Outside-in meniscus suture technique: 5 years' follow-up

Marinescu, Rodica; Lăptoiu, Dan; Negrusoiu, Mihai

doi:10.1007/s00167-003-0347-x

Cited by 6 publications

(2 citation statements)

References 20 publications

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“…In two studies, partial weight bearing was allowed for the first 6 weeks [8, 41]. In two studies, full weight bearing was allowed immediately after surgery [11, 42]. Limitation in knee flexion was present in all the rehabilitation protocols, for 2–6 weeks, involving a gradual return to total knee flexion.…”

Section: Discussionmentioning

confidence: 99%

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Outside‐in repair technique is effective in traumatic tears of the meniscus in active adults: a systematic review

Migliorini

Pilone

Bell³

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose Meniscal injuries are common. Outside-in meniscal repair is one of the techniques advocated for the management of traumatic meniscal tears. This systematic review investigated the outcomes of the outside-in repair technique for the management of traumatic tears of the menisci. The outcomes of interest were to investigate whether PROMs improved and to evaluate the rate of complications. Methods Following the 2020 PRISMA statement, in May 2023, PubMed, Web of Science, Google Scholar, and Embase were accessed with no time constraints. All the clinical investigations which reported data on meniscal repair using the outside-in technique were considered for inclusion. Only studies which reported data on acute traumatic meniscal tears in adults were considered. Only studies which reported a minimum of 24 months of follow-up were eligible. Results Data from 458 patients were extracted. 34% (155 of 458) were women. 65% (297 of 458) of tears involved the medial meniscus. The mean operative time was 52.9 ± 13.6 min. Patients returned to their normal activities at 4.8 ± 0.8 months. At a mean of 67-month follow-up, all PROMs of interest improved: Tegner scale (P = 0.003), Lysholm score (P < 0.0001), International Knee Documentation Committee (P < 0.0001). 5.9% (27 of 458) of repairs were considered failures. Four of 186 (2.2%) patients experienced a re-injury, and 5 of 458 (1.1%) patients required re-operation. Conclusion Meniscal repair using the outside-in technique can be effectively performed to improve the quality of life and the activity level of patients with acute meniscal tears. Level of evidence Level IV.

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Section: Discussionmentioning

confidence: 99%

“…In one‐third of the studies, full flexion was allowed at 6 weeks after surgery. Only three studies presented over 5 years of follow‐up [11, 41, 42]. The prevalence of meniscal re‐rupture can be influenced by the length of follow‐up [49].…”

Section: Discussionmentioning

confidence: 99%