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Case reports, systematic reviews and meta\u2010analyses, studies published in non\u2010peer\u2010reviewed journals, in non\u2010English language, and studies not reporting on subsequent surgeries or progression of OA were excluded. Studies were analyzed using forest plots, chi\u2010square analysis or Fischer's exact test with alpha set to\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.005.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010five studies met the inclusion criteria. All (100%) studies were of moderate quality evidence by Methodological Index for Non\u2010Randomized Studies (MINORS) score. Sixteen (64%) studies had follow\u2010up time between 2 and 5 years, while only one (4%) had follow\u2010up beyond 10 years. Twenty (80%) studies populations were &gt;60% female. Within the 18 (72%) studies reporting Kellgren\u2010Lawrence (KL) grade OA, progression was 11.1% for BMI &lt;25 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , 13.6\u201071.8% for BMI's between 25 and 30 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , and 29.9%\u201030.3% for BMI's between 30 and 35 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . Conversion to TKA was reported in 12 (48%) studies, and conversion rates ranged from 0 to 21.6%. No TKAs occurred within the first 2 years postoperatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Following MMPRT repair, MMPRT repairs show progression of OA with higher rates with elevated BMI. Conversion to TKA occurred at low rates and increased gradually with follow\u2010up time. More than 75% of patients had not converted to TKA after 10 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review of Level III and IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70028","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T02:56:22Z","timestamp":1773111382000},"page":"361-375","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Medial Meniscus Posterior Root Tear Repairs Show Osteoarthritis Progression Over Time With Higher Rates Seen With Higher Body Mass Index"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3559-8968","authenticated-orcid":false,"given":"Cailan L.","family":"Feingold","sequence":"first","affiliation":[{"name":"Keck School of Medicine of USC  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