PMID- 33241058
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220418
IS  - 2325-9671 (Print)
IS  - 2325-9671 (Electronic)
IS  - 2325-9671 (Linking)
VI  - 8
IP  - 11
DP  - 2020 Nov
TI  - Clinical and Radiological Outcomes of Meniscal Repair Versus Partial Meniscectomy 
      for Medial Meniscus Root Tears: A Systematic Review and Meta-analysis.
PG  - 2325967120962078
LID - 10.1177/2325967120962078 [doi]
LID - 2325967120962078
AB  - BACKGROUND: Given the superiority of meniscal repair over partial meniscectomy 
      according to biomechanical data, the clinical outcomes of meniscal repair are 
      likely to be better than those of partial meniscectomy for a medial meniscus root 
      tear (MMRT). PURPOSE/HYPOTHESIS: This review was designed to compare the clinical 
      and radiological results between meniscal repair and partial meniscectomy for 
      MMRTs. It was hypothesized that meniscal repair would result in better clinical 
      and radiological results compared with partial meniscectomy. STUDY DESIGN: 
      Systematic review; Level of evidence, 4. METHODS: Studies were included in the 
      review if they (1) included patients with MMRTs who underwent primary 
      arthroscopic meniscal repair or partial meniscectomy and (2) analyzed validated 
      patient-reported outcomes and/or radiological evaluations. Summary odds ratios 
      (ORs) with 95% CIs were calculated to compare partial meniscectomy with meniscal 
      repair for each outcome. RESULTS: A total of 13 studies were included. The mean 
      duration of follow-up was 33.5 and 47.2 months in the meniscal repair group and 
      partial meniscectomy group, respectively. The change in the Lysholm score from 
      preoperatively to postoperatively was statistically significantly in favor of 
      meniscal repair (OR, 2.20 [95% CI, 1.55-3.12]), while no difference was found 
      with respect to the change in the Tegner score between the 2 surgical approaches 
      (OR, 1.21 [95% CI, 0.65-2.24]). The prevalence of postoperative severe knee 
      osteoarthritis (OR, 0.31 [95% CI, 0.17-0.54]) as well as that of reoperations 
      (OR, 0.05 [95% CI, 0.01-0.19]) were significantly in favor of meniscal repair. 
      CONCLUSION: Better outcomes were seen after meniscal repair compared with partial 
      meniscectomy for MMRTs, with greater improvements in Lysholm scores, and lower 
      rates of progression to knee osteoarthritis, and lower reoperation rate.
CI  - (c) The Author(s) 2020.
FAU - Ro, Kyung-Han
AU  - Ro KH
AD  - Department of Orthopedic Surgery, Gangnam Bon Hospital, Seoul, Republic of Korea.
FAU - Kim, Jun-Ho
AU  - Kim JH
AD  - Department of Orthopedic Surgery, Seoul Medical Center, Seoul, Republic of Korea.
FAU - Heo, Jae-Won
AU  - Heo JW
AD  - Department of Orthopedic Surgery, Bareunsesang Hospital, Seongnam, Republic of 
      Korea.
FAU - Lee, Dae-Hee
AU  - Lee DH
AD  - Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University 
      School of Medicine, Seoul, Republic of Korea.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20201111
PL  - United States
TA  - Orthop J Sports Med
JT  - Orthopaedic journal of sports medicine
JID - 101620522
PMC - PMC7675875
OTO - NOTNLM
OT  - medial meniscus
OT  - partial meniscectomy
OT  - repair
OT  - root tear
COIS- The authors have declared that there are no conflicts of interest in the 
      authorship and publication of this contribution. AOSSM checks author disclosures 
      against the Open Payments Database (OPD). AOSSM has not conducted an independent 
      investigation on the OPD and disclaims any liability or responsibility relating 
      thereto.
EDAT- 2020/11/27 06:00
MHDA- 2020/11/27 06:01
PMCR- 2020/11/11
CRDT- 2020/11/26 05:48
PHST- 2020/03/04 00:00 [received]
PHST- 2020/04/07 00:00 [accepted]
PHST- 2020/11/26 05:48 [entrez]
PHST- 2020/11/27 06:00 [pubmed]
PHST- 2020/11/27 06:01 [medline]
PHST- 2020/11/11 00:00 [pmc-release]
AID - 10.1177_2325967120962078 [pii]
AID - 10.1177/2325967120962078 [doi]
PST - epublish
SO  - Orthop J Sports Med. 2020 Nov 11;8(11):2325967120962078. doi: 
      10.1177/2325967120962078. eCollection 2020 Nov.