ReviewJournal of clinical medicine2023
Outcomes of Meniscal Repair in Patients Aged 40 and Above: A Systematic Review.
Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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.
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.
Who cites it
18 citing papers in PubMed, 18 citations in OpenAlex.
- The Use of Fibrin Clot During Meniscus Repair in Young Patients Reduces Clinical Symptom Rates at 12-Month Follow-Up: A Pilot Randomized Controlled Trial.Medicina (Kaunas, Lithuania) · 2025Trial
- Patients 40 Years of Age or Older Have Comparable Return to Sport Rates, Reinjury Rates, and 2-Year Patient-Reported Outcomes After Medial or Lateral Meniscus Repair Compared With Patients Younger Than 40 Years of Age.Arthroscopy, sports medicine, and rehabilitation · 2026Article
- Effectiveness of Meniscal Repair in the over-50 Population: Clinical Results with a Mean 2-Year Follow-Up.Journal of clinical medicine · 2026Article
- Not all meniscal repair failures are equal: A comparison between early and late failure risk factors.Journal of experimental orthopaedics · 2026Article
- Meniscectomy vs Meniscal Repair: Comparing Rates of Readmission, Reoperation, and Osteoarthritis.Orthopaedic journal of sports medicine · 2026Article
- Rethinking meniscal repair in patients over 40: Extending the boundaries of joint preservation.World journal of methodology · 2026Review
- Outside-In Meniscal Repair: Contemporary Indications and Surgical Technique.Current reviews in musculoskeletal medicine · 2026Review
- Mid- to long-term outcomes of all-arthroscopic allograft meniscus transplantation combined with cartilage repair.Journal of orthopaedic surgery and research · 2026Article
- Low Failure Rates and Favorable Outcomes of Meniscal Repair With Concomitant Anterior Cruciate Ligament Primary Repair at Minimum 2-Year Follow-up.Orthopaedic journal of sports medicine · 2026Article
- High failure rate in meniscal repair when preceding anterior cruciate ligament reconstruction: An analysis of two-stage surgery for concomitant ACL injury and traumatic meniscus tear.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- No differences in patient-reported outcomes (PROMs) and complications after anterior cruciate ligament (ACL) reconstruction with bone-patellar tendon-bone (BPTB) or hamstrings (HT) in patients aged 50 or older.Journal of experimental orthopaedics · 2025Article
- Saving the Meniscus: A Retrospective Observational Study of the Incidence, Treatment, and Failure Rate of the Main Meniscal Tear Types at 24-Month Follow-Up.Journal of clinical medicine · 2025Article
- Management of Horizontal Cleavage Meniscus Tears.Current reviews in musculoskeletal medicine · 2025Review
- Association Between Patient Characteristics and the Depth of Microvascular Penetration Into the Adult Human Meniscus.The American journal of sports medicine · 2025Article
- Low Rates of 30-Day Postoperative Complications After Meniscal Allograft Transplantation: A Retrospective Study Using the National Surgical Quality Improvement Program Database.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Review
- Article
- Anterior Intercondylar Notch Geometry in Relation to the Native Anterior Cruciate Ligament Size.Journal of clinical medicine · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMeniscal injuries are increasingly common in older age groups. Age is often cited as a contraindication to undergoing meniscal repair due to concerns regarding failure rates. There has recently, however, been an increasing shift towards repair in older populations. The purpose of this study was to review outcomes of meniscal repair in patients over the age of 40.
methodsA systematic search of the following databases was conducted of PubMed, SCOPUS, Web of Science, and Cochrane Library to identify studies reporting failure rates of patients over 40 with meniscal injuries undergoing repair. The definition of meniscus failure was noted for each study evaluated in this systematic review. Further data surrounding clinical and radiological outcomes were recorded and evaluated, when available.
resultsThirteen studies were included in this review, encompassing a total of 316 meniscal repairs in patients over the age of 40 years. The overall failure rate was found to be 15.5% (49/316) (range 0-33.3%). There was no difference in the failure rate in those over 40 vs. under 40, and the two groups had equivalent functional outcomes.
conclusionsAge should not be considered a contra-indication for meniscal repair. Appropriately selected older patients can have acceptably low failure rates with meniscal repair and similar functional outcomes to those under the age of forty. Meniscal repairs in those over 40 achieved better functional outcomes than patients of the same age group who underwent meniscectomy.
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What OpenQuestion holds
Registered trials
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.