SavedAdd your journal

Journals / Eskisehir Medical Journal / 2025 / Volume: 6 Issue: 3

OUTSIDE-IN SINGLE LOOP SUTURE TECHNIQUE PROVIDES SUCCESSFUL LONG-TERM RESULTS IN PATIENTS TREATED FOR LONGITUDINAL MENISCUS TEARS: AVERAGE 4-YEAR FOLLOW-UP

DIŞTAN İÇE TEK HALKALI DİKİŞ TEKNİĞİ, LONGİTUDİNAL MENİSKÜS YIRTIĞI NEDENİYLE TEDAVİ EDİLEN HASTALARDA BAŞARILI UZUN VADELİ SONUÇLAR SAĞLAMAKTADIR: ORTALAMA 4 YILLIK TAKİP

Murat Aşçı(BİLECİK ŞEYH EDEBALİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-3952-5480
Mete Gedikbaş(BILECIK SEYH EDEBALI UNIVERSITY, SCHOOL OF MEDICINE)0000-0003-3782-5535
Mehmet Burtaç Eren(TOKAT GAZIOSMANPASA UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-5888-8677
Pages
—
Publication Date
2025-11-25
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Considering our results, we believe that the outside-in repair technique is a method that can be safely used for meniscal body, anterior horn and bucket-handle tears.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: In our study, we aimed to evaluate the mid- and long-term follow-up results of the outside-in meniscus repair technique in the treatment of longitudinal meniscus tears.
📊
Key Findings & Data:Methods: Patients who underwent surgery for meniscus repair using outside-in meniscus repair technique between June 2010 and June 2023 were retrospectively analyzed.
💡
Conclusion & Impact:Considering our results, we believe that the outside-in repair technique is a method that can be safely used for meniscal body, anterior horn and bucket-handle tears.
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Arthroscopic meniscus repair · outside-in repair · single loop technique

Abstract

Introduction: In our study, we aimed to evaluate the mid- and long-term follow-up results of the outside-in meniscus repair technique in the treatment of longitudinal meniscus tears. Methods: Patients who underwent surgery for meniscus repair using outside-in meniscus repair technique between June 2010 and June 2023 were retrospectively analyzed. The range of motion (ROM), the Lysholm Knee Score (LKS) and the Cincinati Knee Rating System (CKRS) were used for postoperative functional assessment. The Henning classification system were used for the radiological evaluations for meniscal healing status. Results: Ninety patients (38F/52M) were included in the study. The mean age was 28.2±6.9 years and the follow-up time was 58.4±38.8 months. The mean LKS increased from 44.1±1.4 to 90.4±8.1 and the mean CKRS score from 19.2±3.5 to 28.1±3.2. (p<0.01 and p<0.01, respectively) The McMurray test was found as positive in 62 patients before the operation and in 14 patients at the last examination. According to the Henning classification, improvement was observed in 86 patients. Conclusion: We have found that the radiological and functional results of meniscal repairs performed with the single-loop outside-in repair technique are almost perfect in the majority of patients. Considering our results, we believe that the outside-in repair technique is a method that can be safely used for meniscal body, anterior horn and bucket-handle tears.

Özet

Giriş: Çalışmamızda, dıştan içe menisküs onarım tekniğiyle ameliyat ettiğimiz longitudinal menisküs yırtıklarının orta ve uzun vadeli takip sonuçlarını değerlendirmeyi amaçladık. Yöntemler: Haziran 2010 ile Haziran 2023 arasında dıştan içe menisküs onarım tekniğiyle menisküs yırtığı tamiri yapılan hastalar retrospektif olarak analiz edildi. Ameliyat sonrası fonksiyonel değerlendirme için eklem hareket aralığı (EHA), Lysholm Knee Score (LKS) ve Cincinati Knee Rating System (CKRS) kullanıldı. Menisküs iyileşmesinin radyolojik olarak değerlendirilmesi için Henning sınıflandırma sistemi kullanıldı. Bulgular: Çalışmaya 90 hasta (38K/52F) dahil edildi. Ortalama yaş 28,2±6,9 yıl ve takip süresi 58,4±38,8 aydı. Ortalama LKS 44,1±1,4'ten 90,4±8,1'e ve ortalama CKRS skoru 19,2±3,5'ten 28,1±3,2'ye yükseldi. (sırasıyla p<0,01 ve p<0,01) McMurray testi ameliyattan önce 62 hastada pozitif olarak bulunurken ve son muayenede 14 hastada pozitif olarak bulundu. Henning sınıflandırmasına göre 86 hastada iyileşme gözlendi. Sonuç: Tek loop dıştan içe onarım tekniği kullanılarak yapılan menisküs onarımlarının radyolojik ve fonksiyonel sonuçlarının hastaların büyük kısmında mükemmele yakın sonuçlandığını gördük. bulgularımız ışığında menisküs gövde, ön boynuz ve kova sapı yırtıklarında dıştan içe onarım tekniğinin güvenle kullanılabilecek bir yöntem olduğunu düşünmekteyiz.

🔖

Cite This Article

Aşçı, M., Gedikbaş, M., Eren, M. B. (2025). OUTSIDE-IN SINGLE LOOP SUTURE TECHNIQUE PROVIDES SUCCESSFUL LONG-TERM RESULTS IN PATIENTS TREATED FOR LONGITUDINAL MENISCUS TEARS: AVERAGE 4-YEAR FOLLOW-UP. Eskisehir Medical Journal, Volume: 6 Issue: 3. https://ajindex.com/articles/1614239

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (25)

  1. Floyd ER, Rodriguez AN, Falaas KL, et al. The natural history of medial meniscal root tears: a biomechanical and clinical case perspective. Frontiers in Bioengineering and Biotechnology. 2021;9:744065.
  2. Villarreal‐Espinosa JB, Berreta RS, Pallone L, et al. Failure and complication rates following meniscal all‐inside and inside‐out repairs: A systematic review and meta‐analysis. Knee Surgery, Sports Traumatology, Arthroscopy. 2025;33(6):1992-2009.
  3. Elmallah R, Jones LC, Malloch L, Barrett GR. A meta-analysis of arthroscopic meniscal repair: inside-out versus outside-in versus all-inside techniques. The Journal of Knee Surgery. 2019;32(08):750-7.
  4. Lee DR, Reinholz AK, Stuart MJ, Krych AJ. Arthroscopic meniscal root repair options. In: Knee Arthroscopy and Knee Preservation Surgery. Springer; 2024:401-14.
  5. Ikeuchi H. Trial and error in the development of instruments for endoscopic knee surgery. Orthopedic Clinics of North America. 1982;13(2):263-76.
  6. Schweizer C, Hanreich C, Tscholl PM, Blatter S, Windhager R, Waldstein W. Meniscal repair outcome in 3829 patients with a minimum follow-up from 2 years up to 5 years: a meta-analysis on the overall failure rate and factors influencing failure. The American Journal of Sports Medicine. 2024;52(3):822-31.
  7. Phillips BB, Mihalko MJ. Arthroscopy of the lower extremity. Campbell’s operative orthopaedics. 2008;13:2486-90.
  8. Cong T, Reddy RP, Hall AJ, Ernazarov A, Gladstone J. Current practices for rehabilitation after meniscus repair: a survey of members of the American Orthopaedic Society for Sports Medicine. 2024;12(2):1-10.
  9. Bergstein VE, Ahiarakwe U, Haft M, Mikula JD, Best MJ. Decreasing incidence of partial meniscectomy and increasing incidence of meniscus preservation surgery from 2010 to 2020 in the United States. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2025;41(6):1919-27.
  10. Marigi EM, Till SE, Wasserburger JN, Krych AJ, Stuart MJ. Inside-Out Arthroscopic Meniscus Repair Techniques. In: Knee Arthroscopy and Knee Preservation Surgery. Springer; 2024:385-91.
  11. Morgan CD, Casscells SW. Arthroscopic meniscus repair: a safe approach to the posterior horns. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 1986;2(1):3-12.
  12. Warren RF. Arthroscopic meniscus repair. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 1985;1(3):170-2.
  13. Briggs KK, Steadman JR, Hay CJ, Hines SL. Lysholm score and Tegner activity level in individuals with normal knees. The American journal of sports medicine. 2009;37(5):898-901.
  14. NOYES FR, BARBER SD, MOOAR LA. A rationale for assessing sports activity levels and limitations in knee disorders. Clinical Orthopaedics and Related Research (1976-2007). 1989;246:238-49.
  15. Henning C, Clark J, Lynch M, Stallbaumer R, Yearout K, Vequist S. Arthroscopic meniscus repair with a posterior incision. Instructional course lectures. 1988;37:209-21.
  16. Keyhani S, Abbasian MR, Siatiri N, Sarvi A, Kivi MM, Esmailiejah AA. Arthroscopic meniscal repair:“Modified outside-in technique.” Archives of bone and joint surgery. 2015;3(2):104-8.
  17. Fauré F, Commeureuc J, Fauconnet R, Josse A, Chotel F. Inside-out repair of bucket-handle meniscal tears in young patients: Long-term effectiveness in a high-risk population. Orthopaedics & Traumatology: Surgery & Research. Published online May 22, 2025:104301. doi:10.1016/j.otsr.2025.104301
  18. Sobhy MH, AbouElsoud MMS, Kamel EM, Desouki AM. Neurovascular safety and clinical outcome of outside-in repair of tears of the posterior horn of the medial meniscus. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2010;26(12):1648-1654.
  19. Kubiak G, Fabiś J. Clinical results of meniscus repair. Ortopedia Traumatologia Rehabilitacja. 2010;12(1):28-40.
  20. Naimark MB, Kegel G, O’Donnell T, Lavigne S, Heveran C, Crawford DC. Knee function assessment in patients with meniscus injury: a preliminary study of reproducibility, response to treatment, and correlation with patient-reported questionnaire outcomes. Orthopaedic journal of sports medicine. 2014;2(9):2325967114550987.
  21. Everhart JS, Higgins JD, Poland SG, Abouljoud MM, Flanigan DC. Meniscal repair in patients age 40 years and older: a systematic review of 11 studies and 148 patients. The Knee. 2018;25(6):1142-50.
  22. Nepple JJ, Block AM, Eisenberg MT, Palumbo NE, Wright RW. Meniscal repair outcomes at greater than 5 years: a systematic review and meta-analysis. JBJS. 2022;104(14):1311-20.
  23. Bogunovic L, Kruse LM, Haas AK, Huston LJ, Wright RW. Outcome of all-inside second-generation meniscal repair: minimum five-year follow-up. JBJS. 2014;96(15):1303-7.
  24. Hupperich A, Salzmann G, Niemeyer P, et al. What are the factors to affect outcome and healing of meniscus bucket handle tears? Archives of orthopaedic and trauma surgery. 2018;138:1365-73.
  25. Migliorini F, Pilone M, Bell A, Celik M, Konrads C, Maffulli N. Outside-in repair technique is effective in traumatic tears of the meniscus in active adults: a systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2023;31(10):4257-64.