Table 1.

Advantages, Disadvantages, Risks, and Limitations Associated With Use of Meniscus 4 A-II Device

Advantages

Greater control over device needle exit point

Lower risk of neurovascular injury

Multiple sutures in several planes continuously

Greater agility to meniscal repair process

Low cost—single device allows suturing of entire meniscus

Resistant device

Disadvantages

Need to use posteromedial approach for neurovascular protection

Need to repair each loop of suture stitch

Risks

Chondral injury with tip of device

Neurovascular injury if posteromedial protector is not properly positioned

Limitations

A long nonabsorbable thread is necessary.

The device can be deformed at its extremity if it is pressed in an erroneous way, for example, if it is pressed against the tibial plateau or femoral condyle.

The technique can only be performed with the Meniscus 4 A-II device.