دورية أكاديمية
A Systematic Review of Adverse Events and Complications After Isolated Posterior Medial Meniscus Root Repairs.
| العنوان: | A Systematic Review of Adverse Events and Complications After Isolated Posterior Medial Meniscus Root Repairs. |
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| المؤلفون: | Jackson GR; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA., Warrier AA; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA., Wessels M; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA., Khan ZA; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA., Obioha O; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA., McCormick JR; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA., Kaplan DJ; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA., Mameri ES; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.; Instituto Brasil de Tecnologia da Saúde, Rio de Janeiro, Rio de Janeiro, Brazil.; Department of Orthopedics and Traumatology, Federal University of São Paulo (EPM-UNIFESP), São Paulo, São Paulo, Brazil., Knapik DM; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.; Department of Orthopaedic Surgery, Washington University and Barnes-Jewish Orthopedic Center, Chesterfield, Missouri, USA., Verma NN; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA., Chahla J; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. |
| المصدر: | The American journal of sports medicine [Am J Sports Med] 2024 Mar; Vol. 52 (4), pp. 1109-1115. Date of Electronic Publication: 2023 May 02. |
| نوع المنشور: | Systematic Review; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Publications Country of Publication: United States NLM ID: 7609541 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-3365 (Electronic) Linking ISSN: 03635465 NLM ISO Abbreviation: Am J Sports Med |
| أسماء مطبوعة: | Publication: 2004- : Thousand Oaks, CA : Sage Publications Original Publication: Baltimore, Williams & Wilkins. |
| مواضيع طبية MeSH: | Tibial Meniscus Injuries*/surgery , Postoperative Complications*/epidemiology, Humans ; Menisci, Tibial/surgery ; Incidence |
| مستخلص: | Background: Medial meniscus posterior root (MMPR) tears are recognized as a substantial cause of disability and morbidity. However, meniscus root repair, regardless of technique, is not without potential complications. Purpose: To evaluate the reported incidence of complications and adverse events after isolated MMPR repair. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using Embase, PubMed, and Scopus databases with the following search terms combined with Boolean operators: "meniscus,""root," and "repair." Inclusion criteria consisted of level 1 to 4 human clinical studies in English or English-language translation reporting complications and adverse events after isolated posterior medial meniscus root repairs. The overall incidence of specific complications was estimated from the pooled sample of the included studies. Results: Eleven studies with a total pooled sample of 442 patients were identified. The mean patient age was 58.1 years, while the mean final follow-up time was 37.2 months (range, 12-84.8 months). The overall incidence of complications was 9.7% (n = 43/442), with the most commonly reported complication being progressive degenerative changes within the knee (10.4%; n = 25/240; n = 5 studies). A total of 1.25% (n = 3/240) of patients who experienced degenerative changes required conversion to total knee arthroplasty. Repair failures were reported in 3.1% (n = 10/327; n = 8 studies) of patients. Conclusion: Repairing MMPR tears is critical in preventing accelerated progression of knee osteoarthritis in patients without significant knee osteoarthritis preoperatively. While this repair is still recommended and necessary in appropriate patients, this review found that the incidence of complications after isolated posterior medial meniscus root repair was 9.7%, primarily involving the presence of progressive degeneration, while repair failure was reported in 3% of patients. Competing Interests: One or more of the authors has declared the following potential conflict of interest or source of funding: O.O. has received support for education from Medwest Associates. J.R.M. has received support for education from Medwest Associates. D.M.K. has received support for education from Arthrex, Elite Orthopedics, Smith & Nephew, and Medwest Associates and honoraria from Encore Medical. N.N.V. has received royalties from Arthrex and Smith & Nephew; consulting fees from Arthrex, Smith & Nephew, Medacta USA, and Stryker; and research support from Breg and Ossur. J.C. has received consulting fees from Smith & Nephew, Arthrex, DePuy Synthes, Linvatec, and Vericel; support for education from Medwest Associates; and hospitality payments from Stryker. 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. |
| فهرسة مساهمة: | Keywords: knee; meniscal extrusion; meniscus; root repair; root tear |
| تواريخ الأحداث: | Date Created: 20230502 Date Completed: 20240807 Latest Revision: 20240807 |
| رمز التحديث: | 20240808 |
| DOI: | 10.1177/03635465231157758 |
| PMID: | 37129097 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1552-3365 |
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| DOI: | 10.1177/03635465231157758 |