{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T02:35:43Z","timestamp":1793327743175,"version":"4.5.0"},"reference-count":54,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":67,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":67,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the risk factors for failure of medial meniscus posterior root repairs, including the preoperative patient factors, surgical factors, and compliance with rehabilitation, excluding already known factors of failure such as uncorrected varus axis deviation and advanced degenerative changes in the medial compartment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who underwent transtibial pullout repair for medial meniscus posterior root tears with \u226524 months\u2019 follow\u2010up were included. Variables analyzed included demographics, time from injury to surgery, Kellgren\u2010Lawrence and Outerbridge grades, surgical details, concomitant osteotomy or medial compartment chondral procedures, rehabilitation compliance, clinical outcome scores (International Knee Documentation Committee, Lysholm, Forgotten Joint Score, Global Perceived Effect), and clinical or radiological repair failure. Multivariable logistic regression with stepwise backward elimination was used to identify factors significantly associated with failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred fifty\u2010four patients were evaluated, with 35 (22.7%) classified as failures. The mean follow\u2010up was 48.8\u00b118 months. Statistically significant predictors of failure included female sex (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.001); higher body mass index (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.001); higher grades of femoral (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001) and tibial (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.018) chondral injury; use of a single tibial tunnel (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.043); noncompliance with rehabilitation (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001); and lower International Knee Documentation Committee, Lysholm, Forgotten Joint Score, and Global Perceived Effect scores (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Multivariable logistic regression identified female sex (adjusted odds ratios (OR)\u2009=\u20093.97, 95% confidence interval (CI)\u2009=\u20091.50\u201310.52,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.006), higher body mass index (adjusted OR\u2009=\u20091.17 per unit increase, 95% CI\u2009=\u20091.04\u20131.32,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.011), femoral chondral lesions of Outerbridge grade 1 (adjusted OR\u2009=\u20095.03, 95% CI\u2009=\u20091.12\u201322.56,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.035) and grade 2 (adjusted OR\u2009=\u200913.05, 95% CI\u2009=\u20093.01\u201356.66,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.001), and noncompliance with rehabilitation (adjusted OR\u2009=\u20093.40, 95% CI\u2009=\u20091.17\u20139.93,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.025) as independent predictors of failure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Medial meniscus posterior root repair using a transtibial tunnel technique had a 22.7% rate of clinical or radiological failure at a minimum follow\u2010up of 2 years. Female sex, higher body mass index, higher grades of femoral chondral injury, and noncompliance with rehabilitation were independently associated with failure. Only 8.5% of patients with a failed repair passed the 67.7 points threshold of the patient acceptable symptom state International Knee Documentation Committee compared with 63.0% of patients that did not have a repair failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, prognostic retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70019","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T06:09:56Z","timestamp":1773122996000},"page":"233-243","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Female Sex, High Body Mass Index, More Pronounced Femoral Chondral Injury, and Poor Rehabilitation Compliance Were Associated With Medial Meniscus Posterior Root Tears Repair Failure"],"prefix":"10.1002","volume":"42","author":[{"given":"Camilo Partezani","family":"Helito","sequence":"first","affiliation":[{"name":"Grupo de Joelho Instituto de Ortopedia e Traumatologia Hospital das Cl\u00ednicas HCFMUSP Faculdade de Medicina Universidade de S\u00e3o Paulo  S\u00e3o Paulo SP Brazil"},{"name":"Hospital S\u00edrio Liban\u00eas  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre Giardino Moreira","family":"da Silva","sequence":"additional","affiliation":[{"name":"Grupo de Joelho Instituto de Ortopedia e Traumatologia Hospital das Cl\u00ednicas HCFMUSP Faculdade de Medicina Universidade de S\u00e3o Paulo  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tales Mollica","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Grupo de Joelho Instituto de Ortopedia e Traumatologia Hospital das Cl\u00ednicas HCFMUSP Faculdade de Medicina Universidade de S\u00e3o Paulo  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matheus Ronchi Rezende","family":"Jacinto","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina Universidade de S\u00e3o Paulo  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcel Faraco","family":"Sobrado","sequence":"additional","affiliation":[{"name":"Grupo de Joelho Instituto de Ortopedia e Traumatologia Hospital das Cl\u00ednicas HCFMUSP Faculdade de Medicina Universidade de S\u00e3o Paulo  S\u00e3o Paulo SP Brazil"},{"name":"Hospital S\u00edrio Liban\u00eas  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo Gomes","family":"Gobbi","sequence":"additional","affiliation":[{"name":"Grupo de Joelho Instituto de Ortopedia e Traumatologia Hospital das Cl\u00ednicas HCFMUSP Faculdade de Medicina Universidade de S\u00e3o Paulo  S\u00e3o Paulo SP Brazil"},{"name":"HCor Hospital do Cora\u00e7\u00e3o  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"366","article-title":"Meniscal root tears: A decade of research on their relevant anatomy, biomechanics, diagnosis, and treatment","volume":"10","author":"Banovetz MT","year":"2022","journal-title":"Arch Bone Jt Surg."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2021.792894"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518808004"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231185132"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.09.009"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465251346952"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518755754"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512447792"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511435622"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-015-2269-8"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2021.08.001"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.02.010"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.09.004"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514563278"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2023.03.001"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231179960"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59050922"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516673996"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2020.03.023"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.07.029"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.16.4.494"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.43B4.752"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510365314"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2025.04.014"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-78522006000500008"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rboe.2018.02.006"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2009.09.009"},{"key":"e_1_2_8_29_1","volume-title":"Essential medical statistics","author":"Kirkwood BR","year":"2006"},{"key":"e_1_2_8_30_1","unstructured":"HosmerDW LemeshowS.Applied logistic regression 2nd ed.New York:John Wiley and Sons.2000;320."},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2024.102985"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2021.07.041"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2021.12.019"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2024.102999"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2023.06.001"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.06.023"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07528-3"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinimag.2021.02.029"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-021-03870-8"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514566191"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12232"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06405-7"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2022.08.010"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231180545"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211031250"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.01.018"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2024.102952"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514549447"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514562554"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2015.10.003"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2025.02.033"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12554"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43019-022-00167-x"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-025-09967-6"},{"key":"e_1_2_8_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmart.2024.09.003"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70019","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70019","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:53:48Z","timestamp":1776041628000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70019"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":54,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/arj.70019"],"URL":"https:\/\/doi.org\/10.1002\/arj.70019","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-02-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}