Evidence map›Paper›PMID 31384621›Full record

ArticleOrthopaedic journal of sports medicine2019

Clinical Outcomes of Inside-Out Meniscal Repair According to Anatomic Zone of the Meniscal Tear.

Mark E Cinque, Nicholas N DePhillipo, Gilbert Moatshe, Jorge Chahla, Mitchell I Kennedy, Grant J Dornan, Robert F LaPrade

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 4 pooled it
7.5field-weighted citation impact, top 2% 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

52 citing papers in PubMed, 4 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Efficacy of platelet-rich plasma in meniscal repair surgery: a systematic review of randomized controlled trials.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Meniscal repair: The current state and recent advances in augmentation.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021
    Pooled it
  5. Article
  6. Article
  7. Risk Factors for Failure of Meniscal Repair.Current reviews in musculoskeletal medicine · 2026
    Review
  8. Article
  9. Article
  10. Beyond the ACL: The Hidden Impact of Ramp Tears on Knee Stability.The archives of bone and joint surgery · 2026
    Review
  11. Review
  12. Article
  13. Article
  14. Biomechanics of Meniscus Tears and Repair Techniques.Current reviews in musculoskeletal medicine · 2025
    Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
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

7 authors at 6 institutions in 2 countries.

Mark E CinqueSteadman Philippon Research Institute, Vail, Colorado, USA.
Nicholas N DePhillipoThe Steadman Clinic, Vail, Colorado, USA.
Gilbert MoatsheSteadman Philippon Research Institute, Vail, Colorado, USA.
Jorge ChahlaRush University Medical Center, Chicago, Illinois, USA.
Mitchell I KennedySteadman Philippon Research Institute, Vail, Colorado, USA.
Grant J DornanSteadman Philippon Research Institute, Vail, Colorado, USA.
Robert F LaPradeTwin Cities Orthopedics, Edina, Minnesota, USA.
Steadman Philippon Research Institute · USRush University Medical Center · USStanford Medicine · USSteadman Clinic · USTwin Cities Orthopedics · USUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is significant discrepancy in the reported vascularity within the meniscus, and a progressively diminishing blood supply may indicate a differential healing capacity of tears that is dependent on the affected meniscal zone. PURPOSE: To examine the outcomes after inside-out meniscal repair in all 3 meniscal vascularity zones. STUDY

designCohort study; Level of evidence, 3.

methodsPatients were included if they underwent inside-out meniscal repair by a single surgeon between 2010 and 2014 and had a minimum 2-year follow-up. Patients were divided into 3 groups based on the meniscal tear location (red-red, red-white, and white-white zones) as determined during an intraoperative assessment. Patient-reported outcome scores were obtained at final follow-up.

resultsA total of 173 patients (mean age, 33.6 ± 14.3 years) were included, with a mean follow-up of 2.9 ± 0.9 years. All patients demonstrated significant improvements with inside-out meniscal repair from preoperatively to postoperatively, regardless of the meniscal tear location. Patients who underwent meniscal repair in the red-red and red-white zones had significantly increased postoperative Tegner, Lysholm, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores compared with patients who underwent meniscal repair in the white-white zone (

conclusionPatients who underwent inside-out meniscal repair demonstrated significant improvements on subjective outcome measures at a minimum 2-year follow-up, regardless of the meniscal tear zone. Inside-out meniscal repair is recommended for potentially reparable meniscal tears in all 3 vascular zones; however, improved outcomes can be achieved when performed acutely, in the absence of full-thickness femoral condyle chondral injuries, and in the red-red and red-white zones.

Indexed as

inside-out meniscal repairmeniscal repairmeniscal repair outcomes

Identifiers

PMID31384621
PMCPMC6659194
OpenAlexW2964307995

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.