{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T17:05:47Z","timestamp":1789491947768,"version":"build-2803163510"},"reference-count":42,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate mid\u2010 to long\u2010term clinical outcomes after arthroscopic bucket\u2010handle meniscal tear (BHMT) repair and to assess the impact of concurrent anterior cruciate ligament reconstruction (ACLR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comparative retrospective case series with blinded outcome assessment was conducted. All consecutive patients treated with arthroscopic BHMT repair with or without concurrent ACLR between 2001 and 2021 were eligible for inclusion. Fifty\u2010five patients with an average follow\u2010up of 7.3\u2009\u00b1\u20093.4 years were included in the analysis. Outcome measures comprised post\u2010operative IKDC Subjective Knee Form, Lysholm Score, Tegner Activity Scale, KOOS, and visual analogue scale (VAS) for satisfaction. Additionally, failure and reoperation rates were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The failure rate was 9%. Medial BHMT repair showed superior post\u2010operative IKDC scores compared to lateral meniscus repair (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.038). Concurrent ACLR did not demonstrate any impact on post\u2010operative KOOS, IKDC, Tegner or patient satisfaction. The mean IKDC score at final follow\u2010up across both groups was 80.4\u2009\u00b1\u200917.8. The mean Lysholm score was 86.9\u2009\u00b1\u200916.7. Mean KOOS scores were (i) symptoms: 83.6\u2009\u00b1\u200918.3, (ii) pain: 90.2\u2009\u00b1\u200914.4, (iii) activities of daily living: 93.6\u2009\u00b1\u200915.1, (iv) sports: 78.3\u2009\u00b1\u200926.0 and (v) quality of life: 70.5\u2009\u00b1\u200924.5. Mean patient satisfaction (VAS) was 7.9\u2009\u00b1\u20092.5. The mean Tegner score was 4.9\u2009\u00b1\u20091.9. A consistent positive correlation between the number of sutures used and post\u2010operative outcome measures was observed but did not reach statistical significance for most items.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Arthroscopic BHMT repair achieved good clinical outcomes and an acceptable failure rate of 9% at a mean follow\u2010up of 7 years, supporting the clinical value of meniscal repair, including large BHMTs. Concurrent ACLR showed no impact on clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV (retrospective case series).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.12093","type":"journal-article","created":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T02:15:31Z","timestamp":1721096131000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Good mid\u2010 to long\u2010term outcomes after meniscus bucket\u2010handle tear repair: A comparative analysis with and without anterior cruciate ligament reconstruction"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4128-5431","authenticated-orcid":false,"given":"Johannes","family":"Pawelczyk","sequence":"first","affiliation":[{"name":"International Center for Orthopedics, ATOS 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