Ultra fast fix

The technique for arthroscopic lateral CMI implantation has already been
described in previous publications.^{25 (link)} Briefly, after arthroscopic confirmation of CMI implantation indication,
the damaged meniscus was debrided according to the presence of an acute tear or
a chronic defect. The anterior and posterior meniscal attachment points were
trimmed square to accept the scaffold, and the blood supply was enhanced by
making puncture holes in the peripheral rim using a Steadman awl. After
measuring the defect size and opportune trimming of the scaffold, the CMI was
positioned inside the joint and sutured to the host meniscal remnant using
“all-inside” stitches (nonabsorbable ULTRABRAID No. 0 wire and
poly-l-lactide bioabsorbable ULTRA FAST-FIX implants; Smith &
Nephew).
A knee brace locked in full extension was applied and maintained for 6 weeks.
Continuous passive motion exercises were performed 4 times per day, up to 60°
for the first 2 weeks and 90° for the second to fourth weeks, and complete range
of motion was achieved at the sixth week. Progressive weightbearing was allowed
2 weeks after surgery. Muscle strengthening started on the second postoperative
day via isometric exercises, and cycling was allowed during the second
postoperative week. Full unrestricted activity as tolerated was permitted 6
months after surgery.

The database of our specialized orthopaedic surgery clinic was screened for patients treated for a traumatic ACL injury in combination with a radial tear of the posterior horn of the lateral meniscus between 2010 and 2017 using a 1-stage procedure. To be included in the study, patients had to meet the criteria for inclusion summarized in Table 1. For primary ACL reconstruction, quadriceps, hamstring, or patellar tendon autografts were used. Radial meniscal tear repair was performed by the all-inside suture technique using ULTRA FAST-FIX (Smith & Nephew). Depending on the tear size, 1 to 3 sutures were placed to secure meniscal damage. Only partial and complete tears resulting in arthroscopically confirmed instability of the lateral meniscus were repaired.