Evidence map›Paper›PMID 41220248›Full record

ArticleThe American journal of sports medicine2025

Meniscal Repair in the Setting of Revision Anterior Cruciate Ligament Reconstruction: 6-Year Follow-up Results From the MARS Cohort.

MARS Group;, Jake A Fox, Laura J Huston, Amanda K Haas, Jacquelyn S Pennings, Christina R Allen, Daniel E Cooper, Thomas M DeBerardino, Warren R Dunn, Brett Brick A Lantz and 77 more

Abstract readMulticenter Study
In one paragraph

Article 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.

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. Review
  2. Article
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

87 authors.

MARS Group;Investigation performed at Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Jake A FoxVanderbilt University, Nashville, Tennessee, USA.
Laura J HustonVanderbilt University, Nashville, Tennessee, USA.
Amanda K HaasWashington University in St. Louis, St. Louis, Missouri, USA.
Jacquelyn S PenningsVanderbilt University, Nashville, Tennessee, USA.
Christina R AllenYale University, New Haven, Connecticut, USA.
Daniel E CooperW.B. Carrell Memorial Clinic, Dallas, Texas, USA.
Thomas M DeBerardinoUT Health, San Antonio, Texas, USA.
Warren R DunnFondren Orthopedic Group, Houston, Texas, USA.
Brett Brick A LantzSlocum Research and Education Foundation, Eugene, Oregon, USA.
Kurt P SpindlerCleveland Clinic, Cleveland, Ohio, USA.
Michael J StuartMayo Clinic, Rochester, Minnesota, USA.
Annunziato Ned AmendolaDuke University, Durham, North Carolina, USA.
Christopher C AnnunziataCommonwealth Orthopaedics & Rehabilitation, Arlington, Virginia, USA.
Robert A ArcieroUniversity of Connecticut Health Center, Farmington, Connecticut, USA.
Bernard R BachRush University Medical Center, Chicago, Illinois, USA.
Champ L BakerThe Hughston Clinic, Columbus, Georgia, USA.
Arthur R Bartolozzi3B Orthopaedics, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA.
Keith M BaumgartenOrthopedic Institute, Sioux Falls, South Dakota, USA.
Jeffrey H BergTown Center Orthopaedic Associates, Reston, Virginia, USA.
Geoffrey A BernasState University of New York at Buffalo, Buffalo, New York, USA.
Stephen F BrockmeierUniversity of Virginia, Charlottesville, Virginia, USA.
Robert H BrophyWashington University in St. Louis, St. Louis, Missouri, USA.
Charles A Bush-JosephRush University Medical Center, Chicago, Illinois, USA.
J Brad Butler VOrthopedic and Fracture Clinic, Portland, Oregon, USA.
James L CareyUniversity of Pennsylvania, Philadelphia, Pennsylvania, USA.
James E CarpenterUniversity of Michigan, Ann Arbor, Michigan, USA.
Brian J ColeRush University Medical Center, Chicago, Illinois, USA.
Jonathan M CooperHealthPartners Specialty Center, St. Paul, Minnesota, USA.
Charles L CoxVanderbilt University, Nashville, Tennessee, USA.
R Alexander CreightonUniversity of North Carolina Medical Center, Chapel Hill, North Carolina, USA.
Tal S DavidSynergy Specialists Medical Group, San Diego, California, USA.
David C FlaniganThe Ohio State University, Columbus, Ohio, USA.
Robert W FrederickThe Rothman Institute/Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Theodore J GanleyChildren's Hospital of Philadelphia, Philadelphia, USA.
Charles J GattUniversity Orthopaedic Associates, Princeton, New Jersey, USA.
Steven R GechaPrinceton Orthopaedic Associates, Princeton, New Jersey, USA.
James Robert GiffinFowler Kennedy Sport Medicine Clinic, University of Western Ontario, London, Ontario, Canada.
Sharon L HameUniversity of California, Los Angeles, California, USA.
Jo A HannafinHospital for Special Surgery, New York, New York, USA.
Christopher D HarnerUniversity of Texas Health Center, Houston, Texas, USA.
Norman Lindsay HarrisGrand River Health, Rifle, Colorado, USA.
Keith S HechtmanMiami Orthopedics and Sports Medicine Institute, Coral Gables, Florida, USA.
Elliott B HershmanLenox Hill Hospital, New York, New York, USA.
Rudolf G HoellrichSlocum Research and Education Foundation, Eugene, Oregon, USA.
David C JohnsonNational Sports Medicine Institute, Leesburg, Virginia, USA.
Timothy S JohnsonNational Sports Medicine Institute, Leesburg, Virginia, USA.
Morgan H JonesBrigham and Women's Hospital, Boston, Massachusetts, USA.
Christopher C KaedingThe Ohio State University, Columbus, Ohio, USA.
Ganesh V KamathUniversity of North Carolina Medical Center, Chapel Hill, North Carolina, USA.
Thomas E KlootwykForte Sports Medicine and Orthopedics, Indianapolis, Indiana, USA.
Bruce A LevyOrlando Health, Orlando, Florida, USA.
C Benjamin MaUniversity of California, San Francisco, California, USA.
G Peter MaiersForte Sports Medicine and Orthopedics, Indianapolis, Indiana, USA.
Robert G MarxHospital for Special Surgery, New York, New York, USA.
Matthew J MatavaWashington University in St. Louis, St. Louis, Missouri, USA.
Gregory M MathienKnoxville Orthopedic Clinic, Knoxville, Tennessee, USA.
David R McAllisterUniversity of California, Los Angeles, California, USA.
Eric C McCartyUniversity of Colorado Denver School of Medicine, Denver, Colorado, USA.
Robert G McCormackUniversity of British Columbia/Fraser Health Authority, New Westminster, British Columbia, Canada.
Bruce S MillerUniversity of Michigan, Ann Arbor, Michigan, USA.
Carl W NissenConnecticut Children's Medical Center, Hartford, Connecticut, USA.
Daniel F O'NeillThe Alpine Clinic, Plymouth, New Hampshire, USA.
Brett D OwensWarren Alpert Medical School, Brown University, Providence, Rhode Island, USA.
Richard D ParkerCleveland Clinic, Cleveland, Ohio, USA.
Mark L PurnellValley Ortho, Aspen, Colorado, USA.
Arun J RamappaBeth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Michael A RauhState University of New York at Buffalo, Buffalo, New York, USA.
Arthur C RettigForte Sports Medicine and Orthopedics, Indianapolis, Indiana, USA.
Jon K SekiyaUniversity of Michigan, Ann Arbor, Michigan, USA.
Kevin G SheaStanford University, Palo Alto, California, USA.
Orrin H ShermanNYU Hospital for Joint Diseases, New York, New York, USA.
James R SlauterbeckUNC Health Southeastern, Lumberton, North Carolina, USA.
Matthew V SmithWashington University in St. Louis, St. Louis, Missouri, USA.
Jeffrey T SpangUniversity of North Carolina Medical Center, Chapel Hill, North Carolina, USA.
Col Ret Steven J SvobodaMedStar Orthopaedic and Sports Center, Washington, DC, USA.
Timothy N TaftUniversity of North Carolina Medical Center, Chapel Hill, North Carolina, USA.
Joachim J TenutaAlbany Medical Center, Albany, New York, USA.
Edwin M TingstadInland Orthopaedic Surgery and Sports Medicine Clinic, Pullman, Washington, USA.
Armando F VidalThe Steadman Clinic, Vail, Colorado, USA.
Darius G ViskontasFraser Orthopaedic Institute, New Westminster, British Columbia, Canada.
Richard A WhiteFitzgibbon's Hospital, Marshall, Missouri, USA.
James S WilliamsCleveland Clinic, Euclid, Ohio, USA.
Michelle L WolcottUniversity of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Brian R WolfUniversity of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
James J YorkLuminis Health Orthopedics, Pasadena, Maryland, USA.
Rick W WrightVanderbilt University, Nashville, Tennessee, USA.

Funding

Revision ACL Reconstructions: A Comparative Effectiveness Treatment StudyR01AR060846 · NIAMS · WASHINGTON UNIVERSITY · PI WRIGHT, RICK W · 2011 to 2025
$6.7M
NIAMS NIH HHS R01 AR060846
6 · The paper itself

Abstract

backgroundMeniscal preservation has been demonstrated to contribute to long-term knee health and has been a successful intervention in isolation and in patients with anterior cruciate ligament reconstruction (ACLR). The long-term results of meniscal repair in the setting of revision ACLR have yet to be documented. PURPOSE: To report the incidence of meniscal repair failures at the 6-year follow-up in a cohort of patients who underwent concurrent revision ACLR and primary meniscal repair. STUDY

designProspective cohort study; Level of evidence, 2.

methodsAll revision ACLRs with concomitant primary meniscal repair cases from a multicenter group between 2006 and 2011 were selected. Six-year follow-up was obtained to determine whether any subsequent surgery had occurred since their initial revision ACLR. If so, operative reports were obtained, whenever possible, to verify pathological condition and treatment.

resultsIn total, 221 patients from 1234 revision ACLRs underwent concurrent primary meniscal repairs (18% of the cohort). There were 238 repairs performed: 173 medial and 65 lateral. The majority of these repairs (n = 181; 76%) were performed with an all-inside technique. Six-year surgical follow-up was obtained in 77% (171/221) of the cohort, or 189 of 238 (79%) of the repairs (136 medial, 53 lateral). The meniscal repair failure rate, defined as reoperation, was 16% (31/189) at 6 years. Of the 31 failures, 28 were medial (24 all-inside, 4 inside-out; 28/136 = 20.6% failure rate) and 3 were lateral (2 all-inside, 1 inside-out; 3/53 = 5.7% failure rate). Three medial failures were treated in conjunction with a subsequent repeat revision ACLR. Medial tears underwent reoperation for failure at a significantly higher rate than lateral tears (20.6% vs 5.7%;

conclusionMeniscal repair in the revision ACLR setting has a 16% failure rate at 6 years. Failure rates for medial tears (20.6%) were found to be higher than that for lateral tears (5.7%), which aligns with previous studies in both the revision and primary ACLR setting.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionMenisci, TibialTibial Meniscus InjuriesAdolescentAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesReoperationYoung Adultanterior cruciate ligament reconstructionmeniscal repairoutcomesrevision

Identifiers

PMID41220248
PMCPMC12657664

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.