{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T03:59:25Z","timestamp":1790308765824,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To systematically review the available literature on clinical, radiologic, and complication outcomes in patients undergoing medial meniscus posterior root tear repair managed with early partial weight\u2010bearing (PWB) protocols (\u22644\u2009weeks postoperatively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A literature search of PubMed, Embase, and Scopus was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta\u2010analyses guidelines (accessed May 2025). Studies were included if they reported outcomes after isolated medial meniscus posterior root repair (transtibial pullout or all\u2010inside technique) with PWB initiated at \u22644\u2009weeks and provided patient\u2010reported outcomes (PROs). Exclusion criteria included cadaveric or translational studies, concomitant procedures, absence of PROs, mixed weight\u2010bearing protocols, nonoriginal research designs, and studies with overlapping patient cohorts. Extracted data included demographics, surgical technique, rehabilitation protocol, PROs (International Knee Documentation Committee, Lysholm, Tegner), failure\/complication rates, and radiologic findings. Study quality was assessed using the Methodological Index for Non\u2010Randomized Studies criteria. Because of the study heterogeneity, a qualitative synthesis was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 758 studies identified, 6 met the inclusion criteria, encompassing 271 patients (57 male, 214 female; mean age 37.7\u201066.4\u2009years; mean follow\u2010up 24\u201040.6\u2009months). Both transtibial pullout (222) and all\u2010inside (49) techniques were represented. Across studies, early PWB yielded minor clinical improvements with overall poor PROs. Postoperative International Knee Documentation Committee, Lysholm, and Tegner score ranges were 46.4\u201070.4, 61.4\u201087.7, and 3.1\u20107.7, respectively, reflecting modest improvements that in several cohorts remained below established thresholds for satisfactory clinical outcomes. Radiologic outcomes showed osteoarthritis progression in all studies. Healing outcomes varied substantially across studies. Rates of incomplete healing, defined variably as partial or no healing on magnetic resonance imaging or second\u2010look arthroscopy, ranged from 31.3% to 39.2% among studies reporting healing status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early PWB (\u22644\u2009weeks) following medial meniscus posterior root tear repair is associated with concerning clinical and radiologic outcomes in the available literature. However, the absence of direct comparative studies precludes causal inference regarding the role of weight\u2010bearing timing. Observed outcomes may be influenced by patient selection, surgical technique, and rehabilitation heterogeneity.<\/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.70529","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T03:18:27Z","timestamp":1790306307000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Suboptimal Clinical and Radiologic Outcomes After Medial Meniscus Posterior Root Tears Repair With Early Partial Weight\u2010Bearing: A Systematic Review"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8119-1399","authenticated-orcid":false,"given":"Logan D.","family":"Moews","sequence":"first","affiliation":[{"name":"Division of Sports Medicine Midwest Orthopaedics at Rush  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7045-3222","authenticated-orcid":false,"given":"Napatpong","family":"Thamrongskulsiri","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine Midwest Orthopaedics at Rush  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1083-6329","authenticated-orcid":false,"given":"Tomas F.","family":"Vega","sequence":"additional","affiliation":[{"name":"Rush University Medical College  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3734-6584","authenticated-orcid":false,"given":"Jacob T.","family":"Morgan","sequence":"additional","affiliation":[{"name":"Rush University Medical College  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil N.","family":"Verma","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine Midwest Orthopaedics at Rush  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9823-2306","authenticated-orcid":false,"given":"Robert F.","family":"LaPrade","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics  Edina Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9194-1150","authenticated-orcid":false,"given":"Jorge","family":"Chahla","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine Midwest Orthopaedics at Rush  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"740","DOI":"10.4055\/cios21231","article-title":"Rehabilitation after repair of medial meniscus posterior root tears: A systematic review of the literature","volume":"15","author":"Kim JS","year":"2023","journal-title":"Clin Orthop Surg."},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"2078","DOI":"10.1002\/ksa.12513","article-title":"Suture anchor and transtibial pullout refixation of the posterior medial meniscus root tears restore tibiofemoral contact pressure and area to intact meniscus levels","volume":"33","author":"Itthipanichpong T","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_7_4_1","doi-asserted-by":"crossref","first-page":"100896","DOI":"10.1016\/j.jisako.2025.100896","article-title":"Comparable clinical outcomes between 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clinical outcomes in medial meniscus posterior root repair","volume":"12","author":"Kawada K","year":"2025","journal-title":"J Exp Orthop."},{"key":"e_1_2_7_16_1","first-page":"232596712311805","article-title":"Clinical, radiographic, and MRI evaluation of all\u2010inside medial meniscus posterior root repair via suture fixation to the posterior cruciate ligament versus partial meniscectomy: Results at 3\u2010year follow\u2010up","volume":"11","author":"Su J","year":"2023","journal-title":"Orthop J Sports Med."},{"key":"e_1_2_7_17_1","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1186\/s12891-024-08125-2","article-title":"Clinical effect of medial meniscus posterior root repair combined with centralization technique in the treatment of medial meniscus posterior root tears","volume":"25","author":"Zhou Y","year":"2024","journal-title":"BMC Musculoskelet 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