All-inside meniscal repair using the FasT-Fix meniscal repair system: Is still needed to avoid weight bearing? A systematic review

The aim of this study was to review the published clinical outcomes of meniscal repair using the FasT-Fix device comparing standard rehabilitation program to an accelerated rehabilitation protocol. A review of the Medline database was performed involving searches for clinical outcomes of all-inside...

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Bibliographic Details
Published in:Musculoskeletal surgery 2012-12, Vol.96 (3), p.149-154
Main Authors: Vascellari, Alberto, Rebuzzi, Enrico, Schiavetti, Stefano, Coletti, Nicolò
Format: Article
Language:English
Subjects:
Anterior Cruciate Ligament Reconstruction
Arthroscopy - instrumentation
Arthroscopy - methods
Biomechanical Phenomena
Equipment Design
Equipment Failure
Humans
Injuries
Knee
Knee Injuries - rehabilitation
Medicine
Medicine & Public Health
Menisci, Tibial - surgery
Orthopedics
Patient Acceptance of Health Care
Reconstructive Surgical Procedures - instrumentation
Reconstructive Surgical Procedures - methods
Recovery of Function
Recurrence
Review
Severity of Illness Index
Surgical Orthopedics
Suture Anchors
Suture Techniques - instrumentation
Tibial Meniscus Injuries
Treatment Outcome
Weight-Bearing
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Summary:The aim of this study was to review the published clinical outcomes of meniscal repair using the FasT-Fix device comparing standard rehabilitation program to an accelerated rehabilitation protocol. A review of the Medline database was performed involving searches for clinical outcomes of all-inside meniscus repair performed with the FasT-Fix device. Eight studies were identified for inclusion. On the basis of the clinical outcomes of these studies, there appears to be no notable difference between an accelerated rehabilitation regimen with full weight bearing allowed as soon as tolerated and a standard postoperative rehabilitation program. Failure rate was 13 % for patients following an accelerated rehabilitation regimen, and 10 % for standard protocol. Accelerated rehabilitation after all-inside meniscal repair using the FasT-Fix device appears to be safe, and the incidence of retears is in line with those reported for standard rehabilitation protocol. Level of evidence IV
ISSN:2035-5106
2035-5114
DOI:10.1007/s12306-012-0209-0