{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T01:20:45Z","timestamp":1793064045431,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"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":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the second\u2010look arthroscopic healing status, functional outcomes, and complications between anterior\u2010 and posterior\u2010approach repairs for medial meniscal ramp lesions using all\u2010inside meniscal repair devices in patients undergoing anterior cruciate ligament reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included patients with anterior cruciate ligament injuries who underwent medial meniscal posterior horn ramp lesion repair between January 2015 and January 2019. Inclusion criteria were a minimum follow\u2010up of 2\u2009years and second\u2010look arthroscopy performed approximately 1\u2009year postoperatively. Patients were divided into an anterior\u2010approach repair group and a posterior\u2010approach repair group. Postoperative healing status was classifiedas follows: (1) healed, (2) partially healed, and (3) failed.\u00a0Clinical outcomes (anterior laxity, pivot shift, Lysholm score, subjective International Knee Documentation Committee score, Knee injury and Osteoarthritis Outcome Score, Tegner score, and meniscal retear rate) according to the repair technique were compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighty\u2010one patients with anterior cruciate ligament injuries underwent medial meniscal posterior horn ramp lesion repair and were divided into an anterior\u2010approach repair group (n\u2009=\u200940) and a posterior\u2010approach repair group (n\u2009=\u200941). In the posterior\u2010approach repair group, 40 patients (97.6%) showed complete healing compared with 21 patients (52.5%) in the anterior\u2010approach repair group. Partial healing was observed in 12 patients (14.8%), with 1 patient (2.4%) in the posterior\u2010approach repair group and 11 patients (27.5%) in the anterior\u2010approach repair group. Failure of healing occurred in 8 patients (9.9%), all of whom were in the anterior approach group (20%). There were no significant differences in postoperative Tegner, Lysholm, International Knee Documentation Committee score, and Knee injury and Osteoarthritis Outcome Score scores between the 2 groups. The minimum clinically important difference was fixed at IKDC\u2009=\u200918.9, Lysholm\u2009=\u200910.1, and Tegner score\u2009=\u20091.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Posterior\u2010approach repair of medial meniscal posterior horn ramp lesions using the all\u2010inside meniscal repair devices resulted in superior healing compared with the anterior\u2010approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  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