{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T15:01:20Z","timestamp":1790262080205,"version":"4.1.0"},"reference-count":40,"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 compare short\u2010term outcomes of intratunnel anchor fixation versus transtibial pull\u2010through repair for meniscus root tears with a minimum of 12\u2010month follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who underwent primary meniscus root repair between 2011 and 2024 at a single institution were retrospectively reviewed. Inclusion criteria consisted of primary medial or lateral meniscus root repair using either intratunnel anchor fixation or transtibial pull\u2010through repair, availability of preoperative radiographs, and completion of postoperative patient\u2010reported outcome measures with a minimum of 12\u2010month follow\u2010up. The groups were propensity\u2010matched by age, sex, body mass index, operative side, root laterality, and concomitant procedures. Baseline radiographic characteristics (hip\u2010knee\u2010ankle angle and posterior tibial slope) were measured. Outcomes included Lysholm score, International Knee Documentation Committee score, Tegner activity score (preoperative and postoperative), Visual Analog Scale for pain at rest and with activity, satisfaction, subjective surgical outcome, and reoperations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty patients who underwent intratunnel anchor fixation (mean age, 44\u2009years) were propensity\u2010matched to 100 patients who underwent transtibial pull\u2010through repair (mean age, 41\u2009years). Mean follow\u2010up was 1.5\u2009years (range, 1.0\u20102.3) in the intratunnel anchor group and 6.1\u2009years (range, 2.7\u201013.7) in the transtibial pull\u2010through group. Reoperation rates were 8% and 14%, respectively (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.43), with repair failure occurring in 4% and 6% (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u2009.99). Preoperative and postoperative Tegner scores were similar between groups. Tegner minimal clinical important difference was 0.8, and 26.5% of intratunnel anchor patients achieved this compared with 0% of transtibial pull\u2010through patients. Patients in the intratunnel anchor cohort reported slightly lower Visual Analog Scale pain with activity (1.8 vs 2.5,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.02). Postoperative Lysholm (87 vs 83,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.05) and International Knee Documentation Committee scores (79 vs 76,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.09) were comparable between groups. A greater proportion of intratunnel anchor patients achieved Patient Acceptable Symptomatic State compared with transtibial pull\u2010through patients for Visual Analog Scale with activity (74% vs 56%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.03) and Lysholm (66% vs 47%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.01). Most patients in both cohorts rated their outcome as \u201cmuch better\u201d or \u201cslightly better\u201d (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.49), and satisfaction scores were high.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>At short\u2010term follow\u2010up, both the intratunnel anchor and transtibial pull\u2010through techniques showed high patient satisfaction and comparable overall clinical outcomes. There were no differences in reoperation rates between techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70601","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T14:01:10Z","timestamp":1790258470000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intratunnel Anchor Fixation and Transtibial Pull\u2010Through Repair Show Comparable Short\u2010Term Outcomes After Meniscus Root Repair: A Propensity\u2010Matched Comparative Study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9205-3924","authenticated-orcid":false,"given":"Adam J.","family":"Tagliero","sequence":"first","affiliation":[{"name":"Department of Orthopedics Mayo Clinic  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9304-019X","authenticated-orcid":false,"given":"Rana A.","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Mayo Clinic  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob D.","family":"Mikula","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Mayo Clinic  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Hevesi","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Mayo Clinic  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6735-1153","authenticated-orcid":false,"given":"Patrick","family":"Smith","sequence":"additional","affiliation":[{"name":"The Columbia Orthopaedic Group  Columbia Missouri U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3248-8007","authenticated-orcid":false,"given":"Aaron J.","family":"Krych","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Mayo Clinic  Rochester Minnesota 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":"169","DOI":"10.1111\/joa.12265","article-title":"The structural and compositional transition of the meniscal roots into the fibrocartilage of the menisci","volume":"226","author":"Andrews SHJ","year":"2015","journal-title":"J Anat."},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1007\/s12178-025-09958-7","article-title":"Biomechanics of meniscus tears and repair techniques","volume":"18","author":"Ina J","year":"2025","journal-title":"Curr Rev Musculoskelet 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Transtibial approach with knotless adjustable aperture fixation","volume":"13","author":"Lee DR","year":"2024","journal-title":"Arthrosc Tech."},{"key":"e_1_2_7_13_1","doi-asserted-by":"crossref","first-page":"4082","DOI":"10.1016\/j.arthro.2025.03.013","article-title":"Suture anchor and reverse suture anchor show superior biomechanical efficacy to transtibial pull\u2010out repair for posterior medial meniscus root tears in porcine model","volume":"41","author":"Meng C","year":"2025","journal-title":"Arthroscopy."},{"key":"e_1_2_7_14_1","doi-asserted-by":"crossref","first-page":"2808","DOI":"10.1177\/03635465251366443","article-title":"Medial meniscal extrusion increased on 6\u2010month magnetic resonance imaging, despite successful posterior root repair with or without a centralization suture: A randomized controlled clinical trial","volume":"53","author":"Tollefson LV","year":"2025","journal-title":"Am J Sports 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transtibial root repair for posterior meniscal root tears: A multicenter study","volume":"10","author":"Krych AJ","year":"2022","journal-title":"Orthop J Sports Med."},{"key":"e_1_2_7_25_1","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1177\/036354658201000306","article-title":"Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale","volume":"10","author":"Lysholm J","year":"1982","journal-title":"Am J Sports Med."},{"key":"e_1_2_7_26_1","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1177\/03635465010290051301","article-title":"Development and validation of the international knee documentation committee subjective knee form","volume":"29","author":"Irrgang JJ","year":"2001","journal-title":"Am J Sports Med."},{"key":"e_1_2_7_27_1","doi-asserted-by":"crossref","first-page":"S240","DOI":"10.1002\/acr.20543","article-title":"Measures of adult pain: Visual analog scale for pain (VAS Pain), numeric rating scale for pain (NRS Pain), 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Traumatol."},{"key":"e_1_2_7_38_1","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1177\/03635465221074312","article-title":"Optimal tibial tunnel placement for medial and lateral meniscus root repair on the anteromedial tibia in the setting of anterior and posterior cruciate ligament reconstruction of the knee","volume":"50","author":"Gursoy S","year":"2022","journal-title":"Am J Sports Med."},{"key":"e_1_2_7_39_1","doi-asserted-by":"crossref","first-page":"2959","DOI":"10.1002\/ksa.12321","article-title":"Clinical outcomes following transtibial medial meniscal root repair are maintained at long\u2010term follow\u2010up","volume":"32","author":"Moore M","year":"2024","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_7_40_1","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1016\/j.arthro.2017.08.266","article-title":"Survivorship analysis and clinical outcomes of transtibial pullout repair for medial meniscus posterior root tears: A 5\u2010 to 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