Treat a wide range of meniscal pathologies with the latest innovation in meniscal repair—all-inside meniscus repair using FiberStitch™ all-suture implants. In this procedure, soft all-suture sheaths replace traditional hard plastic PEEK anchors to provide a secure repair. Four different FiberStitch needle configurations are offered to address various tear patterns. Arthrex techniques and implants that address meniscus pathology include inside-out meniscus repair using the ZoneNavigator™ system with 0.9 mm SutureTape; meniscus-based, all-suture repair with the Knee Scorpion™ suture passer; all-suture meniscus ramp lesion repair; the Meniscal Root Repair System; and additional techniques for meniscus extrusion.

Knee

Product

Procedure

A product of relentless innovation, the FiberStitch 1.5 implant features a new, low-profile delivery needle, resulting in less tissue morbidity and smaller implants and providing stronger fixation compared to previous FiberStitch implants.1 The proven superiority of FiberStitch all-suture anchors for all-inside meniscal repair is evident when compared to traditional PEEK implant systems.2 Made with 2-0 coreless FiberWire® suture, soft anchors provide secure arthroscopic all-inside knotless meniscal repair.
References
 
1. Arthrex, Inc. Data on file (APT-06136). Naples, FL; 2023.
 
2. Bachmaier S, Krych AJ, Smith PA, et al. Primary fixation and cyclic performance of single-stitch all-inside and inside-out meniscal devices for repairing vertical longitudinal meniscal tears. Am J Sports Med. 2022;50(10):2705-2713.doi:10.1177/03635465221107086

Arthrex presents the FiberStitch™ 1.5 implant, the next-generation all-suture, all-inside meniscus repair system with a 1.5 mm diameter delivery needle.

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FiberStitch™ 1.5 All-Inside Meniscus Repair

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FiberStitch™ 1.5 All-Inside Meniscal Repair

FiberStitch™ 1.5 Implant

2.75 mm Mini Suture Retriever, Straight

Suture Tensioner/Cutter for 2-0 and 0 FiberWire Suture

Knotenschieber und Fadenabschneider, FW #2-0 und #0

2-0 Suture Cutter, 2.75 mm, Straight

Suture Cutter, Straight, 2-0 Suture only, Ø 2.75 mm

Pinza cortadora de sutura, recta, solo suturas de calibre#2-0, Ø 2.75 mm

CORTADOR DE SUTURA 2-0, 2.75 MM EIXO RETO

Fadenabschneider Ø 2.75 mm, 15° aufgewinkelt

Suture Cutter, 15° Up Curved, 2-0 Suture only, Ø 2.75 mm

Pinza cortadora de sutura, curvada arriba 15°, solo suturasde calibre #2

CORTADOR DE SUTURA 2-0, 2.75 MM, CURVADO 15° PARA CIMA, REUTILIZÁVEL (130MM X Ø2.75MM)

Child (D)

The ZoneNavigator™ System revolutionizes inside-out meniscal repair with single-handed control of needle placement. Use the ergonomic handle to advance and retract 2-0 SutureTape with meniscal repair needles in 1 cm increments. Cannulas attach to the handle to efficiently target specific zones of the meniscus.
Use the needle catcher to guide needles away from neurovascular structures. The concave, curved retractor efficiently retracts tissue and directs the needles for easy retrieval.

Aaron Krych, MD, (Rochester, MN) discusses the importance of re-establishing anatomical function of a damaged meniscus using the new ZoneNavigator™ system for inside-out meniscal repair. He also discusses using the Knee Scorpion™ suture passer for meniscal root repair and the meniscal root drill guide for transportal and transtibial root repair.

Meniscus Root Repair and Inside-Out Repair Techniques

ZoneNavigator™ System

Walter R. Lowe, MD, (Houston, TX) demonstrates an inside-out meniscus repair, including placement of a posterolateral needle catcher, using the ZoneNavigator™ system.

ZoneNavigator™ System Posterolateral Exposure for Inside-Out Meniscus Repair

ZoneNavigator™ Inside-Out Meniscal Repair System

Inside/Out Meniscal Repair

Mini Suture Retriever, 15° Up Curve

MINI RECUPERADOR DE FIOS COM CURVATURA 15º PARA CIMA

The ZoneNavigator™ System revolutionizes inside-out meniscal repair with single-handed control of needle placement. Use the ergonomic handle to advance and retract 2-0 SutureTape with meniscal repair needles in 1 cm increments.

The low-profile 3.2 mm Knee Scorpion™ jaw allows the passage of 0 and 2-0 FiberWire® suture in tight recesses of the knee. The one-handed, ergonomically designed suture passer is offered with reliable FastPass technology. FastPass Scorpion™ technology allows passing suture through tissue and capturing the suture in one simple pass, eliminating the need for the extra steps of suture retrieval and suture shuttling. Multiple different suture configurations are possible using the Knee Scorpion suture passer.

Vic Goradia, MD, (Richmond, VA) demonstrates the use of the Knee Scorpion™ Suture Passer in conjunction with the Micro SutureLasso™ suture passer for an outside‐in repair of a radial meniscus tear.

Radial Meniscal Tear Repair Using the Knee Scorpion™ Suture Passer Combined with an Outside-In Repair

The low profile and anatomically designed device will facilitate suture passage in tight areas of the knee.
• Low Profile: Pass suture in tight spaces with the Knee Scorpion™ Needle (AR-12990N) • Versatility: Accommodates 2-0 and 0 FiberWire® • Efficient: Pass and retrieve suture in one step through one portal • Anatomic: Angled jaw engineered for the knee joint

Knee Scorpion™ - Simplified, Single-Portal Suture Passing and Retrieving

Mini 0.9 mm Wide SutureTape FiberLink™ Suture and TigerLink™ Suture with 2-0 Suture Tails

A list of scientific articles pertaining to a product or procedure.

Wissenschaftsupdate

Atualizações científicas

Actualizaciones científicas

Scientific Updates

All-Inside Meniscal Repair Scientific Update

Meniscal All-Suture Repair

2-0 FiberStick, 2-0 FiberWire, 50" (blue) one end stiffened, 12"

FiberStick #2-0, mit 30.0 cm gesteiftem Ende, steril

The Meniscal Cinch II technique offers a linear deployment mechanism to provide ergonomic handling and simplicity. The low-profile cannula allows flexibility in tight locations in the knee and the crimped cannula supports active implant deployment. The 1 mm × 5 mm PEEK implants are secured by 2-0 coreless FiberWire® suture with a pre-tied, modified Weston sliding knot that tensions easily and facilitates secure, low-profile vertical or horizontal suture repairs.

Patrick A. Smith, MD, (Columbia, MO) demonstrates a cadaveric all-inside meniscus repair with the Meniscal Cinch™ II system.

Meniscal Cinch™ II System

Meniscal Cinch™ II Implant

Meniscal Cinch™ II Implant Competitive Matrix

The Meniscal Cinch™ II implant delivery system provides an efficient and reproducible method for all‐inside meniscal repair with small tissue perforations and low‐profile PEEK implants secured with 2‐0 FiberWire® suture.

Meniscal Cinch™ II All-Inside Meniscal Repair

Meniscal Cinch™ II Technique

Ramp lesions, which are commonly associated with ACL injuries and are often misdiagnosed,1 disrupt the meniscotibial ligament and the posteromedial meniscus in the meniscocapsular zone. Disruption of the posterior horn of the medial meniscus could lead to excessive forces within the knee joint and surrounding structures.
The QuickPass™ SutureLasso™ suture passer is preloaded with a #2-0 FiberStick™ suture, and is available with a left or right 25° curve and 1.5 mm tip.
Reference 
1. Peltier A, et al.&nbsp;&nbsp;Arthroscopy. 2015;31(4):691-698. doi:10.1016/j.arthro.2014.12.003.

Walter R. Lowe, MD (Houston, TX), demonstrates a cadaveric ramp lesion repair of the medial meniscus using a FiberStitch™ all-inside meniscus repair implant through a standard anterior portal approach.

Meniscus Ramp Lesion Repair Using an Anterior Approach and the FiberStitch™ Implant

Walter R. Lowe, MD (Houston, TX), discusses medial meniscus ramp lesions, including an all-inside repair technique using the FiberStitch™ all-suture implant.

All-Inside Meniscus Ramp Repair Using the FiberStitch™ All-Suture Implant

QuickPass™ SutureLasso™ for Meniscus Ramp Lesion Repair

Orthobiologics

Influence of Sutures on Cartilage Integrity: Do Meniscus Sutures Harm Cartilage? An Experimental Animal Study

Meniscus Ramp Lesion Repair

Meniscal root avulsions are a challenging injury causing meniscal extrusion and loss of hoop stress distribution, which can lead to the development of knee arthritis.1 Arthrex offers multiple implant systems for meniscal root repair.&nbsp;
The SutureLoc™ implant allows for direct tibial fixation of the meniscal root. The 2.4 mm cannulated drill pin leaves more bone intact while delivering the SutureLasso™ wire directly to the footprint of the meniscal root. Once the anchor has been passed, the 2 repair sutures can be passed through the tissue in a variety of stitch patterns. The knotless implant is retensionable, allowing surgeons to dial in their repair. Traditional transtibial implant systems using a FlipCutter® II reamer and multiple fixation options are also available.
A complete system for meniscal root repair includes the meniscal root marking hooks and the Knee Scorpion™ suture passer. Two meniscal root marking hooks are available, so surgeons can choose their preferred hook.&nbsp;
The point-to-point guide allows surgeons to directly target their drill location at the meniscal root footprint, while the over-the-back marking hook sits securely over the back of the tibia to allow stable drilling tunnel preparation. Use the low-profile Knee Scorpion suture passer to simplify suture passing in tight recesses of the knee.
Reference:
1. Pagnani MJ, Cooper DE, Warren RF. Extrusion of the medial meniscus. Arthroscopy. 1991;7(3):297-300. doi:10.1016/0749-8063(91)90131-g

Aaron J. Krych, MD (Rochester, MN), demonstrates the point-to-point meniscal marking hook for use in meniscal root repair. Dr. Krych highlights the many benefits of the marking hook, including point-to-point precision targeting and the variable locking mechanism.&nbsp;

Meniscal Root Repair Using the Point-to-Point Marking Hook

Travis G. Maak, MD (Salt Lake City, UT), discusses the critical function of the posterolateral and medial meniscal roots, including the need to address this pathology, and unique techniques for repairing disrupted posterior meniscal roots.

Management of Meniscal Root Tears

This animation demonstrates the point-to-point marking hook, a device developed for meniscal root repair.&nbsp;