Imperial College London


Faculty of EngineeringDepartment of Mechanical Engineering




+44 (0)20 7594 7062a.amis




Ms Fabienne Laperche +44 (0)20 7594 7033




713City and Guilds BuildingSouth Kensington Campus






BibTex format

author = {Heilpern, G and Stephen, J and Ball, S and Amis, A and Williams, A},
doi = {10.1007/s00167-018-4976-5},
journal = {Knee Surgery, Sports Traumatology, Arthroscopy},
pages = {2310--2316},
title = {It is safe and effective to use all inside meniscal repair devices for posteromedial meniscal 'ramp' lesions},
url = {},
volume = {26},
year = {2018}

RIS format (EndNote, RefMan)

AB - PURPOSE: Recently, it has been recognized that meniscocapsular ('ramp') lesions of the posterior one-third of the medial meniscus frequently occur during injuries causing ACL rupture, and that these lesions are easily missed at arthroscopy. Furthermore, it is clear that these lesions are biomechanically significant, adding to the deficits caused by ACL rupture, and that their repair can reverse this. The efficacy of an all inside repair technique has been questioned by some authors and by those who advocate a suture shuttle technique via an accessory posteromedial portal. The use of Ultra FastFix and FastFix 360 meniscal repair devices to repair posteromedial meniscocapsular separations was investigated in terms of safe deployment and the effectiveness. Author: Affiliations: Journal instruction requires a country for affiliations; however, these are missing in affiliations [1, 2]. Please verify if the provided country is correct and amend if necessary. METHODS: Twenty cadaveric fresh frozen knees were used-ten in each of two groups. A ramp lesion was created using a Beaver knife. The lesion was then repaired with either 4 Ultra FastFix (Smith and Nephew) or 4 FastFix 360 (Smith and Nephew) meniscal repair devices. The knees were put through a standardized loading cycle consisting of 10 Lachman's tests and ten maximum loading manual anterior drawer tests at 90° of flexion. Each knee was then flexed and extended fully ten times. The specimens were sectioned just proximal to the menisci and each suture anchor identified and its position recorded and photographed. Author: Author details: Kindly check and confirm whether the corresponding author mail id is correctly identified and amend if necessary. RESULTS: In the Ultra FastFix group, a single anchor was found to be in an intra-articular position-a failure rate of 2.5%. In the FastFix 360 group, 5 anchors failed-a 12.5% failure rate. In all cases, the anchors were attached to their suture and so not truly loose wit
AU - Heilpern,G
AU - Stephen,J
AU - Ball,S
AU - Amis,A
AU - Williams,A
DO - 10.1007/s00167-018-4976-5
EP - 2316
PY - 2018///
SN - 0942-2056
SP - 2310
TI - It is safe and effective to use all inside meniscal repair devices for posteromedial meniscal 'ramp' lesions
T2 - Knee Surgery, Sports Traumatology, Arthroscopy
UR -
UR -
UR -
VL - 26
ER -