ArticleOrthopaedic journal of sports medicine2026
Correlation Between Synovial Coverage of the Reconstructed Anterior Cruciate Ligament and Healing of Bucket-Handle Medial Meniscal Tears After Combined ACL Reconstruction and Meniscal Repair.
Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Meniscal healing after repair of bucket-handle medial meniscal tear (BHMMT) concomitant with anterior cruciate ligament (ACL) reconstruction (ACLR) remains variable despite advances in surgical technique. The biological environment within the knee joint, particularly the degree of synovialization of the reconstructed ACL graft, may influence meniscal healing outcomes, but this relationship has not been systematically investigated. Purpose/Hypothesis: The purpose of this study was to evaluate the arthroscopic relationship between synovial coverage of the reconstructed ACL and the healing of repaired BHMMTs following combined ACLR and meniscal repair. It was hypothesized that greater synovialization of the reconstructed ACL would be associated with higher rates of meniscal healing. Study Design: Cross-sectional study. Methods: A retrospective analysis was performed on patients who underwent ACLR combined with BHMMT repair between January 2020 and January 2025 and subsequently underwent tibial hardware removal with second-look arthroscopy (SLA). A total of 59 patients met the inclusion criteria. Functional outcomes were assessed preoperatively and before SLA using the Knee injury and Osteoarthritis Outcome Score (KOOS), Lysholm score, International Knee Documentation Committee (IKDC) score, and Tegner activity scale. Arthroscopic videos obtained during SLA were reviewed to evaluate graft synovialization, categorized as good (>80%), fair (50%-80%), or poor (<50%) and to assess the healing status of the repaired meniscus. Meniscal healing was defined as the absence of retear or the need for additional repair or meniscectomy. Results: All functional outcome scores (KOOS, Lysholm, IKDC, and Tegner) improved significantly postoperatively compared with preoperative values ( Conclusion: In patients undergoing ACLR combined with BHMMT repair, the degree of synovial coverage of the reconstructed ACL was significantly and positively associated with meniscal healing. Greater synovialization of the ACL graft was associated with a higher likelihood of meniscal healing. The extent of synovial coverage may serve as a useful arthroscopic indicator of intra-articular biological healing potential and may help inform postoperative evaluation and clinical decision-making.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.