Meniscus repair using FiberStitch all inside suture repair - 1/5th speed

We had our Clinical Specialist Dr Luis Senna demonstrate a meniscal repair using the recently approved in Canada, FiberStitch™ from Arthrex.
We wanted to highlight the "captains wheel" as well as the sophisticated suture deployment.
* Note that we did not use the depth guide for this demo in order to see the sutures better.
Please see full technique guide here
www.arthrex.com/resources/ani...
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[@johngrosso1938]

Wish this was an alternative to staples 20 years ago

[@shaileshshrirame1307]

Monday

[@nightfighter7452]

Is this decoy meniscus made to scale?

[@jamesbalsai8752]

Will this method repair a degenerative tear? Degenerative tears are almost impossible to fix

[@katiemacwhereuat]

Depends on the site of the tear in the meniscus. There is less blood supply the farther in the meniscus you go. The choice to have a meniscectomy vs a meniscus repair often comes down where the tear is (and how severe it is). If there isn’t enough blood supply at the site to support a repair, a meniscectomy will be the performed. However, it should only be performed if the tear has a large impact on function or pain, as removing it can cause instability and early onset osteoarthritis in that knee. I’m a PTA and I’ve treated many post-op and non-op meniscus tears :)

[@rohitjamble4942]

Do degenerative tear meniscus feel pain while walking

[@katiemacwhereuat]

@@rohitjamble4942 you can, meniscus tears are usually the most painful with knee flexion (bending the knee), like with stairs and squatting. Look up the Thessaly test on CZcams, try it, and see if you have pain with that or not. That may help you know if it is torn or not.

[@rohitjamble4942]

@@katiemacwhereuat I hv grade 3 meniscus tear as per MRI report but the thing is I can run, walk,swim nd can also do squats, nd nw I m in confuse wheather i should go for surgery or not..

[@katiemacwhereuat]

@@rohitjamble4942 if you can avoid surgery, avoid it! Many people with a meniscus tear don’t need surgery if it doesn’t impair their ability to do the things they enjoy. Also, surgical meniscus repairs and meniscectomy’s increase the likelihood of developing early onset knee osteoarthritis, and needing a knee replacement. I work with patients who are in their late 40s/early 50s who have to get their knee replaced that young because they had surgical repair for their meniscus years prior, and developed early onset osteoarthritis.