The ACTIfit Procedure

If the initial meniscus lesion cannot be sutured (repaired), then damaged tissue is removed in much the same way as in a partial meniscectomy and cut back to an area with good blood supply. The patient must have:

• an intact meniscal rim
• anterior and posterior horns present, to enable attachment of the ACTIfit scaffold
• normal or normalized alignment
• stable or stabilized knee
• avoid large bucket-handle tears
• for detailed inclusion/exclusion criteria
  Click here to see ACTIfit IFU

A

The meniscal defect is evaluated.

B

If the meniscal defect cannot be repaired, it is trimmed and prepared for ACTIfit.

C

ACTIfit is then measured to ensure the correct fit for the damaged area and cut on the surgical table using a scalpel.

D

The implant is then placed arthroscopically into the trimmed defect in the knee.

E

Several suturing techniques can be used to secure ACTIfit to the remaining meniscal rim and posterior/anterior horns, such as all-inside, inside-out or outside-in. This is dependent on the preference of the surgeon, as well as the location of the defect.

F

Post-operative rehabilitation, to protect the newly formed tissue during the initial remodelling phase, must commence immediately as directed by surgeon and physiotherapist.

ACTIfit meniscal scaffold granted US FDA Breakthrough Designation.

Click to see ACTIfit videos on YouTube.

Photos courtesy of Prof Bellemans, University Hospital Leuven, Belgium.

Only orthopedic/sports medicine surgeons experienced in treating patients with meniscal tears and who have received training on handling the device should use the ACTIfit implant. The device is intended for partial meniscus defects. The anterior and posterior horn should be intact, and the meniscus rim should be stable.