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Orthopaedic Proceedings
Vol. 87-B, Issue SUPP_III | Pages 388 - 388
1 Sep 2005
Nierenberg G Rothem D Mazen F Soudry M Besser M
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Introduction: The introduction of bioabsorbable materials has improved the ability to offer a simple, fast and friendly user solution, to specific meniscal tears. The technique of meniscal suture with bioabsorbable tacks is associated with lower morbidity and lower complication rate.

Methods: Between 1997 and 2004, 14 patients underwent arthroscopic all-inside meniscus repair. We used Biofix bioabsorbable tacks fixation technique. Fourteen patients were followed-up: 11 males and 3 females. Their mean age was ~23 years (range 16–34). Follow-up average ~35 (range 6–72) months. Sport injuries were the main cause of meniscal tears (60%). Other causes included: work accidents (20%) and military accidents (20%). All the tears were located in red-on-red and red-on-white area. The mean length of tear was 9.6 mm. we used in average 2.5 tacks per meniscus tear. Furthermore, 4 patients had an associated ACL tear.

Results: The evaluation was based on Lisholm score. The results were excellent in 10 patients (71%), good in 1 patient (7%), fair in 2 patients (15%) and poor in 1 patient (7%). One patient suffered from transitory tender point on the medial aspect due to a protruded tack. One patient needed a menisectomy due to unresolved symptoms. One patient underwent ACL reconstruction.

Conclusion: This technique is an easy and reproducible procedure as compared to the classical meniscal suture techniques. It seems to be of a lower complication rate and further studies are needed to establish any associated morbidity.


The Journal of Bone & Joint Surgery British Volume
Vol. 69-B, Issue 5 | Pages 769 - 773
1 Nov 1987
Shifrin L Reis N Zinman H Besser M

We have reviewed 11 patients with idiopathic transient osteoporosis of the hip; the six who were women all developed the condition during pregnancy. Both simultaneous and sequential bilateral involvement were seen, but biochemical studies were consistently normal and one synovial biopsy showed only non-specific inflammation. Radioisotope bone scans and CT scans were useful to aid diagnosis. Treatment by limiting weight-bearing relieved symptoms, and spontaneous resolution was paralleled by radiographic remineralisation, usually within a few months. One patient developed a stress fracture of the hip and other areas of transient osteoporosis. A hip involved by the condition should be protected from overloading until bone density has recovered.


The Journal of Bone & Joint Surgery British Volume
Vol. 64-B, Issue 1 | Pages 20 - 24
1 Feb 1982
Reis N Zinman C Besser M Shifrin L Folman Y Torem S Froindlich D Zaklad H