caa a22 4500 605455813 CHVBK 20210128100214.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00167-014-3423-5 doi (NATIONALLICENCE)springer-10.1007/s00167-014-3423-5 All-inside suture device is superior to meniscal arrows in meniscal repair: a prospective randomized multicenter clinical trial with 2-year follow-up [Elektronische Daten] [Nina Kise, Jon Drogset, Arne Ekeland, Einar Sivertsen, Stig Heir] Purpose: Multiple techniques and implants are available for all-inside meniscal repair, but the knowledge about their failure rates and functional outcome is still incomplete. The hypothesis was that there might be differences between meniscal arrows and suture devices regarding reoperation rates and functional outcome. Thereby, the aim of this study was to compare clinical results following repair with the Biofix® arrows or the FasT-Fix® suture devices. Methods: In this RCT, 46 patients were treated either by Biofix® (n=21) or FasT-Fix® (n=25). The main outcome was reoperation within 2years. Knee function and activity level were evaluated by KOOS and Tegner activity scale. Results: Twelve out of 46 (26%) patients were reoperated within 2years, nine out of 21 (43%) in the Biofix®-group versus three out of 25 (12%) in the FasT-Fix®-group (p=0.018). The relative risk of reoperation was 3.6 times higher for Biofix® compared to FasT-Fix® (95% confidence interval 1.1-11.5). Both treatment groups had significant increase in all KOOS subscales, but there were no major differences between the groups. The subgroup of reoperated patients differed from the other patients with higher Tegner score preoperatively (median 5 vs. 4) (p=0.037) and at 3-month follow-up (median 4 vs. 3) (p=0.010). Conclusions: These results indicate that FasT-Fix® suture is superior to Biofix® arrows with significant lower failure rate. Functional outcome did not depend on repair technique. Higher activity score preoperatively and at 3-month follow-up in the reoperated patients indicates that activity level may influence on the risk of reoperation. Level of evidence: I. The Author(s), 2014 All-inside nationallicence Meniscal repair nationallicence Meniscal suture nationallicence Meniscus arrow nationallicence Biofix® nationallicence FasT-Fix® nationallicence Kise Nina Department of Orthopedic Surgery, Martina Hansens Hospital, Postboks 823, 1306, Sandvika, Norway aut Drogset Jon Department of Orthopedic Surgery, Trondheim University Hospital, Postboks 3250 Sluppen, 7006, Trondheim, Norway aut Ekeland Arne Department of Orthopedic Surgery, Martina Hansens Hospital, Postboks 823, 1306, Sandvika, Norway aut Sivertsen Einar Department of Orthopedic Surgery, Martina Hansens Hospital, Postboks 823, 1306, Sandvika, Norway aut Heir Stig Department of Orthopedic Surgery, Martina Hansens Hospital, Postboks 823, 1306, Sandvika, Norway aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 211-218 0942-2056 23:1<211 2015 23 167 https://doi.org/10.1007/s00167-014-3423-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3423-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kise Nina Department of Orthopedic Surgery, Martina Hansens Hospital, Postboks 823, 1306, Sandvika, Norway aut NATIONALLICENCE 700 1- Drogset Jon Department of Orthopedic Surgery, Trondheim University Hospital, Postboks 3250 Sluppen, 7006, Trondheim, Norway aut NATIONALLICENCE 700 1- Ekeland Arne Department of Orthopedic Surgery, Martina Hansens Hospital, Postboks 823, 1306, Sandvika, Norway aut NATIONALLICENCE 700 1- Sivertsen Einar Department of Orthopedic Surgery, Martina Hansens Hospital, Postboks 823, 1306, Sandvika, Norway aut NATIONALLICENCE 700 1- Heir Stig Department of Orthopedic Surgery, Martina Hansens Hospital, Postboks 823, 1306, Sandvika, Norway aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 211-218 0942-2056 23:1<211 2015 23 167