D. Flanigan (Columbus, US)

Presenter Of 4 Presentations

Extended Abstract (for invited Faculty only) Clinical Research

11.3.2 - How Pain Affects Outcomes

Presentation Number
11.3.2
Presentation Topic
Clinical Research
Lecture Time
15:35 - 15:55
Session Name
Session Type
Special Session
Corresponding Author
Extended Abstract (for invited Faculty only) Chondrocytes

17.2.1 - A Review of the First 1000 U.S. MACI Patients & Case Study

Presentation Number
17.2.1
Presentation Topic
Chondrocytes
Lecture Time
13:00 - 13:15
Session Type
Industry Satellite Symposium
Corresponding Author
Extended Abstract (for invited Faculty only) Others

17.2.4 - Market Access to MACI & Discussion

Presentation Number
17.2.4
Presentation Topic
Others
Lecture Time
13:45 - 14:00
Session Type
Industry Satellite Symposium
Corresponding Author
Podium Presentation Meniscus

23.1.2 - Does Repair of Horizontal Cleavage Meniscus Tears Improve Patient Outcomes? 1 Year Results from Prospective Multi-Center STITCH Trial

Presentation Number
23.1.2
Presentation Topic
Meniscus
Lecture Time
10:39 - 10:48
Session Type
Free Paper Session
Corresponding Author
Disclosure
This multi center study was supported by Ceterix that is now owned by Smith & Nephew Aesculap DF, AK Allosource SF Anika Orthopedics DF Arthrex LJ, AA, AK CartiHeal DF Ceterix DF, SF, JL, FG, AK, PK, LM Conmed MTF DF Depuy

Abstract

Purpose

The study objective was to evaluate 1 year outcomes of Horizontal Cleavage Tear (HCT) repairs including reoperation and patient-reported outcomes (PROs).

Methods and Materials

A Prospective, Non-randomized, Multi-Center Investigation of All Suture-based Repair of Horizontal Meniscal Tears (STITCH) enrolled patients, ages 18-60, with HCTs repaired using circumferential sutures placed with a self-retrieving all-inside suture repair device with or without adjunct all-suture techniques. Patients with grade ≥3 OA, BMI ≥35kg/m2, prior meniscus surgery, instability, malalignment, or tobacco abuse were excluded.

Results

30 patients were enrolled, with the majority male (68%) and an average age of 38.1±11.7years. Tears were predominantly in the medial compartment (68%), extended into Zone 2 or 3 (64%), with an average length of 18.3±5.8mm and an average of 4.9±2.7stitches placed.Three subjects were disqualified for anchor usage, one lost to follow-up, and one dropped out, and one exited due to infection. At the time of this abstract, three patients had not returned for the 1 year visit. Of the remaining 21 patients, two (9.5%) required reoperation of the original meniscus tear. There was significant improvement on all scales measured: IKDC (40.4±20.5, p<0.001), KOOS Pain (31.8±19.0, p<0.001), KOOS Sport (41.9±28.7, p=0.001), KOOS Symptom (29.5±21.6, p<0.001), KOOS ADL (30.3±15.0, p<0.001), KOOS QOL (41.5±27.7, p<0.001), Tegner (1.9±2.7, p=0.003), Lysholm (29.6±24.0, p=0.001). 16/19 (84.2%) and 15/19 (78.9%) of patients met the minimal clinically important difference (MCID) for improvement in IKDC and Lysholm scores, respectively. Age, BMI, length of tear, and tear location were not independent predictors of success, although the study may not be sufficiently powered.

Conclusion

1 year results demonstrate improvement in clinical outcomes and low reoperation rates for patients with circumferential meniscus repair of HCTs. Subjects will be followed for 2 years to assess durability of results.

Collapse

Moderator Of 1 Session

Georgia Industry Satellite Symposium
Session Type
Industry Satellite Symposium
Date
07.10.2019
Time
13:00 - 14:00
Location
Georgia