Evidence map›Paper›PMID 39759717›Full record

ReviewCureus2024

A Systematic Review and Meta-Analysis of Medial Meniscus Root Tears: Is Surgery the Key to Better Outcomes?

Ahmed Elnewishy, Abdelfatah M Elsenosy, Sam Nahas, Mohammad Abdalla, Naoum Symeon, Hagar Teama

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

6 authors.

Ahmed ElnewishyTrauma and Orthopaedics, Royal Berkshire Hospital, Reading, GBR.
Abdelfatah M ElsenosyTrauma and Orthopaedics, University Hospitals Dorset, Poole, GBR.
Sam NahasTrauma and Orthopaedics, Royal Berkshire Hospital, Reading, GBR.
Mohammad AbdallaTrauma and Orthopaedics, Aneurin Bevan University Health Board, Newport, GBR.
Naoum SymeonOrthopaedics and Trauma Surgery, 251 Hellenic Air Force General Hospital, Athens, GRC.
Hagar TeamaPharmacy, Kafr El Sheikh General Hospital, Kafr El Sheikh, EGY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medial meniscus root tears (MMRTs) are serious injuries that disrupt knee biomechanics, often accelerating cartilage degeneration and osteoarthritis when left untreated. These injuries are increasingly recognized as a major cause of knee pain and functional limitations, particularly among middle-aged and older adults. This systematic review and meta-analysis aimed to evaluate the outcomes of conservative management compared to surgical intervention for MMRT, focusing on pain relief, functional recovery, and the progression of osteoarthritis. A thorough search of PubMed, Scopus, Google Scholar, and the Cochrane Library identified six studies that directly compared surgical repair, primarily transtibial pull-out repair, with conservative management. Outcome measures included the Knee Injury and Osteoarthritis Outcome Score (KOOS), the Lysholm score, and the International Knee Documentation Committee (IKDC) subjective score. Surgical intervention showed marked superiority in KOOS scores, with a standardized mean difference (SMD) of 1.42 (95% CI: 0.97 to 1.88, P < 0.00001), reflecting significant improvements in pain, daily function, and quality of life. However, pooled analyses for the Lysholm score (SMD: 0.21, 95% CI: -0.23 to 0.65, P = 0.35) and IKDC score (SMD: 0.12, 95% CI: -0.56 to 0.80, P = 0.73) did not show statistically significant differences between treatments. High heterogeneity (I² > 50%) was noted, likely due to differences in study populations, follow-up periods, and methodologies. These results suggest that surgical repair offers superior pain relief and functional benefits for MMRT compared to conservative management, positioning it as the preferred option for most patients. Nonetheless, conservative management may remain suitable for certain patients, particularly those with contraindications to surgery. Further high-quality, long-term research is essential to confirm these findings and inform clinical decision-making.

Indexed as

conservative managementikdcknee injury and osteoarthritis outcome score (koos)lysholm scoremedial meniscus posterior root tearmeniscal repairosteoarthritis progressionsurgical repairtranstibial pull-out repair

Identifiers

PMID39759717
PMCPMC11700375

What OpenQuestion holds

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LicenceCC BY
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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.