Meniscal Repair

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.

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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.

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FiberStitch™ All-Inside Meniscal Repair Technique
The FiberStitch implant is an innovative all-inside meniscal repair system that replaces hard PEEK implants with soft suture sheaths. 2-0 FiberWire® sutures provide secure arthroscopic all-suture meniscus repair. The ergonomic handle is designed for single-handed implant delivery, and active implant deployment technology minimizes needle exposure beyond the meniscus, eliminating the need to past-point the needle.
Inside/Out Meniscal Repair
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.
Meniscal All-Suture Repair
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.
Meniscal Cinch™ II Technique
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.
Meniscus Ramp Lesion Repair
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.
Meniscal Root 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.
SutureLoc™ Implant
A knotless all-suture anchor, the SutureLoc implant is specifically designed for joint-line fixation of the meniscal root. This revolutionary anchor eliminates the need for a posterior medial portal, which is commonly used in direct tibial fixation techniques, making the repair more reproducible. 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.
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