Evidence map›Paper›PMID 36471335›Full record

ArticleBMC musculoskeletal disorders2022

Clinical outcome and healing rate after meniscal bucket handle tear repair.

Lukas N Muench, Andrea Achtnich, Lukas Krivec, Theresa Diermeier, Klaus Woertler, Sepp Braun, Andreas B Imhoff, Lukas Willinger

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.9field-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

16 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Displaced Bucket-handle Meniscus Tear After Total Knee Arthroplasty: A Case Report.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. [Study on clinical characteristics and surgical methods of bucket-handle meniscal tears].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023
    Article
  15. Delaying ACL reconstruction is associated with increased rates of medial meniscal tear.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  16. 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 3 institutions in 2 countries.

Lukas N MuenchDepartment of Orthopaedic Sports Medicine, Klinikum rechts der Isar, TU Munich, Ismaningerstr. 22 , 81675, Munich, Germany.
Andrea AchtnichDepartment of Orthopaedic Sports Medicine, Klinikum rechts der Isar, TU Munich, Ismaningerstr. 22 , 81675, Munich, Germany.
Lukas KrivecDepartment of Orthopaedic Sports Medicine, Klinikum rechts der Isar, TU Munich, Ismaningerstr. 22 , 81675, Munich, Germany.
Theresa DiermeierDepartment of Trauma and Orthopaedic Surgery, BG Klinikum Unfallkrankenhaus Berlin, Berlin, Germany.
Klaus WoertlerDepartment of Radiology, Klinikum rechts der Isar, TU Munich, Munich, Germany.
Sepp BraunGelenkpunkt - Sports- and Joint Surgery Innsbruck, Innsbruck, Austria.
Andreas B ImhoffDepartment of Orthopaedic Sports Medicine, Klinikum rechts der Isar, TU Munich, Ismaningerstr. 22 , 81675, Munich, Germany.
Lukas WillingerDepartment of Orthopaedic Sports Medicine, Klinikum rechts der Isar, TU Munich, Ismaningerstr. 22 , 81675, Munich, Germany. l.willinger@tum.de.
Klinikum rechts der Isar · DEGelenkpunkt · ATUnfallkrankenhaus Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReports combining patient-reported outcome measures, clinical evaluation, and radiographic assessment of postoperative healing after arthroscopic repair of bucket-handle meniscal tears (BHMT) are scarce.

methodsPatients who underwent arthroscopic repair for acute traumatic BHMTs between October 2011 and March 2016 with a minimum follow-up of two years were included. Postoperative outcome scores comprised the International Knee Documentation Society Score (IKDC), Lysholm score, Tegner activity score (TAS), and visual analog scale (VAS) for pain. Clinical meniscal healing failure was assessed according to Barrett's criteria. Side-to-side difference in knee laxity was measured using KT-2000. Radiographic healing was assessed by 3-Tesla magnetic resonance imaging (MRI) and classified according to Henning's criteria at final follow-up.

resultsForty patients with a mean age of 32.0 ± 11.5 years were available for follow-up after 51.8 ± 14.3 months. Revision surgery by means of arthroscopic partial meniscectomy was performed in four patients (10%) prior to the follow-up visit. The clinical healing rate was 83.3% at final follow-up. Mean IKDC score was 82.8 ± 13.8 and Lysholm score was 77.4 ± 24.8. Of all patients, 87.5% reached or exceeded the patient-acceptable symptomatic state (PASS) criteria for the IKDC score at final follow-up. The median TAS was 6 and VAS for pain was 0.46 ± 0.9. Side-to-side difference in knee laxity was higher in patients with concomitant ACL reconstruction (2.1 ± 2.7 mm) compared to isolated BHMTs (1.0 ± 2.0 mm). MR examination showed 69.4% healed, 25.0% partially healed, and 5.6% unhealed menisci.

conclusionPatients who underwent repair for acute traumatic BHMTs achieved good to excellent clinical outcome along with a high rate of meniscal healing at a minimum follow-up of two years. Clinical and radiological healing rates were similarly satisfactory and most patients exceeded the PASS criteria for the IKDC score. Patients were able to reach a high postoperative activity level. LEVEL OF EVIDENCE: Case Series; IV.

Indexed as

Knee InjuriesTibial Meniscus InjuriesAdultArthroscopyHumansLysholm Knee ScoreMenisci, TibialPainRetrospective StudiesTreatment OutcomeYoung AdultClinical outcomeMagnetic resonance imagingMeniscal bucket handle tearmeniscus healingmeniscus repair

Identifiers

PMID36471335
PMCPMC9721037
OpenAlexW4311503221

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.