Clinical Biomechanics
Volume 22, Issue 1 , Pages 93-99 , January 2007

Meniscal screw fixation provides sufficient stability to prevent tears from gapping

  • Lutz Dürselen

      Affiliations

    • Institute of Orthopaedic Research and Biomechanics, University of Ulm, Helmholtzstraße 14, 89081 Ulm, Germany
    • Corresponding Author InformationCorresponding author.
    • ,
  • Alexander Hebisch

      Affiliations

    • Institute of Orthopaedic Research and Biomechanics, University of Ulm, Helmholtzstraße 14, 89081 Ulm, Germany
    • ,
  • Daniel Wagner

      Affiliations

    • Sports Clinic Stuttgart, Germany
    • ,
  • Lutz E. Claes

      Affiliations

    • Institute of Orthopaedic Research and Biomechanics, University of Ulm, Helmholtzstraße 14, 89081 Ulm, Germany
    • ,
  • Gerhard Bauer

      Affiliations

    • Sports Clinic Stuttgart, Germany

Received 18 May 2006 ,Accepted 28 July 2006.

References 

  1. Albrecht-Olsen P, Lind T, Kristensen G, Falkenberg B. Failure strength of a new meniscus arrow repair technique: biomechanical comparison with horizontal suture. Arthroscopy. 1997;13:183–187
  2. Albrecht-Olsen P, Kristensen G, Burgaard P, Joergensen U, Toerholm C. The arrow versus horizontal suture in arthroscopic meniscus repair. A prospective randomized study with arthroscopic evaluation. Knee Surg. Sports Traumatol. Arthrosc. 1999;7:268–273
  3. Asik M, Sener N. Failure strength of repair devices versus meniscus suturing techniques. Knee Surg. Sports Traumatol. Arthrosc. 2002;10:25–29
  4. Aspden RM, Yarker YE, Hukins DW. Collagen orientations in the meniscus of the knee joint. J. Anat. 1985;140:371–380
  5. Barber FA, Herbert MA. Meniscal repair devices. Arthroscopy. 2000;16:613–618
  6. Becker R, Schröder M, Starke C, Urbach D, Nebelung W. Biomechanical investigations of different meniscal repair implants in comparison with horizontal sutures on human meniscus. Arthroscopy. 2001;17:439–444
  7. Becker R, Starke C, Heymann M, Nebelung W. Biomechanical properties under cyclic loading of seven meniscus repair techniques. Clin. Orthop. 2002;236–245
  8. Boenisch UW, Faber KJ, Ciarelli M, Steadman JR, Arnoczky SP. Pull-out strength and stiffness of meniscal repair using absorbable arrows or Ti-Cron vertical and horizontal loop sutures. Am. J. Sports Med. 1999;27:626–631
  9. Bohnsack M, Borner C, Schmolke S, Moller H, Wirth CJ, Ruhmann O. Clinical results of arthroscopic meniscal repair using biodegradable screws. Knee Surg. Sports Traumatol. Arthrosc. 2003;11:379–383
  10. Borden P, Nyland J, Caborn DN, Pienkowski D. Biomechanical comparison of the FasT-Fix meniscal repair suture system with vertical mattress sutures and meniscus arrows. Am. J. Sports Med. 2003;31:374–378
  11. Dervin GF, Downing KJ, Keene GC, McBride DG. Failure strengths of suture versus biodegradable arrow for meniscal repair: an in vitro study. Arthroscopy. 1997;13:296–300
  12. Dürselen L, Claes L, Kiefer H. The influence of muscle forces and external loads on cruciate ligament strain. Am. J. Sports Med. 1995;23:129–136
  13. Dürselen L, Hehl G, Simnacher M, Kinzl L, Claes L. Augmentation of a ruptured posterior cruciate ligament provides normal knee joint stability during ligament healing. Clin. Biomech. 2001;16:222–228
  14. Dürselen L, Hebisch A, Claes LE, Bauer G. Gapping phenomenon of longitudinal meniscal tears. Clin. Biomech. 2003;18:505–510
  15. Dürselen L, Schneider J, Galler M, Claes LE, Bauer G. Cyclic joint loading can affect the initial stability of meniscal fixation implants. Clin. Biomech. 2003;18:44–49
  16. Farng E, Sherman O. Meniscal repair devices: a clinical and biomechanical literature review. Arthroscopy. 2004;20:273–286
  17. Ganley T, Arnold C, McKernan D, Gregg J, Cooney T. The impact of loading on deformation about posteromedial meniscal tears. Orthopedics. 2000;23:597–601
  18. Ihara H, Miwa M, Takayanagi K, Nakayama A. Acute torn meniscus combined with acute cruciate ligament injury. Second look arthroscopy after 3-month conservative treatment. Clin. Orthop. 1994;146–154
  19. Jaspers P, de Lange A, Huiskes R, van Rens TJ. The mechanical function of the meniscus, experiments on cadaveric pig knee-joints. Acta Orthop. Belg. 1980;46:663–668
  20. Joshi MD, Suh JK, Marui T, Woo SL. Interspecies variation of compressive biomechanical properties of the meniscus. J. Biomed. Mater. Res. 1995;29:823–828
  21. Kirsch L, Kohn D, Glowik A. Forces in medial and lateral meniscus sutures during knee extension – an in vitro study. J. Biomech. 1999;1(Suppl. 1):104
  22. Kohn D, Siebert W. Meniscus suture techniques: a comparative biomechanical cadaver study. Arthroscopy. 1989;5:324–327
  23. Miller MD, Kline AJ, Jepsen KG. All-inside meniscal repair devices: an experimental study in the goat model. Am. J. Sports Med. 2004;32:858–862
  24. Otte S, Klinger HM, Beyer J, Baums MH. Complications after meniscal repair with bioabsorbable arrows: two cases and analysis of literature. Knee Surg. Sports Traumatol. Arthrosc. 2002;10:250–253
  25. Rimmer MG, Nawana NS, Keene GC, Pearcy MJ. Failure strengths of different meniscal suturing techniques. Arthroscopy. 1995;11:146–150
  26. Seil R, Kohn D. Meniscus reconstruction. Established and innovative methods. Unfallchirurg. 2001;104:274–287
  27. Song EK, Lee KB. Biomechanical test comparing the load to failure of the biodegradable meniscus arrow versus meniscal suture. Arthroscopy. 1999;15:726–732
  28. Staerke C, Bochwitz C, Groebel KH, Unterhauser F, Becker R. The effect of meniscus compression on the biomechanical properties of repaired meniscal lesions. Winner of the AGA-DonJoy Award 2003. Arch. Orthop. Trauma Surg. 2004;124:221–225
  29. Zantop T, Eggers AK, Weimann A, Hassenpflug J, Petersen W. Initial fixation strength of flexible all-inside meniscus suture anchors in comparison to conventional suture technique and rigid anchors: biomechanical evaluation of new meniscus refixation systems. Am. J. Sports Med. 2004;32:863–869

PII: S0268-0033(06)00157-4

doi: 10.1016/j.clinbiomech.2006.07.010

Clinical Biomechanics
Volume 22, Issue 1 , Pages 93-99 , January 2007

Article Tools

* Image Usage & Resolution