Evidence map›Paper›PMID 35489016›Full record

ReviewCurrent reviews in musculoskeletal medicine2022

Inside-Out Approach to Meniscus Repair: Still the Gold Standard?

Erick M Marigi, Sara E Till, Jory N Wasserburger, Anna K Reinholz, Aaron J Krych, Michael J Stuart

Open access · greenAbstract readReview
In one paragraph

Review in Current reviews in musculoskeletal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
7.4field-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

28 citing papers in PubMed, 35 citations in OpenAlex.

  1. Hybrid Sequential Meniscal Suture Technique.Arthroscopy techniques · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Risk Factors for Failure of Meniscal Repair.Current reviews in musculoskeletal medicine · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. A Review of Revision Meniscal Repair: Clinical Considerations and Outcomes.Current reviews in musculoskeletal medicine · 2025
    Review
  10. Pediatric Meniscotibial Ligament Complex Anatomy and Biomechanics.Orthopaedic journal of sports medicine · 2025
    Article
  11. Update on Meniscal Injury Treatment.Revista brasileira de ortopedia · 2025
    Article
  12. Article
  13. [Update on Meniscal Injury Treatment].Revista brasileira de ortopedia · 2025
    Article
  14. Long-Term Results for Meniscus Repair.Current reviews in musculoskeletal medicine · 2025
    Review
  15. Noninvasive Fibrin Targeting Colloid-Mediated Intra-Articular Repair.Journal of biomedical materials research. Part A · 2025
    Article
  16. Review
  17. Article
  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

6 authors at 1 institution in 1 country.

Erick M MarigiDepartment of Orthopedic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Sara E TillDepartment of Orthopedic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Jory N WasserburgerDepartment of Orthopedic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Anna K ReinholzDepartment of Orthopedic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Aaron J KrychDepartment of Orthopedic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Michael J StuartDepartment of Orthopedic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA. stuart.michael@mayo.edu.
Mayo Clinic · US

Funding

Musculoskeletal Research Training ProgramT32AR056950 · NIAMS · MAYO CLINIC ROCHESTER · PI Jennifer J Westendorf · 2009 to 2026
$7.0M
NIAMS NIH HHS T32 AR056950
6 · The paper itself

Abstract

purpose of reviewThe purpose of this review is to provide an up-to-date summary on the current literature and trends regarding use of the inside-out approach to meniscus repair. Additionally, the paper describes the authors preferred techniques for inside-out meniscus repair utilizing posteromedial and posterolateral exposures. RECENT

findingsThere has been a substantial increase in recent publications regarding meniscus repair. However, comparisons regarding the optimal repair technique have not been conclusive. Despite the recent increase in use of all-inside devices, multiple investigations with short-to-mid-term follow-up have demonstrated similar rates of meniscus healing between inside-out and all-inside repair techniques. Similarly, current literature describes comparable failure rates of around 20%. There are variations in the profile of complications, with all-inside devices having more implant-related complications and inside-out techniques with higher neurovascular injuries. Inside-out meniscus repair is a versatile, cost-effective technique that remains the gold standard for management of most meniscus tear patterns. Through a thoughtful approach, efficient suture retrieval and repair can be performed while protecting critical neurovascular structures. All-inside meniscus repair devices have increased in popularity and surgeon access, but this technique is not without limitations and comparisons to inside-out meniscus repair demonstrates equivocal outcomes.

Indexed as

Inside-outMeniscusMeniscus injuriesMeniscus repairMeniscus repair needlesMeniscus tears

Identifiers

PMID35489016
PMCPMC9276857
OpenAlexW4225127423

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.