ARTHROSCOPIC MENISCAL REPAIR USING FIBRIN GLUE .2. CLINICAL-APPLICATIONS

Since 1984 we have arthroscopically repaired meniscal tears using a pu rified fibrin glue. This article describes clinical application of a f ibrin-based glue to arthroscopic meniscal repair and a long-term follo w-up study of 61 repaired menisci in 40 patients (average follow-up, 8 years: range, 5.1 to 11.4 years). Of these patients, 6 complained of recurrent meniscal symptoms and received partial meniscectomy. Accordi ng to stepwise logistic regression analysis, the factors most strongly correlated with recurrent symptoms were insufficiency of the associat ed anterior cruciate Ligament, repairs of fresh tears, and repairs req uiring supplementary meniscal sutures (P <.05).