All-inside repair is an effective treatment for medial meniscus posterior root tears: a systematic review and meta-analysis of biomechanical and clinical evidence.
T Cerasoli, V G Rinaldi, A Fogacci et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the effectiveness of all-inside repair (AR) for medial meniscus posterior root tears (MMPRTs) compared to transtibial pull-out (TP) in 13 studies. The analysis found that AR resulted in a lower rate of conversion to total knee arthroplasty (RR 0.18, 95% CI 0.05-0.58) compared to non-repair, with no significant differences in patient-reported outcomes between AR and TP.
Key findings
- AR restored contact mechanics and demonstrated load to failure comparable to TP.
- AR had a lower conversion rate to total knee arthroplasty compared to non-repair (RR 0.18, 95% CI 0.05-0.58).
- No significant differences in patient-reported outcomes were found between AR and TP.
Why it matters
Understanding the comparative effectiveness of different surgical techniques for MMPRTs is crucial for optimizing patient outcomes. This evidence supports the use of AR as a viable option in specific cases, potentially reducing the need for more invasive procedures.