{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T05:37:45Z","timestamp":1788586665705,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2005,2,1]],"date-time":"2005-02-01T00:00:00Z","timestamp":1107216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2005,2,1]],"date-time":"2005-02-01T00:00:00Z","timestamp":1107216000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2005,2,1]],"date-time":"2005-02-01T00:00:00Z","timestamp":1107216000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2005,2,1]],"date-time":"2005-02-01T00:00:00Z","timestamp":1107216000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2005,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>We performed a prospective study of meniscal repair using a new all\u2010inside suture meniscal repair device to evaluate its clinical efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Type of study<\/jats:title>\n                    <jats:p>Prospective case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The results of 42 meniscal tears in 37 patients who underwent meniscal repair using the FasT\u2010Fix device (Smith &amp; Nephew, Andover, MA) were prospectively evaluated. All cases were performed by 1 surgeon (A.A.S.). Preoperative and follow\u2010up evaluation was performed using the objective and subjective International Knee Documentation Committee (IKDC) criteria as well as Lysholm functional questionnaires. Statistical significance was determined to be\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05 based on a 2\u2010tailed\n                      <jats:italic>t<\/jats:italic>\n                      test. Relook arthroscopy was performed in 8 patients (9 repairs). Any patient who had a hybrid repair was excluded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The patient population studied, 37 patients comprising 42 meniscal repairs, had an average age of 27 years (range, 13 to 48 years), and an average follow\u2010up of 24.3 months (range, 22 to 27 months). There were 20 male and 18 female patients with 23 medial and 9 lateral repairs; 5 patients had both menisci repaired. All patients had tears in Cooper radial zones 1 and 2 and, thus, had a peripheral meniscal rim of at least 2 mm. All tears were predominantly in the middle and posterior third of the meniscus and 8 tears extended into the posteriormost aspect of the anterior third of the meniscus. An average of 2.8 suture devices was used (range, 1 to 5), predominately in a vertical or vertical oblique mattress configuration. Forty\u2010two percent were isolated meniscal injuries and 58% had a concurrent anterior cruciate ligament (ACL) reconstruction. Concomitant procedures were ACL reconstruction in 22, excision of loose body in 1, and excision of a large meniscal cyst in 1. Tear length averaged 2.9 cm (range, 1.5 to 4.5 cm). The success rate by objective IKDC score was 86% (73% normal, 13% nearly normal, and 14% abnormal). Of the 5 clinical failures, 3 were in the isolated group (80% success rate), and 2 were in the ACL group (91% success rate). Both the subjective IKDC and the Lysholm scores statistically improved (IKDC average, 59 preoperative and 92 postoperative; Lysholm average, 69 preoperative and 94 postoperative). There were 8 relook arthroscopies; 5 for failures and 3 for other procedures at which time complete healing was noted. In no case was there articular scuffing from the knots. Removal of a device at the time of surgery was necessary in 5 instances for failure of engagement of the T\u2010Fix bar. An additional FasT\u2010Fix device was then inserted without difficulty in each case. No case of postoperative extra\u2010articular or intra\u2010articular complications was encountered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The FasT\u2010Fix suture device affords an all\u2010inside method of meniscal repair using a strong vertical or horizontal mattress suture configuration and appears to be a safe and effective technique for meniscal repair for tears with at least a 2\u2010mm peripheral rim. It has a high success rate and low complication rate and has results comparable to classic suture repair techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2004.10.012","type":"journal-article","created":{"date-parts":[[2005,2,3]],"date-time":"2005-02-03T07:20:31Z","timestamp":1107415231000},"page":"167-175","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":165,"title":["Meniscal repair using the FasT\u2010Fix all\u2010inside meniscal repair device"],"prefix":"10.1002","volume":"21","author":[{"given":"Andrew L.","family":"Haas","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Boston University Medical Center Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony A.","family":"Schepsis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Boston University Medical Center Boston Massachusetts U.S.A."},{"name":"Department of Sports Medicine Boston University Medical Center Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Hornstein","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Boston University Medical Center Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cory M.","family":"Edgar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Boston University Medical Center Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,2,1]]},"reference":[{"key":"e_1_2_2_2_1","first-page":"333","article-title":"The healing of semilunar cartilages","volume":"18","author":"King D.","year":"1936","journal-title":"J Bone Joint Surg"},{"key":"e_1_2_2_3_1","first-page":"1069","article-title":"The function of semilunar cartilages","volume":"18","author":"King D.","year":"1936","journal-title":"J Bone Joint Surg"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.1268.779"},{"key":"e_1_2_2_5_1","first-page":"57","article-title":"Surgery under arthroscopic control. 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