. 20191230). RESULTS AND CONCLUSION: (1) The incisions of 84 patients healed in the first stage after operation, and there were no complications such as joint infection or foreign body rejection. The patients were followed up for 12-24 months. There was no significant difference in the number of suture needles and operation time between the two groups (P > 0.05). The cost of hospitalization in the meniscus suture passer group was lower than that in the total internal suture device group (P < 0.05). (2) There was no significant difference in IKDC score, Lysholm score, and Tegner score between the two groups at the last follow-up (P > 0.05). (3) At the last follow-up, according to Barrett’s evaluation criteria, there was no significant difference in the clinical healing rate between the two groups (P > 0.05). At the last follow-up, MRI showed that there was no significant difference in the complete healing rate and total healing rate between the two groups (P > 0.05). (4) Thirty-six patients (18 cases in the meniscus suture passer group and 18 cases in the total internal suture device group) underwent secondary arthroscopic exploration at 12-24 months after surgery. There was no significant difference in the complete healing rate and total healing rate between the two groups (P > 0.05). (5) The conclusion shows that using meniscus suture passer to repair the injury of popliteal tendon hiatus of lateral meniscus is a safe, reliable, convenient, and effective method, has high healing rate. Key words:lateral meniscus, popliteal tendon, passer, arthroscopy, total internal suture, complete healing rate, total healing rate |