Evidence map›Paper›PMID 28698804›Full record

ArticleEFORT open reviews2017

The knee meniscus: management of traumatic tears and degenerative lesions.

Philippe Beaufils, Roland Becker, Sebastian Kopf, Ollivier Matthieu, Nicolas Pujol

Open access · goldAbstract read
In one paragraph

Article in EFORT open reviews, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
14.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 119 citations in OpenAlex.

  1. Pooled it
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  15. Costs and Timing of Surgery in the Management of Meniscal Tears.Orthopaedic journal of sports medicine · 2024
    Article
  16. Article
  17. Article
  18. Non-operative Management of Acute Knee Injuries.Current reviews in musculoskeletal medicine · 2024
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Philippe BeaufilsDepartment of Orthopaedics and Traumatology, Centre Hospitalier de Versailles, 78150 Le Chesnay, France.
Roland BeckerDepartment of Orthopaedics and Traumatology, Hospital Brandenburg, Medical School Theodor Fontane, Hochstrasse 26, 14770 Brandburg/Havel, Germany.
Sebastian KopfCenter for Musculoskeletal Surgery, Charité University Medicine, Berlin, Charitéplatz 1, 10117 Berlin, Germany.
Ollivier MatthieuDepartment of Orthopaedics and Traumatology, Centre Hospitalier de Versailles, 78150 Le Chesnay, and Aix Marseille Univ, CNRS, ISM, Inst Movement Sci, 13000 Marseille, France.
Nicolas PujolDepartment of Orthopaedics and Traumatology, Centre Hospitalier de Versailles, 78150 Le Chesnay, France.
Centre National de la Recherche Scientifique · FRCentre Hospitalier de Versailles · FRCharité - Universitätsmedizin Berlin · DEKlinikum Brandenburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Meniscectomy is one of the most popular orthopaedic procedures, but long-term results are not entirely satisfactory and the concept of meniscal preservation has therefore progressed over the years. However, the meniscectomy rate remains too high even though robust scientific publications indicate the value of meniscal repair or non-removal in traumatic tears and non-operative treatment rather than meniscectomy in degenerative meniscal lesionsIn traumatic tears, the first-line choice is repair or non-removal. Longitudinal vertical tears are a proper indication for repair, especially in the red-white or red-red zones. Success rate is high and cartilage preservation has been proven. Non-removal can be discussed for stable asymptomatic lateral meniscal tears in conjunction with anterior cruciate ligament (ACL) reconstruction. Extended indications are now recommended for some specific conditions: horizontal cleavage tears in young athletes, hidden posterior capsulo-meniscal tears in ACL injuries, radial tears and root tears.Degenerative meniscal lesions are very common findings which can be considered as an early stage of osteoarthritis in middle-aged patients. Recent randomised studies found that arthroscopic partial meniscectomy (APM) has no superiority over non-operative treatment. Thus, non-operative treatment should be the first-line choice and APM should be considered in case of failure: three months has been accepted as a threshold in the ESSKA Meniscus Consensus Project presented in 2016. Earlier indications may be proposed in cases with considerable mechanical symptoms.The main message remains: save the meniscus! Cite this article:

Indexed as

consensusdegenerative meniscal lesionsguidelineskneemeniscectomymeniscusmeniscus repair

Identifiers

PMID28698804
PMCPMC5489759
OpenAlexW2613026238

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.