The Role of Meniscal Arrow in the Treatment of the Meniscal Tear

반월상 연골 파열의 치료에서 meniscal arrow의 역할

  • Bae, Dae Kyung (Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University) ;
  • Yim, Chang Moo (Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University) ;
  • Jeong, Ki Woong (Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University)
  • 배대경 (경희대학교 의과대학 정형외과학교실) ;
  • 임창무 (경희대학교 의과대학 정형외과학교실) ;
  • 정기웅 (경희대학교 의과대학 정형외과학교실)
  • Published : 1999.06.01

Abstract

Purpose : The purpose of this paper is to analyze the clinical results after meniscal repair using meniscal arrow. Materials and Methods : Between May 1997 and Aug 1998, we repaired 22 tom menisci in 22 patients using meniscal arrows. There were nineteen males and three females with an average age of 27 years. There were longitudinal tear in 14 cases, Bucket-handle tear were 7 cases and horizontal tear was in 1 case. In 22 meniscus tears, 16 cases were associated with anterior cruciate ligament tear. Average number of meniscal arrow that was used were 2.5(ranged 1 to 4). Average follow-up period was 14.7 months(ranged 6 to 22 months). We evaluated the clinical results by the Tapper and Hoover's grading system. Results : There were excellent in 16 cases, good in 4 cases and fair in 2 cases on the clinical results. At the last follow up, the range of the motion of the knee joint were average 135 degrees(ranged 125 to 140 degrees). Mean time elapsed for meniscal repair were 25 minutes(ranged 15 to 40 minutes). Conclusion : Meniscal arrow has many advantages such as short operative time, easy fixation technique, and less neurovascular injury. We think that arthroscopic meniscal repair using meniscal arrow is effective treatment method in selected patient who have longitudinal, bucket-handle tear at the posterior hom associated with anterior cruciate ligament tear.