Evidence map›Paper›PMID 35072757›Full record

SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022

Higher healing rate after meniscal repair with concomitant ACL reconstruction for tears located in vascular zone 1 compared to zone 2: a systematic review and meta-analysis.

L M Gerritsen, T J N van der Lelij, P van Schie, M Fiocco, E R A van Arkel, R G Zuurmond, S Keereweer, P B A A van Driel

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Review
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  13. Review
  14. Article
  15. A Review of Revision Meniscal Repair: Clinical Considerations and Outcomes.Current reviews in musculoskeletal medicine · 2025
    Review
  16. Article
  17. Long-Term Results for Meniscus Repair.Current reviews in musculoskeletal medicine · 2025
    Review
  18. Article
  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

8 authors at 5 institutions in 1 country.

L M Gerritsen *Department of Orthopedic Surgery, Leiden University Medical Center, Post zone J10-R83, P.O. Box 9600, 2300 RC, Leiden, The Netherlands. l.m.gerritsen@lumc.nl.ORCID http://orcid.org/0000-0002-0588-7961
T J N van der Lelij *Department of Orthopedic Surgery, Leiden University Medical Center, Post zone J10-R83, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.
P van SchieDepartment of Orthopedic Surgery, Leiden University Medical Center, Post zone J10-R83, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.
M FioccoMathematical Institute Leiden University, Leiden, The Netherlands.
E R A van ArkelDepartment of Orthopedic Surgery, Haaglanden Medical Center, The Hague, The Netherlands.
R G ZuurmondDepartment of Orthopedic Surgery, Isala, Zwolle, The Netherlands.
S Keereweer *Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
P B A A van Driel *Department of Orthopedic Surgery, Isala, Zwolle, The Netherlands.
Leiden University Medical Center · NLIsala · NLErasmus MC Cancer Institute · NLLeiden University · NLMedisch Centrum Haaglanden · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to determine and compare the percentage of completely healed meniscal tears after arthroscopic repair combined with anterior cruciate ligament reconstruction (ACLR) for the different vascular zones of the meniscus.

methodsPubMed, Embase, Web of Science, Cochrane library and Emcare were searched on 19 May 2020 for articles reporting healing rates after arthroscopic meniscal repair with concomitant ACLR for the different meniscal vascular zones as assessed by second-look arthroscopy. Data on meniscal tears were extracted as located in zones 1, 2 or 3, according to the Cooper classification. Studies were graded in quality using a modified Newcastle-Ottawa Scale. Pooled analyses were performed utilizing a random-effects model. Meta-analyses were performed using R version 3.6.2 and SPSS statistical software version 25.0. The study was registered with PROSPERO (ID:CRD42020176175).

resultsTen observational cohort studies met the inclusion criteria, accounting for 758 meniscal tear repairs in total. The pooled overall proportion of healing was 78% (95% CI 72-84%). The mean weighted proportion of healing was 83% (95% CI 76-90%) for studies (n = 10) reporting zone 1 tears and 69% (95% CI 59-79%) for studies (n = 9) reporting zone 2 tears. No study reported healing rates for zone 3 tears. The pooled overall odds ratio was 2.5 (95% CI 1.00-6.02), indicating zone 1 tears as 2.5 times more likely to heal than zone 2 tears.

conclusionThis study demonstrates that meniscal tears localized in vascular zone 1 were more likely to heal than those in zone 2. LEVEL OF EVIDENCE: IV.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionCartilage DiseasesKnee InjuriesTibial Meniscus InjuriesArthroscopyHumansMenisci, TibialSecond-Look SurgeryArthroscopyKneeMeniscal repairMeniscusVascularization

Identifiers

PMID35072757
PMCPMC9165248
OpenAlexW4206898825

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.