New Complication Associated With All-Inside Meniscal Repair Device: Ultrasound-Aided Diagnosis and Operative Localization of Foreign Body Reaction

Lucian C Warth; Matthew J Bollier; Douglas F Hoffman; Justin S Cummins; Mederic M Hall

doi:10.1177/2325967116664882

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New Complication Associated With All-Inside Meniscal Repair Device: Ultrasound-Aided Diagnosis and Operative Localization of Foreign Body Reaction

Journal article

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Peer reviewed

New Complication Associated With All-Inside Meniscal Repair Device: Ultrasound-Aided Diagnosis and Operative Localization of Foreign Body Reaction

Lucian C Warth, Matthew J Bollier, Douglas F Hoffman, Justin S Cummins and Mederic M Hall

Orthopaedic Journal of Sports Medicine, Vol.4(9), p.2325967116664882

09/02/2016

DOI: 10.1177/2325967116664882

PMCID: PMC5011303

PMID: 27635413

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Published (Version of record)The Orthopaedic Journal of Sports Medicine, 4(9).

Abstract

BACKGROUND: The importance of meniscal preservation has become widely accepted, and meniscal repair techniques have evolved over recent years. With new techniques come new complications, which are critical to recognize. PURPOSE: To describe a new complication of foreign body reaction from a nonabsorbable suture anchor associated with improper placement of the all-inside meniscal device. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: This study was a retrospective review of 3 patients who developed pain associated with a foreign body reaction from a misplaced all-inside meniscal device. RESULTS: All patients had a delayed diagnosis (6 months to 8 years) and negative magnetic resonance imaging (MRI). Diagnostic ultrasound identified the misplaced suture with foreign body reaction and was used to guide a diagnostic injection of local anesthetic prior to surgical intervention. Intraoperative ultrasound guidance was utilized to precisely localize and excise the suture material and associated reactive tissue. CONCLUSION: Foreign body reaction from a misplaced all-inside meniscal device is a previously unreported complication. Diagnosis is challenging as MRI and arthroscopy can be unrevealing. Diagnostic ultrasound was able to identify the foreign body reaction, confirm the diagnosis by facilitating diagnostic local anesthetic injection, and guide surgical excision. Sonographic evaluation should be considered in patients presenting with ongoing knee pain after all-inside meniscus repair.

Orthopedics

OAfund

knee arthroscopy

meniscus repair

diagnostic ultrasound

postoperative complications

foreign body reaction

Details

Title: Subtitle: New Complication Associated With All-Inside Meniscal Repair Device: Ultrasound-Aided Diagnosis and Operative Localization of Foreign Body Reaction
Creators: Lucian C Warth - Indiana University
Matthew J Bollier - University of Iowa
Douglas F Hoffman - Essentia Health
Justin S Cummins - Essentia Health
Mederic M Hall - University of Iowa
Resource Type: Journal article
Publication Details: Orthopaedic Journal of Sports Medicine, Vol.4(9), p.2325967116664882
DOI: 10.1177/2325967116664882
PMID: 27635413
PMCID: PMC5011303
NLM abbreviation: Orthop J Sports Med
ISSN: 2325-9671
Language: English
Date published: 09/02/2016
Academic Unit: Radiology; Orthopedics and Rehabilitation; Family and Community Medicine
Record Identifier: 9983557222302771

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