Arthroscopic Meniscal Repair with Bioabsorbable Devices

생체 흡수성 기구를 이용한 반월상 연골 봉합술

  • Kim Jong Soon (Hyosung Orthopaedic Hospital) ;
  • Shin Kyoo Seog (Department of Orthopaedic Surgery, Bongseng Memorial Hospital) ;
  • Lee Dong Hwa (Department of Orthopaedic Surgery, Bongseng Memorial Hospital) ;
  • Sok Jin Ho (Department of Orthopaedic Surgery, Bongseng Memorial Hospital) ;
  • Park Sang Hwan (Department of Orthopaedic Surgery, Bongseng Memorial Hospital) ;
  • Heo Jeong Kuk (Department of Orthopaedic Surgery, Bongseng Memorial Hospital)
  • 김종순 (효성 병원) ;
  • 신규석 (김원묵기념 봉생병원 정형외과) ;
  • 이동화 (김원묵기념 봉생병원 정형외과) ;
  • 석진호 (김원묵기념 봉생병원 정형외과) ;
  • 박상환 (김원묵기념 봉생병원 정형외과) ;
  • 허정국 (김원묵기념 봉생병원 정형외과)
  • Published : 2002.12.01

Abstract

Purpose : The purpose of this study was to evaluate the clinical results of meniscal repair using the bioabsorbable devices. Materials and Methods : From 1998, 21 meniscal repairs were underwent using the bioabsorbable devices and followed more than 1 year. The Meniscus $Arrow^{\circledR}$(Bionx) and the Meniscal $Fastener^{\circledR}$(Mitek) had been applied. The indication for meniscus refixation was an unstable longitudinal tear in the posterior horn of the medial or lateral meniscus. Concurrent ACL reconstruction with meniscal repair was performed on 9 knees. The clinical result was evaluated using Lysholm knee score. Result : The average Lysholm knee scores for all patients improved from 56 preoperatively, to 89 postoperatively. The type of the device were not significantly related to clinical outcome or Lysholm knee score. But the concurrent ACL reconstruction group and the patients treated within 8 weeks had better clinical result than the others. Conclusion : The all-inside meniscal repair technique using bioabsorbable devices can be considered to be an useful method in the well selected patients and concurrent ACL reconstruction surgery.