1. Efficacy and Long-Term Outcomes of Arthroscopic Meniscus Repair: A Systematic Review and Meta-Analysis.
- Author
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Chand SB, Santhosh G, Saseendran A, Gopinath AV, Chand GB, Viswambharan V, Gowda Gb A, and Rao C
- Abstract
The objective of this systematic review and meta-analysis was to evaluate the efficacy and long-term outcomes of arthroscopic meniscus repair, focusing on success, failure, and reoperation rates. A comprehensive literature search was conducted across PubMed, EMBASE, Cochrane Library, and Scopus, including studies that involved patients undergoing arthroscopic meniscus repair with a minimum follow-up of two years. The quality of the included studies was assessed using the Cochrane Risk of Bias Tool for randomized controlled trials and the Newcastle-Ottawa Scale for observational studies. Meta-analyses were conducted using RStudio 4.3.1 software (RStudio Inc., Boston, MA), with pooled risk ratios (RR) and 95% confidence intervals (CIs) calculated for dichotomous outcomes using a random effects model. The meta-analysis included 10 studies totaling 1,004 patients. The pooled success rate for arthroscopic meniscus repair was 83% (95% CI: 77%-89%), while the pooled failure rate was 20% (95% CI: 15%-25%), and the pooled reoperation rate was 21% (95% CI: 17%-25%). Significant heterogeneity was observed across studies (I² > 50%). Subgroup analyses based on suture techniques and concurrent anterior cruciate ligament (ACL) reconstruction did not reveal significant outcome differences. Arthroscopic meniscus repair demonstrates high success rates and acceptable failure and reoperation rates, supporting its continued use in clinical practice. However, the variability in study quality and significant heterogeneity highlight the need for more rigorous, high-quality studies to refine techniques and better explore long-term outcomes., Competing Interests: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Chand et al.)
- Published
- 2024
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