Knee Procedures

MeniscusACL ReconstructionCollateral Ligament - MCL, LCL, PLCMPFL (Medial Patellofemoral Ligament) Back To Locations
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Meniscus

Meniscus

Mensicus Surgery

🔍 Minimally Invasive — The FiberStitch 1.5 technique is minimally invasive, reducing tissue morbidity and allowing for smaller implants, which can lead to quicker recovery times and less postoperative pain.

🧵 Knotless Repair — This technique uses a knotless suture system, which reduces the risk of intra-articular knots loosening and causing complications.

🔧 Secure Fixation — The FiberStitch 1.5 provides stronger fixation compared to traditional PEEK implant systems, enhancing the stability of the meniscal repair.

🛠️ Ergonomic Design — The system features an ergonomic handle for single-handed delivery, making the procedure more efficient and potentially reducing surgery time.

📉 Reduced Complications — By minimizing needle exposure beyond the meniscus, the technique reduces the risk of neurovascular injury, a common concern with other repair methods.

Comparison with Other Techniques

🔄 Inside-Out Technique — This traditional method allows for greater control with knots tied outside the joint but requires additional incisions and poses a higher risk of neurovascular injury.

🔀 Outside-In Technique — Often used for mid-body tears, this method involves small incisions and has a lower risk of neurovascular injury but is less commonly used.

⚙️ All-Inside Technique — The FiberStitch 1.5 is part of this category, offering a faster, less invasive approach with reduced risk of complications compared to inside-out methods.

📉 Failure Rates — All-inside techniques, including FiberStitch, have been associated with higher failure rates in some studies, but advancements aim to address these issues.

🔬 Device Innovations — Newer devices like FiberStitch aim to improve outcomes by eliminating intra-articular knots and providing secure fixation.

Surgical Procedure Details

🔧 Delivery Needle — The FiberStitch 1.5 uses a 1.5 mm diameter delivery needle, which is designed to minimize tissue damage during the procedure.

🖐️ Single-Handed Operation — The ergonomic handle allows surgeons to deliver the implant with one hand, improving precision and efficiency.

🔍 Needle Exposure — The active implant-deployment technology minimizes needle exposure beyond the meniscus, reducing the risk of injury.

🧵 Suture Material — The system uses 2-0 coreless FiberWire suture, known for its strength and flexibility in securing repairs.

🔄 Implant Configurations — Available in multiple configurations, the system can be adapted to various tear patterns for optimal repair.

The ergonomic handle is designed for single-handed implant delivery, and active implant-deployment technology minimizes needle exposure beyond the meniscus.

Patient Outcomes and Recovery

⏱️ Recovery Time — Patients typically experience faster recovery times due to the minimally invasive nature of the FiberStitch 1.5 technique.

🩹 Postoperative Pain — Reduced tissue morbidity often leads to less postoperative pain and discomfort for patients.

🏃‍♂️ Return to Activity — Many patients can return to athletic activities within 4 to 6 months, depending on their recovery progress.

🩺 Rehabilitation Protocol — A structured rehabilitation program is essential, focusing on range of motion and strength to ensure successful recovery.

📉 Reoperation Rates — While meniscus repair has higher reoperation rates than meniscectomy, advancements in techniques like FiberStitch aim to improve long-term outcomes.

Sources

FiberStitch™ Curves and When to Use Them: Case Discussionsyoutube.comFiberStitch™ 1.5 All-Inside Meniscus Repairarthrex.comArthroscopic Meniscus Repair Using an All-Inside, All-Suture, Knotless Devicepmc.ncbi.nlm.nih.govFiberStitch™ 1.5 All-Inside Meniscus Repair Surgical Techniquearthrex.com