SynthesisThe American journal of sports medicine2025
Comparison of Suture Versus Bony Fixation in Meniscal Allograft Transplantation Outcomes: A Meta-analysis.
Synthesis in The American journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Clinical Efficacy of Meniscal Transplantation After Meniscectomy: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2026Review
- Meniscal Allograft Transplantation With Hybrid Fixation to Optimize Graft Tension: A Surgical Technique.Arthroscopy techniques · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
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Abstract
backgroundMeniscal allograft transplantation replaces damaged meniscal tissue with grafts, aiming to restore knee stability and function. The method employed in the fixation of the meniscal graft-suture or bony fixation-has sparked clinical interest and ongoing discussions. PURPOSE: To compare suture fixation with bony fixation of the meniscal graft, with the focus on functional and clinical outcomes. STUDY
designMeta-analysis and systematic review; Level of evidence, 4.
methodsMeta-analyses were performed with a multidatabase search according to PRISMA guidelines on August 15, 2023. Data from published articles meeting inclusion criteria were extracted and analyzed with an inverse variance statistical model.
resultsA total of 6 studies were included consisting of 334 patients: 184 suture fixation and 150 bony fixation. No statistical analysis could be performed for clinical outcomes given the heterogeneity of raw data, but no observable trends were observed from individual studies. Suture and bony fixation showed no statistically significant difference in the risks of infection (relative risk [RR], 1.52; 95% CI, 0.29-7.80;
conclusionThere was no significant difference in clinical outcomes or complications between suture and bony fixation of meniscal grafts. However, the short- to medium-term follow-up in this meta-analysis prompts the need for studies with long-term follow-up, given that meniscal allograft transplantation longevity is of utmost importance in this patient group to restore function and potentially reduce the risk of arthritis progression.
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