A comparison of the transtibial pullout technique and all-inside meniscal repair in medial meniscus posterior root tear: Prognostic factors and midterm clinical outcomes

Dzidzishvili, Lika; López-Torres, Irene Isabel; Sáez, David; Argüello, Jose Manuel; Calvo, Emílio

doi:10.1016/j.jor.2021.08.001

Cited by 16 publications

(10 citation statements)

References 21 publications

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“…Degenerative meniscal damage is common in adults [ 14 , 27 ]. At present, the optimal management for non-traumatic, degenerative meniscal damage remains controversial [ 8 , 38 ].…”

Section: Introductionmentioning

confidence: 99%

No evidence in support of arthroscopic partial meniscectomy in adults with degenerative and nonobstructive meniscal symptoms: a level I evidence-based systematic review

Migliorini

Oliva

Eschweiler

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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Purpose It is unclear whether the results of arthroscopic partial meniscectomy (APM) are comparable to a structured physical therapy (PT). This systematic review investigated efficacy of APM in the management of symptomatic meniscal damages in middle aged patients. Current available randomised controlled trials (RCTs) which compared APM performed in isolation or combined with physical therapy versus sham arthroscopy or isolated physical therapy were considered in the present systematic review. Methods This systematic review was conducted according to the 2020 PRISMA statement. All the level I RCTs which investigated the efficacy of AMP were accessed. Studies which included elderlies with severe OA were not eligible, nor were those in which APM was combined with other surgical intervention or in patients with unstable knee or with ligaments insufficiency. The risk of bias was assessed using the software Review Manager 5.3 (The Nordic Cochrane Collaboration, Copenhagen). To rate the quality of evidence of collected outcomes, the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) was used. Results Data from 17 studies (2037 patients) were collected. 48.5% (988 of 2037 patients) were women. The mean age of the patients was 52.7 ± 3.9 years, the mean BMI 27.0 ± 1.3 kg/m2. The current evidence suggests no difference in functional PROMs (quality of the evidence: high), clinical PROMs (quality of the evidence: high), pain (quality of the evidence: high), quality of life (quality of the evidence: high), physical performance measures (quality of the evidence: moderate), and OA progression (quality of the evidence: moderate). Conclusions The benefits of APM in adults with degenerative and nonobstructive meniscal symptoms are limited. The current evidence reports similarity in the outcome between APM and PT. Further long-term RCTs are required to investigate whether APM and PT produce comparable results using validated and reliable PROMs. Moreover, future RCTs should investigate whether patients who might benefit from APM exist, clarifying proper indications and outcomes. High quality investigations are strongly required to establish the optimal PT regimes. Level of evidence Level I.

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“…Degenerative meniscal damage is common in adults [ 14 , 27 ]. At present, the optimal management for non-traumatic, degenerative meniscal damage remains controversial [ 8 , 38 ].…”

Section: Introductionmentioning

confidence: 99%

No evidence in support of arthroscopic partial meniscectomy in adults with degenerative and nonobstructive meniscal symptoms: a level I evidence-based systematic review

Migliorini

Oliva

Eschweiler

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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show abstract

“…1 ). 80.0% of these studies had a level of evidence III, while 2 studies [ 13 , 17 ] (13.3%) were of level IV and 1 study [ 9 ] (6.7%) was of level II. The number of knees in total was 625 (478 in M group versus 147 in M and T group).…”

Section: Resultsmentioning

confidence: 99%

The efficacy of medial meniscal posterior Root tear Repair with or without high tibial osteotomy: a systematic review

Wang

Man

Gao

et al. 2023

BMC Musculoskelet Disord

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Background Medial meniscal posterior root tear (MMPRTs) is a common lesion of the knee joint, and repair surgery is a well-established treatment option. However, patients with obvious varus alignment are at an increased risk for MMPRT and can suffer from a greater degree of medial meniscus extrusion, which leads to the development of osteoarthritis following repair. The efficacy of high tibial osteotomy (HTO) as a means of correcting this malformation, and its potential benefits for MMPRT repair, remains unclear. Purpose To explore whether HTO influenced the outcome of MMPRT repair in clinical scores and radiological findings. Study design Systematic review. Methods According to the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses) guidelines, we searched PubMed, Embase, Web of Science, and the Cochrane Library databases for studies reporting the outcomes of MMPRT repair and extracted data about characteristics of patients, clinical functional scores and radiologic outcomes. One reviewer extracted the data and 2 reviewers assessed the risk of bias and performed a synthesis of the evidence. Articles were eligible if they reported the results of MMPRT repair with exact mechanical axis (registered in the International Prospective Register of Systematic Reviews, CRD42021292057). Results Fifteen studies with 625 cases of high methodological quality were identified. Eleven studies were assigned to the MMPRT repair group (M) with 478 cases performing MMPRT repair only, and others belonged to the MMPRT repair and HTO group (M and T) performing HTO and MMPRT repair. Most of the studies had significantly improved clinical outcome scores, especially in M groups. And the radiologic outcomes showed that the osteoarthritis deteriorated in both groups with similar degree in about 2-year follow-up. Conclusion HTO is a useful supplement in treating MMPRT patients with severe osteoarthritis and the clinical and radiological outcomes were similar with MMPRT repair alone. Which would be better for patients’ prognosis generally, performing MMPRT repair alone or a combination of HTO and MMPRT repair, was still controversial. We suggested taking K-L grade into account. Large-scale randomized control studies were called for in the future to help make better clinical decisions. Level of evidence III

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“…Our all-inside technique uses a suture anchor, which has better biomechanical profile (mimicking the native tension of the tissues), 4 , 15 and avoids distal tibial bone tunnels that could interfere with concomitant ligament reconstruction ( Table 1 ). Issues related to distal tibial fixation, such as elongation and abrasion of sutures, can be dismissed, excluding the possibility of the “bungee effect”.…”

Section: Discussionmentioning

confidence: 99%

Knee Meniscus Posterior Root Repair with FiberTak

Queirós

Amorim-Barbosa

Fonte

et al. 2022

Arthroscopy Techniques

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A comparison of the transtibial pullout technique and all-inside meniscal repair in medial meniscus posterior root tear: Prognostic factors and midterm clinical outcomes

Cited by 16 publications

References 21 publications

No evidence in support of arthroscopic partial meniscectomy in adults with degenerative and nonobstructive meniscal symptoms: a level I evidence-based systematic review

No evidence in support of arthroscopic partial meniscectomy in adults with degenerative and nonobstructive meniscal symptoms: a level I evidence-based systematic review

The efficacy of medial meniscal posterior Root tear Repair with or without high tibial osteotomy: a systematic review

Knee Meniscus Posterior Root Repair with FiberTak

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