Document Detail


Meniscal repair outcomes at greater than five years: a systematic literature review and meta-analysis.
MedLine Citation:
PMID:  23318612     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Meniscal repair offers the potential to avoid the long-term articular cartilage deterioration that has been shown to result after meniscectomy. Failure of the meniscal repair can occur several years postoperatively. Limited evidence on the long-term outcomes of meniscal repair exists.
METHODS: We performed a systematic review of studies reporting the outcomes of meniscal repair at a minimum of five years postoperatively. Pooling of data and meta-analysis with a random-effects model were performed to evaluate the results.
RESULTS: Thirteen studies met the inclusion criteria. The pooled rate of meniscal repair failure (reoperation or clinical failure) was 23.1% (131 of 566). The pooled rate of failure varied from 20.2% to 24.3% depending on the status of the anterior cruciate ligament (ACL), the meniscus repaired, and the technique utilized. The rate of failure was similar for the medial and the lateral meniscus as well as for patients with an intact and a reconstructed ACL.
CONCLUSIONS: A systematic review of the outcomes of meniscal repair at greater than five years postoperatively demonstrated very similar rates of meniscal failure (22.3% to 24.3%) for all techniques investigated. The outcomes of meniscal repair at greater than five years postoperatively have not yet been reported for modern all-inside repair devices.
Authors:
Jeffrey J Nepple; Warren R Dunn; Rick W Wright
Publication Detail:
Type:  Journal Article; Meta-Analysis; Review    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  94     ISSN:  1535-1386     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2013-01-15     Completed Date:  2013-03-12     Revised Date:  2014-01-09    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2222-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Humans
Knee Injuries / surgery*
Menisci, Tibial / injuries*,  surgery*
Reoperation
Time Factors
Treatment Failure
Treatment Outcome
Comments/Corrections
Comment In:
Z Orthop Unfall. 2013 Feb;151(1):10   [PMID:  23544247 ]
J Bone Joint Surg Am. 2012 Dec 19;94(24):e186   [PMID:  23318625 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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