Document Type

Article

Peer Reviewed

1

Publication Date

9-2-2016

NLM Title Abbreviation

Orthop J Sports Med

Journal/Book/Conference Title

Orthopaedic Journal of Sports Medicine

PubMed ID

27635413

DOI of Published Version

10.1177/2325967116664882

Total Pages

4

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.

Keywords

OAfund, knee arthroscopy, meniscus repair, diagnostic ultrasound, postoperative complications

Journal Article Version

Version of Record

Published Article/Book Citation

The Orthopaedic Journal of Sports Medicine, 4(9), 2325967116664882 DOI: 10.1177/2325967116664882

Rights

© The Authors 2016

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

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URL

https://ir.uiowa.edu/orthopedics_pubs/1