{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T01:23:38Z","timestamp":1787275418578,"version":"build-2736575974"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate common failures of all\u2010inside meniscal repair devices and associated patient injuries and determine whether specific device designs show distinct patterns of adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The Food and Drug Administration's Manufacturer and User Facility Device Experience database was queried for adverse events involving all\u2010inside meniscal repair devices from 2023 to 2024. Data collected included device problems, patient injuries, manufacturer details, and time to report incidents. Device problems were categorized into 11 groups: Detachment of Device or Device Component, Failure to Fire, Fracture, Device\u2010Device Incompatibility, Simultaneous Fire, Premature Activation, Physical Resistance\/Sticking, Manufacturing, Packaging or Shipping Problem, Sutures Torn, Material Deformation, and Separation Failure. Statistical analyses included frequency counts, percentages, and Kruskal\u2010Wallis test, with significance at\n                      <jats:italic>P\u2009<\/jats:italic>\n                      &lt;\u2009.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three thousand fifty\u2010six device malfunctions were reported in 2023 to 2024. After excluding 8 nonmeniscal repair devices, 908 duplicates and 84 reports lacking sufficient information, 2056 eligible reports were analyzed. Among these, 114 associated patient injuries (5.5%). The most frequent device problems were Device Detachment (486, 20.76%), Failure to Fire (473, 20.21%), Device Fracture (362, 15.46%), and Device\u2010Device Incompatibility (346, 14.78%). Reporting delays varied significantly by manufacturer, ranging from a median of 13 to 33.5\u2009days (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Reported device problems varied significantly by design group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). All\u2010suture anchors showed the highest rate of Device Fracture (101, 41.6%), whereas rigid capsular\u2010knot anchors were uniquely associated with Device\u2010Device Incompatibility (346, 34.0%). Rigid meniscal\u2010knot anchors predominantly failed due to deployment errors, most notably \u201cFailure to Fire\u201d (391, 36.2%) and \u201cSimultaneous Fire\u201d (215, 19.9%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adverse event causes differed by system design. All\u2010suture anchors most frequently failed by Fracture of the device, rigid anchors with a capsular knot showed a unique susceptibility to Device\u2010Device Incompatibility, and rigid anchors with a meniscal knot were primarily associated with deployment\u2010related errors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective comparative cohort.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70453","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:38:47Z","timestamp":1787272727000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["All\u2010Inside Meniscus Repair Systems Failure Analysis Shows Device\u2010Related Adverse Events Differ by Device Design Type and Show Varied Reporting Delays by Manufacturer"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7315-7670","authenticated-orcid":false,"given":"Tzadok","family":"Yona","sequence":"first","affiliation":[{"name":"Gray Faculty of Medical &amp; Health Sciences Tel\u2010Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8189-4947","authenticated-orcid":false,"given":"Bhavya","family":"Sheth","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Maimonides Medical Center and Faculty at SUNY Downstate Health Sciences University  Brooklyn New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1987-2971","authenticated-orcid":false,"given":"Noam","family":"Reshef","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Ziv Medical Center  Zefat Israel"},{"name":"The Azriely School of Medicine Bar Ilan University  Zefat Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9283-1439","authenticated-orcid":false,"given":"Ron","family":"Gilat","sequence":"additional","affiliation":[{"name":"Gray Faculty of Medical &amp; Health Sciences Tel\u2010Aviv University  Tel Aviv Israel"},{"name":"Sports Injuries Division and Joint Preservation Center Department of Orthopaedic Surgery Tel Aviv Medical Center  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/S0749-8063(85)80088-8","article-title":"A technique of arthroscopic suture of torn menisci","volume":"1","author":"Stone RG","year":"1985","journal-title":"Arthroscopy."},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1177\/0363546511411701","article-title":"Comparison of inside\u2010out and all\u2010inside techniques for the repair of isolated meniscal tears: A systematic review","volume":"40","author":"Grant JA","year":"2012","journal-title":"Am J Sports Med."},{"key":"e_1_2_7_4_1","doi-asserted-by":"crossref","first-page":"232596711666488","DOI":"10.1177\/2325967116664882","article-title":"New complication associated with all\u2010inside meniscal repair device","volume":"4","author":"Warth LC","year":"2016","journal-title":"Orthop J Sports Med."},{"key":"e_1_2_7_5_1","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1136\/jisakos-2019-000380","article-title":"Surgical treatment of complex meniscus tear and disease: State of the art","volume":"6","author":"Ozeki N","year":"2021","journal-title":"J ISAKOS."},{"key":"e_1_2_7_6_1","first-page":"35","article-title":"Current approaches and problems faced by orthopedic surgeons in all\u2010inside arthroscopic meniscus repairs","volume":"30","author":"Turan K","year":"2021","journal-title":"Ann Med Res."},{"key":"e_1_2_7_7_1","first-page":"689","article-title":"High incidence of intraoperative anchorage failure in FasT\u2010fix all inside meniscal suturing device","volume":"79","author":"Walgrave S","year":"2013","journal-title":"Acta Orthop Belg."},{"key":"e_1_2_7_8_1","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1053\/jars.2002.36146","article-title":"Pitfalls associated with FasT\u2010Fix meniscal repair","volume":"18","author":"Miller MD","year":"2002","journal-title":"Arthroscopy."},{"key":"e_1_2_7_9_1","unstructured":"MAUDE Manufacturer and user facility device experience. 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