SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
Outside-in repair technique is effective in traumatic tears of the meniscus in active adults: a systematic review.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Meniscectomy is associated with a higher rate of osteoarthritis compared to meniscal repair following acute tears: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Outside-In Meniscal Repair: Contemporary Indications and Surgical Technique.Current reviews in musculoskeletal medicine · 2026Review
- Evaluating the efficacy and safety of an all-inside, all-suture meniscal repair device on arthroscopic meniscal repair: a prospective, multi-center, randomized controlled clinical trial.International journal of surgery (London, England) · 2026Article
- Arthroscopic outside-in "two-needle suture" technique for anterior horn tears of the lateral meniscus.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2025Article
- Inside-out Technique using the Suture Gripping Technique Enabling Withdrawal of Suture from Outside the Joint with a Suture Shuttle for Meniscal Suturing.Arthroscopy techniques · 2025Article
- [Update on Meniscal Injury Treatment].Revista brasileira de ortopedia · 2025Article
- Update on Meniscal Injury Treatment.Revista brasileira de ortopedia · 2025Article
- Multi-loop Balanced Continuous Suture for the Treatment of Radial Tears in the Body of the Meniscus.Arthroscopy techniques · 2025Article
- A Modified Minimally Invasive Outside-in to All-Inside Hybrid Meniscal Suture Technique: Simple, Secure, Versatile, and Cost-Effective.Arthroscopy techniques · 2025Article
- Outside-In-Outside Repair Technique for Anterior Horn and Body Meniscal Tear: A Modified Technique.Arthroscopy techniques · 2024Article
- Meniscus Tears in Elite Athletes: Treatment Considerations, Clinical Outcomes, and Return to Play.Current reviews in musculoskeletal medicine · 2024Review
- Lateral Meniscus Zip Lesion of Knee: Classification and Repair Methods.Arthroscopy techniques · 2024Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMeniscal injuries are common. Outside-in meniscal repair is one of the techniques advocated for the management of traumatic meniscal tears. This systematic review investigated the outcomes of the outside-in repair technique for the management of traumatic tears of the menisci. The outcomes of interest were to investigate whether PROMs improved and to evaluate the rate of complications.
methodsFollowing the 2020 PRISMA statement, in May 2023, PubMed, Web of Science, Google Scholar, and Embase were accessed with no time constraints. All the clinical investigations which reported data on meniscal repair using the outside-in technique were considered for inclusion. Only studies which reported data on acute traumatic meniscal tears in adults were considered. Only studies which reported a minimum of 24 months of follow-up were eligible.
resultsData from 458 patients were extracted. 34% (155 of 458) were women. 65% (297 of 458) of tears involved the medial meniscus. The mean operative time was 52.9 ± 13.6 min. Patients returned to their normal activities at 4.8 ± 0.8 months. At a mean of 67-month follow-up, all PROMs of interest improved: Tegner scale (P = 0.003), Lysholm score (P < 0.0001), International Knee Documentation Committee (P < 0.0001). 5.9% (27 of 458) of repairs were considered failures. Four of 186 (2.2%) patients experienced a re-injury, and 5 of 458 (1.1%) patients required re-operation.
conclusionMeniscal repair using the outside-in technique can be effectively performed to improve the quality of life and the activity level of patients with acute meniscal tears. LEVEL OF EVIDENCE: Level IV.
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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.