Clinical Research Of Arthroscopicmeniscal Repair By Using FasT-Fix Or ACCU PASS Suturing Device

Objective To investigate the clinical efficacy of arthroscopic meniscal repair by using the Fas T-Fix or ACCU PASS meniscal repair device,and to provide the reference and theoretical basis.Methods The curative results and follow-up data were analyzed in 67 cases with meniscus injury which treated with meniscal repair in Joint Surgery Center of Tongji Hospital,Huazhong University of Science and Technology from Nov 2013 to May 2015.We collect the patients’ data such as preoperative state of illness including age,gender,location of meniscal tears,length of tears and Lysholm,IKDC,also the VAS score.All included patients were using Fas T-Fix or ACCU PASS suture device for meniscal repair.Postoperative follow-upfor 8 ~ 26 months,average 17.5±4.7 months.Preoperative and postoperative Lysholm score,IKDC score,VAS score,surgical complications(vascular, nerve damage, knot reactions,meniscal suturing device residual compression fracture) were recorded to assess the clinical efficacy,also the meniscus healing rate according to Barrett standard.Results Difference between two groups in gender, age, course of disease, meniscus injury site(knee, medial and lateral, anterior horn, body, angle around), rupture length and distance between the rupture and synovial edge, the preoperative Lysholm, IKDC score, VAS score of no statistical significance(P > 0.05). Also differences have no statisticalsignificance in the two groups among postoperative Lysholm, IKDC,VAS score and operating time(P > 0.05), and age has no significant effect on the clinical healing rate,but statisticalsignificance can be seen among the differences between preoperative and postoperative Lysholm, IKDC, VAS score. Among them, 1 cases has suture response, and satisfied afterremovalof the knots; cartilage injured appeared in 5 cases; no neurovascular injury and suture device related complicationsoccurred.Thebody of meniscus injured in the two groups of were individually compared.There isno statistical differences in general situation before operation, also postoperative Lysholm, IKDC,VAS score and the clinical healing rate difference(P > 0.05), but it can be seen among the suture needle number and operation time(P < 0.05).Conclusions Arthroscopic meniscal repair by using the Fas T-Fix or ACCU PASS suturing device which has less trauma and less complication can improve pain symptoms significantly,and has good clinical efficacy including the high meniscal healing rate、good knee function scores,and age has no obvious effect on the clinical healing rate; for meniscus body tearing, Fas T-Fix and ACCU PASS device can effectively improve the knee joint function and the curative effect is similar. But it takes less time when using Fas T-Fix and lesssuture pin number whiling using the ACCU PASS.