Evidence map›Paper›PMID 38404702›Full record

ArticleJournal of orthopaedics2024

The cumulative incidence and risk factors associated with 5-year conversion to knee arthroplasty following primary meniscus repair or primary meniscectomy.

Lauren Bracey, Dylan Parsons, Amy Y Zhao, Amil R Agarwal, Jacob D Mikula, Thomas Fraychineaud, Savyasachi C Thakkar, Teresa Doerre, Matthew J Best

Abstract read
In one paragraph

Article in Journal of orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Risk Factors for Failure of Meniscal Repair.Current reviews in musculoskeletal medicine · 2026
    Review
  2. Long-Term Results for Meniscus Repair.Current reviews in musculoskeletal medicine · 2025
    Review
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

9 authors.

Lauren BraceyDepartment of Orthopaedic Surgery, George Washington Hospital, Washington DC, USA.
Dylan ParsonsDepartment of Orthopaedic Surgery, George Washington Hospital, Washington DC, USA.
Amy Y ZhaoDepartment of Orthopaedic Surgery, George Washington Hospital, Washington DC, USA.
Amil R AgarwalDepartment of Orthopaedic Surgery, George Washington Hospital, Washington DC, USA.
Jacob D MikulaDepartment of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Thomas FraychineaudDepartment of Orthopaedic Surgery, George Washington Hospital, Washington DC, USA.
Savyasachi C ThakkarDepartment of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Teresa DoerreDepartment of Orthopaedic Surgery, George Washington Hospital, Washington DC, USA.
Matthew J BestDepartment of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aimed to observe the 5-year knee arthroplasty conversion incidence rate and associated risk factors in patients who underwent meniscus procedures. Methods: Using a national database, we analyzed patients who had undergone primary meniscus repair or meniscectomy without prior knee surgeries. The cumulative knee arthroplasty conversion incidence was determined via Kaplan Meier analysis. Risk factors for conversion within 5 years were assessed using a Cox proportional hazard ratio model, with results as hazard ratios (HR). Results: 8125 patients had meniscus repair, while 240,209 had meniscectomy. 5-year conversion rates: repair 1.7%, meniscectomy 8.4%. Arthroplasty likelihood decreased as age decreased for repair (70+ [HR: 162.20]; 60-69 [HR: 81.64]; 50-59 [HR: 49.85]; 40-49 [HR: 17.79]; p < 0.001 all). Additional risk factors included male sex (HR: 0.35; p < 0.001) and higher Charlson Comorbidity Index (CCI) (CCI1 [HR: 1.28; p = 0.012]). For meniscectomy, arthroplasty likelihood also decreased with age (70+ [HR: 99.41]; 60-69 [HR: 84.57]; 50-59 [HR: 66.60]; 40-49 [HR: 36.15]; 30-39 [HR: 10.18]; p < 0.001 all). Additional risk factors included male sex (HR: 0.68; p < 0.001), obesity (HR: 1.18; p < 0.001), smoking (HR: 0.1.12; p = 0.010), and higher CCI (CCI1 [HR: 1.25]; CCI2 [HR 1.39]; CCI3+ [HR 1.46]; p < 0.001 all). Conclusion: This study revealed the national 5-year conversion incidence following primary meniscus repair (1.7%) and meniscectomy (8.4%). It also enhanced understanding of age, sex, obesity, smoking, comorbidities (CCI), and knee arthroplasty likelihood after meniscus procedures.

Indexed as

Knee arthroplasty conversionMeniscectomyMeniscus repair

Identifiers

PMID38404702
PMCPMC10881408

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Registered trials

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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.