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Outcomes and failure rates after revision meniscal repair: a systematic review and meta-analysis

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Abstract

Purpose

The purpose of this meta-analysis is to determine the outcomes and failure rates for revision meniscus repairs in patients with re-tears after primary repair failure.

Methods

A literature search was conducted using PubMed and Embase with the terms “Meniscus,” “Meniscal,” “Revised,” and “Revision.” The search strategy was based on the PRISMA (Preferred Reporting Items for Systematic Meta-Analyses) protocol and included four articles (79 patients). The search criteria were limited to studies reporting outcomes and failure rates. The exclusion criteria included languages other than English, biomechanical studies, letters to editors, non-full text, review articles, meta-analysis, and case reports.

Results

Four comparative studies with 79 patients (53 males, 26 females) with a mean age of 23.9 ± 6.4 years treated with a revision meniscus repair were included in the final analysis. Within this analysis, we found a failure rate of 25.3% (20 of 79 patients). Of these failed repairs, 30.95% (13 of 42) were of the medial meniscus, and 18.9% (7 of 37) were of the lateral meniscus. In the four articles, the postoperative Tegner sports activity score was found to be 6.1 ± 1.6 (range, 2 to 10). The post-operative Lysholm score was reported in three articles (45 patients). At a mean follow-up of 58.3 ± 23.9 months, the mean post-operative Lysholm score was 89.1 ± 7.6 (range, 38 to 100). The Coleman score for the included articles ranged between 52 and 59.

Conclusion

This analysis found that revision meniscus repairs in patients with re-tears after primary repair failure result in clinical outcomes similar to that of primary repairs.

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Data availability

All data and materials as well as software application supports the published claims within this paper and complies with field standards.

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Authors and Affiliations

  1. School of Medicine, American University of the Caribbean, Cupecoy, Sint Maarten

    Garrett R. Jackson

  2. Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, NC, USA

    Joshua Meade, Ziqing Yu, Bradley Young, Dana P. Piasecki, James E. Fleischli & Bryan M. Saltzman

  3. OrthoCarolina, Charlotte, NC, USA

    Joshua Meade, Ziqing Yu, Bradley Young, Dana P. Piasecki, James E. Fleischli & Bryan M. Saltzman

  4. Department of Orthopaedic Surgery, Mount Sinai Hospital, Queens, NY, USA

    Robert L. Parisien

  5. Department of Orthopedics, Columbia University Medical Center, New York, NY, USA

    David P. Trofa

Authors
  1. Garrett R. Jackson
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Garrett Jackson, Joshua Meade, and Dr. Bryan Saltzman. The first draft of the manuscript was written by Garrett Jackson and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Bryan M. Saltzman.

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Jackson, G.R., Meade, J., Yu, Z. et al. Outcomes and failure rates after revision meniscal repair: a systematic review and meta-analysis. International Orthopaedics (SICOT) 46, 1557–1562 (2022). https://doi.org/10.1007/s00264-022-05413-1

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