Zicaro JP, Garrido N, Garcia-Mansilla I, Yacuzzi C, Costa-Paz M. Failure rate, return-to-sports and magnetic resonance imaging after meniscal repair: 119 patients with 7 years mean follow up. World J Orthop 2023; 14(8): 612-620 [PMID: 37662662 DOI: 10.5312/wjo.v14.i8.612]
Corresponding Author of This Article
Ignacio Garcia-Mansilla, MD, Surgeon, Department of Knee, Hospital Italiano de Buenos Aires, Peron 4190, Buenos Aires 1109, Argentina. ignaciogarciamansilla@gmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Aug 18, 2023; 14(8): 612-620 Published online Aug 18, 2023. doi: 10.5312/wjo.v14.i8.612
Failure rate, return-to-sports and magnetic resonance imaging after meniscal repair: 119 patients with 7 years mean follow up
Juan Pablo Zicaro, Nicolas Garrido, Ignacio Garcia-Mansilla, Carlos Yacuzzi, Matias Costa-Paz
Juan Pablo Zicaro, Nicolas Garrido, Ignacio Garcia-Mansilla, Carlos Yacuzzi, Matias Costa-Paz, Department of Knee, Hospital Italiano de Buenos Aires, Buenos Aires 1109, Argentina
Author contributions: Zicaro JP and Garrido N analyzed the data and wrote the manuscript; Garcia-Mansilla I contributed with research and data analysis; Yacuzzi C and Costa-Paz M contributed to the number of patients operated on; Costa-Paz M is the head of the sector; All authors have read and approve the final manuscript.
Institutional review board statement: The study was reviewed and approved by the "Ethics Committee of the Hospital Italiano" (CEPI) Institutional Review Board, No. 5458.
Informed consent statement: Due to the retrospective nature of our study no informed consent was required.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data were required (retrospective study).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ignacio Garcia-Mansilla, MD, Surgeon, Department of Knee, Hospital Italiano de Buenos Aires, Peron 4190, Buenos Aires 1109, Argentina. ignaciogarciamansilla@gmail.com
Received: January 14, 2023 Peer-review started: January 14, 2023 First decision: March 14, 2023 Revised: April 18, 2023 Accepted: June 14, 2023 Article in press: June 14, 2023 Published online: August 18, 2023 Processing time: 214 Days and 18.4 Hours
ARTICLE HIGHLIGHTS
Research background
We perform a large number of meniscal repairs every year. Our surgical techniques have been improving along the years, and with it, the outcomes achieved.
Research motivation
We observed a great improvement over the years in our patient outcomes. That is why we decided to analyze and report the long-term results of our series.
Research objectives
To analyze the failure rate and compare outcomes in our series of patients operated on for longitudinal meniscal lesions. It is important to understand that improvement in the number of stitches and surgical technique is associated with better outcomes than what is reported in the literature.
Research methods
We retrospectively analyzed and compared demographic data, surgical details, return to sport and failure rate using specific statistical tools.
Research results
In our series we found an important decrease in failure rates by improving our surgical technique and increasing the number of stitches. Even so, there is still a high percentage of patients in whom this type of repair fails. It is very important to continue investigating complementary methods that can help to further reduce this failure rate.
Research conclusions
The new theory provided by the paper is that the failure rate may continue to fall even further.
Research perspectives
Future work could compare the same type of sutures with biological augmentation such as platelet-rich plasma or stem cells.
