The predictive factors that are associated with the number of sutures used during meniscal repair.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2000-
    • Subject Terms:
      Anterior Cruciate Ligament Injuries*/epidemiology ; Anterior Cruciate Ligament Injuries*/surgery ; Tibial Meniscus Injuries*/diagnostic imaging ; Tibial Meniscus Injuries*/epidemiology ; Tibial Meniscus Injuries*/surgery; Anterior Cruciate Ligament ; Arthroscopy ; Case-Control Studies ; Female ; Humans ; Male ; Menisci, Tibial/diagnostic imaging ; Menisci, Tibial/surgery ; Retrospective Studies ; Sutures
    • Abstract:
      Purpose: To investigate factors associated with the consumption of a large number of sutures during arthroscopic meniscus repair procedures.
      Methods: All patients who received meniscal repair, with or without concomitant anterior cruciate ligament (ACL) reconstruction, in our hospital from January 2015 to December 2019 were included in the current study. Demographic data (sex, age, body mass index (BMI), and injury-to-surgery interval) and surgical data (the site of the tear, side of the meniscus, presence of an ACL rupture or not and the number of sutures) were retrospectively collected from our medical records. The number of sutures was divided into two groups (1-2 sutures versus > 2 sutures). The stitching process was implemented through an all-inside technique using a meniscal repair device (Fast-Fix; Smith & Nephew). According to the length and stability of the meniscal tear, one to seven sutures were used. Univariate analysis consisted of chi-square tests. Multivariate logistic regression was then performed to adjust for confounding factors.
      Results: A total of 242 patients, including 168 males and 57 females, was finally included. In the univariate analysis, we found that those patients who underwent meniscus repair within one month after meniscus tear were more likely to need fewer sutures than those who underwent surgery more than one month after injury (70/110 versus 59/115, p=0.062). In total, 75/109 (68.8%) lateral meniscal tears were repaired with fewer sutures than medial (34/72, 47.2%) and bilateral meniscus injuries (20/44, 45.4%; p=0.003). In the multivariate analysis, we found that the duration of injury (OR, 2.06; 95% CI, 1.16-3.64, p=0.013), presence of an ACL injury (OR, 3.76; 95% CI, 1.97-7.21, p< 0.001) and the side of the meniscus (OR, 0.31; 95% CI, 0.14-0.65, p=0.002) were associated with the number of sutures used during meniscal repair procedures.
      Conclusions: Patients who underwent meniscal repair within one month after meniscus tear, especially lateral menisci tears, were more likely to need fewer sutures.
      Study Design: Case-control study; level of evidence, 3.
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    • Contributed Indexing:
      Keywords: Concurrent ACL injury; Duration of injury; Lateral; Meniscal repair; Sutures
    • Publication Date:
      Date Created: 20210113 Date Completed: 20210514 Latest Revision: 20220531
    • Publication Date:
      20240105
    • Accession Number:
      PMC7802133
    • Accession Number:
      10.1186/s12891-020-03911-0
    • Accession Number:
      33435940