{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:18:01Z","timestamp":1777627081312,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine if preoperative femoral or tibial bone marrow edema (BME) is indicative of higher rates of re\u2010tear and conversion to total knee arthroplasty (TKA) after posterior medial meniscal root tear repair, and, secondarily, whether preoperative BME impacted patient\u2010reported outcome measures and rates of infection and arthrofibrosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients that underwent posterior medial meniscal root tear repair between 2013 and 2021 with a 2\u2010year minimum follow\u2010up were retrospectively analyzed. Primary outcome measures included re\u2010tears and TKA conversion. Secondary outcomes included International Knee Documentation Committee (IKDC) score and Lysholm score, infection, and arthrofibrosis. Cohort\u2010specific minimally clinically important difference and Patient Acceptable Symptomatic Scale rates were calculated. Two\u2010tailed t\u2010tests, Wilcoxon rank\u2010sum tests, and Fisher's exact tests were used where appropriate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study population consisted of 97 knees (74 without BME [NBME], 23 with BME) with average follow\u2010up of 38.9 months (24\u201068). Preoperatively, the NBME group had higher IKDC scores (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.008). Postoperatively, the NBME group had higher IKDC scores at 6 months, 1 year, and 2 years (84.5 [6.0] vs 68.5 [11.0]) (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.041, &lt;.001, &lt;.001). IKDC minimally clinically important difference rates were not significantly different between groups at all follow\u2010ups. Patient Acceptable Symptomatic Scale rates were higher for the NBME group at 1\u2010year and final follow\u2010up (100.0% vs 60.9%) (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001 for both). Lysholm scores were higher for the NBME group at 1\u2010year and final follow\u2010up (84.0 [5.6] vs 74.6 [12.8]) (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.019 and .008, respectively). Re\u2010tear occurred in 17.4% of the BME group and 0% of the NBME group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.003). TKA conversion rates were 21.7% in the BME group and 2.7% in the NBME group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.008). There was no difference in arthrofibrosis or infection rates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Preoperative BME in patients undergoing posterior medial meniscal root tear repair is associated with higher rates of recurrent meniscal root tearing and conversion to TKA in addition to lower subjective IKDC and Lysholm scores compared to patients without preoperative BME.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective prognostic case control series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70081","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T13:42:26Z","timestamp":1773409346000},"page":"639-646","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative Knee Bone Marrow Edema Is Associated With Poor Clinical Outcomes Following Posterior Medial Meniscal Root Repair"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0043-1189","authenticated-orcid":false,"given":"Annika N.","family":"Hiredesai","sequence":"first","affiliation":[{"name":"Mayo Clinic Alix School of Medicine  Scottsdale Arizona U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8907-3542","authenticated-orcid":false,"given":"Sailesh V.","family":"Tummala","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Phoenix Arizona U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2697-8923","authenticated-orcid":false,"given":"Joseph C.","family":"Brinkman","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Phoenix Arizona U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9134-3652","authenticated-orcid":false,"given":"Katelyn T.","family":"Koschmeder","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Phoenix Arizona U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7664-3016","authenticated-orcid":false,"given":"Kostas J.","family":"Economopoulos","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Phoenix Arizona 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