Evidence map›Paper›PMID 32488369›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

Steep medial tibial slope and prolonged delay to surgery are associated with bilateral medial meniscus posterior root tear.

Takaaki Hiranaka, Takayuki Furumatsu, Yuki Okazaki, Tadashi Yamawaki, Yoshiki Okazaki, Yuya Kodama, Yusuke Kamatsuki, Toshifumi Ozaki

Erratum issuedAbstract read
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In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  13. Greater medial proximal tibial slope is associated with bone marrow lesions in middle-aged women with early knee osteoarthritis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023
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  15. The clinical and radiographic outcomes of type 2 medial meniscus posterior root tears following transtibial pullout repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
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  16. Internal tibial torsion is associated with medial meniscus posterior horn tears.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
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  18. A posterior shiny-corner lesion of the tibia is observed in the early phase after medial meniscus posterior root tear.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Takaaki HiranakaDepartment of Orthopaedic Surgery, Okayama University Hospital, 2-5-1 Shikatacho, Kitaku, Okayama, 700-8558, Japan.
Takayuki FurumatsuDepartment of Orthopaedic Surgery, Okayama University Hospital, 2-5-1 Shikatacho, Kitaku, Okayama, 700-8558, Japan. matino@md.okayama-u.ac.jp.ORCID http://orcid.org/0000-0002-5647-9132
Yuki OkazakiDepartment of Orthopaedic Surgery, Okayama University Hospital, 2-5-1 Shikatacho, Kitaku, Okayama, 700-8558, Japan.
Tadashi YamawakiDepartment of Orthopaedic Surgery, Kousei Hospital, 3-8-35 Kouseicho, Kitaku, Okayama, 700-0985, Japan.
Yoshiki OkazakiDepartment of Orthopaedic Surgery, Okayama University Hospital, 2-5-1 Shikatacho, Kitaku, Okayama, 700-8558, Japan.
Yuya KodamaDepartment of Orthopaedic Surgery, Okayama University Hospital, 2-5-1 Shikatacho, Kitaku, Okayama, 700-8558, Japan.
Yusuke KamatsukiDepartment of Orthopaedic Surgery, Okayama University Hospital, 2-5-1 Shikatacho, Kitaku, Okayama, 700-8558, Japan.
Toshifumi OzakiDepartment of Orthopaedic Surgery, Okayama University Hospital, 2-5-1 Shikatacho, Kitaku, Okayama, 700-8558, Japan.
Okayama University Hospital · JPOkayama University · JPSendai Kousei Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeContralateral medial meniscus posterior root tear (MMPRT) can sometimes occur after primary surgeries for MMPRT and lead to unsatisfactory outcomes. The incidence rate and risk factors for contralateral MMPRT have not been well investigated, despite their clinical importance. Therefore, the incidence and predictors of bilateral MMPRT were aimed to be evaluated.

methodsFourteen patients with bilateral MMPRT (group B) and 169 patients with unilateral MMPRT (group U) were enrolled in this study. Sex, age, body mass index, time between injury and surgery, and medial tibial slope angle (MTSA) were compared between the groups. MTSA was measured using lateral radiographs.

resultsThe incidence rate of bilateral MMPRT was 6.2% among all patients with MMPRTs. Multivariate logistic regression analysis showed that a prolonged time between injury and surgery (odds ratio [OR], 1.0; 95% confidence interval [CI] 1.00-1.01; P < 0.05) and steeper MTSA (OR, 1.85; 95% CI 1.21-2.64; P < 0.01) were significantly associated with the development of bilateral MMPRT. Receiver operating characteristic curve analysis showed that MTSA > 10.0° was associated with bilateral MMPRT, with a sensitivity of 93% and specificity of 69%.

conclusionA longer time between injury and surgery and steeper MTSA were risk factors for the development of bilateral MMPRT. Surgeons need to pay close attention to the contralateral knee in addition to the primary injured knees when treating knees with steep MTSA. Besides, early meniscal repair of primary MMPRT would be important to prevent the events of contralateral MMPRT. LEVEL OF EVIDENCE: III.

Indexed as

AgedFemaleHumansIncidenceKnee InjuriesLogistic ModelsMagnetic Resonance ImagingMaleMenisci, TibialMiddle AgedRadiographyRetrospective StudiesRisk FactorsROC CurveRuptureSensitivity and SpecificityBilateral injuryMedial meniscusMedial tibial slopePosterior root tearPredictorSensitivity and specificity

Identifiers

PMID32488369
OpenAlexW3032018836

What OpenQuestion holds

Textmetadata
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.