Evidence map›Paper›PMID 41531481›Full record

ReviewJournal of experimental orthopaedics2026

Medial meniscus posterior root tear repair: An overview of surgical techniques and augmentation strategies.

Gabriele Cortina, Simone Perelli, Nicola Pizza, Vincenzo Condello, Vincenzo Madonna, Joan Carles Monllau

Abstract readReview
In one paragraph

Review in Journal of experimental orthopaedics, 2026. 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. Article
  2. Meniscal extrusion: Multiple theories, one clinical challenge.Journal of experimental orthopaedics · 2026
    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

6 authors.

Gabriele CortinaDepartment of Orthopaedic, Joint Prosthetic, Arthroscopic Surgery and Sports Traumatology Humanitas Castelli Bergamo Italy.ORCID https://orcid.org/0000-0001-7146-7765
Simone PerelliInstitut Català de Traumatologia i Medicina de l'Esport (ICATME)-Hospital Universitari Dexeus, Universitat Autònoma de Barcelona Barcelona Spain.ORCID https://orcid.org/0000-0003-0010-024X
Nicola PizzaInstitut Català de Traumatologia i Medicina de l'Esport (ICATME)-Hospital Universitari Dexeus, Universitat Autònoma de Barcelona Barcelona Spain.ORCID https://orcid.org/0000-0003-1693-2809
Vincenzo CondelloDepartment of Orthopaedic, Joint Prosthetic, Arthroscopic Surgery and Sports Traumatology Humanitas Castelli Bergamo Italy.
Vincenzo MadonnaDepartment of Orthopaedic, Joint Prosthetic, Arthroscopic Surgery and Sports Traumatology Humanitas Castelli Bergamo Italy.
Joan Carles MonllauInstitut Català de Traumatologia i Medicina de l'Esport (ICATME)-Hospital Universitari Dexeus, Universitat Autònoma de Barcelona Barcelona Spain.ORCID https://orcid.org/0000-0002-2418-4874

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Medial meniscus posterior root tears (MMPRTs) disrupt the hoop stress mechanism, leading to increased meniscal extrusion and early osteoarthritis. This systematic review aims to evaluate current surgical techniques for MMPRT repair, including their biomechanical principles, technical aspects and clinical outcomes, with special attention to strategies addressing meniscal extrusion. Methods: A systematic search was conducted across PubMed, Scopus and Cochrane Library using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Inclusion criteria encompassed studies describing surgical techniques for MMPRT repair published in the last 20 years. Techniques were categorized into pull-out transtibial repair, suture anchor repair and all-inside repair. Augmentation procedures were also evaluated. Quality assessment was performed using the Risk of Bias In Non-randomised Studies of Interventions (ROBINS-I) tool for comparative studies. Results: Forty-two studies were included. Thirty studies reported on pull-out transtibial techniques, eight on suture anchor repairs and four on all-inside repair. Various fixation strategies, suture configurations and devices were described. Biomechanical evidence supports the use of suture anchors for improved cyclic loading performance. Augmentation techniques such as gracilis autografts or centralization sutures were described in select cases to reduce extrusion. Comparative studies suggest that while no single technique guarantees superior healing, suture anchor repair may offer biomechanical advantages over pull-out repairs. Conclusion: Multiple surgical options exist for MMPRT repair, each with specific advantages and limitations. The choice of technique should consider biomechanical integrity, tissue quality and the presence of extrusion. Augmentation strategies may enhance outcomes in selected cases. Further high-quality comparative studies are needed to define the optimal surgical approach. Level of Evidence: Level III, systematic review and meta-analysis.

Indexed as

degenerativeextrusionkneemeniscal extrusionmeniscusosteoarthritis

Identifiers

PMID41531481
PMCPMC12793040

What OpenQuestion holds

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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.