Komplikationen mit arthroskopischen implantaten in der rekonstruktiven meniskuschirurgie

Translated title of the contribution: Complications with all-inside devices used in reconstructive meniscal surgery

P. Wilmes*, O. Lorbach, P. Brogard, R. Seil

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

11 Citations (Scopus)


All-inside devices have become increasingly popular in reconstructive meniscal surgery since their introduction at the beginning of the 1990s. Although the latest clinical investigations show better results for conventional suture techniques, meniscal devices are an important alternative because of the low risk of neurovascular injury and the easy handling of the instruments. Over the years, many reports on specific complications related to all-inside devices have been published. Especially chondral injuries, implant loosening, device migration and capsular or neural irritations have been described. Furthermore, some authors reported on foreign body reactions and cystic granulomas after the use of meniscal fixation devices. However, there is no evidence for a higher infection rate or for specific infections after the use of intra-articular techniques. Clinical reports on complications along with biomechanical studies on meniscal repair devices have led to the enhancement of all-inside techniques through substantial modifications of established products as well as to the development of new implants. After reviewing the latest literature, the complication rate seems to be decreasing. In many ways, all-inside devices are an interesting alternative to conventional suture techniques. A precise knowledge of their potential complications and the pitfalls during surgery however is crucial to make a risk evaluation in the choice of the right technique for meniscal reconstruction.

Translated title of the contributionComplications with all-inside devices used in reconstructive meniscal surgery
Original languageGerman
Pages (from-to)1088-1098
Number of pages11
JournalDer Orthopade
Issue number11
Publication statusPublished - Nov 2008
Externally publishedYes


  • All-inside devices
  • Complications
  • Meniscal reconstruction
  • Meniscus
  • Suture techniques


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