{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T13:45:30Z","timestamp":1792244730392,"version":"4.4.0"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:00:00Z","timestamp":1792195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:00:00Z","timestamp":1792195200000},"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":["Knee surg. sports traumatol. arthrosc."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the long\u2010term rate of secondary medial meniscectomy following medial meniscus posterior horn repair performed during revision anterior cruciate ligament reconstruction (ACLR) and to compare contemporary posteromedial suture\u2010hook repair with other repair strategies used during the study period. We hypothesized that suture\u2010hook repair would be associated with improved long\u2010term meniscal survivorship compared to other repair strategies performed with revision ACLR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included patients undergoing revision anterior cruciate ligament reconstruction (rACLR) between 2003 and 2023 at a single high\u2010volume centre. Knees presenting with ramp lesions, meniscocapsular separations, meniscotibial disruptions and longitudinal vertical tears extending into the posterior horn of the medial meniscus treated by repair were identified and stratified according to repair strategy: contemporary posteromedial suture\u2010hook repair versus other techniques used during the study period, including all\u2010inside, inside\u2010out and earlier repair techniques. The primary outcome was secondary medial meniscectomy. Time\u2010to\u2010event analysis was performed using Kaplan\u2013Meier survival estimates and compared using the log\u2010rank test. A multivariable Cox proportional hazards model was used to assess independent predictors of secondary medial meniscectomy, with administrative censoring at 10 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 402 medial meniscus repairs were included, with a mean follow\u2010up of 96.0\u2009\u00b1\u200931.4 months after administrative censoring at 10 years. At 10 years, the cumulative rate of secondary medial meniscectomy was 17.5% (95% confidence interval [CI] 13.6\u201322.4). Unadjusted analysis demonstrated a lower rate of secondary medial meniscectomy in the suture\u2010hook repair group compared with other repair techniques used during the study period (15.8% [95% CI 11.3\u201321.9] vs. 24.1% [95% CI 16.3\u201334.9]; log\u2010rank\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0499). However, after multivariable adjustment, repair technique was not independently associated with secondary medial meniscectomy (hazard ratio 1.62, 95% CI 0.90\u20132.83;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0986).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Long\u2010term outcomes of medial meniscus posterior horn repair during rACLR showed a 17.5% cumulative rate of secondary medial meniscectomy at 10 years. Posteromedial suture\u2010hook repair was associated with lower failure rates than other repair techniques on unadjusted analysis; however, repair technique was not an independent predictor of secondary medial meniscectomy after multivariable adjustment. These findings support meniscal preservation and systematic assessment of posteromedial meniscal lesions during revision ACLR while providing realistic long\u2010term expectations regarding repair survivorship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70645","type":"journal-article","created":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T13:32:05Z","timestamp":1792243925000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010term survivorship of medial meniscus posterior horn repair during revision anterior cruciate ligament reconstruction: 10\u2010year results from the SANTI Group"],"prefix":"10.1002","author":[{"given":"Fabio","family":"Santamaria","sequence":"first","affiliation":[{"name":"Ramsay Sant\u00e9, H\u00f4pital Priv\u00e9 Jean Mermoz, Centre Orthop\u00e9dique Santy FIFA Medical Center Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussein","family":"Wehbe","sequence":"additional","affiliation":[{"name":"Ramsay Sant\u00e9, H\u00f4pital Priv\u00e9 Jean Mermoz, Centre Orthop\u00e9dique Santy FIFA Medical Center Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merwane","family":"Ayata","sequence":"additional","affiliation":[{"name":"Ramsay Sant\u00e9, H\u00f4pital Priv\u00e9 Jean Mermoz, Centre Orthop\u00e9dique Santy FIFA Medical Center Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Pioger","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Ambroise Par\u00e9 Hospital, AP\u2010HP Boulogne\u2010Billancourt France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8242-7434","authenticated-orcid":false,"given":"Victor","family":"Sonnery\u2010Cottet","sequence":"additional","affiliation":[{"name":"Ramsay Sant\u00e9, H\u00f4pital Priv\u00e9 Jean Mermoz, Centre Orthop\u00e9dique Santy FIFA Medical Center Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joao Pedro","family":"Campos","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital Pedro Hispano Matosinhos Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1624-1824","authenticated-orcid":false,"given":"Thais Dutra","family":"Vieira","sequence":"additional","affiliation":[{"name":"Ramsay Sant\u00e9, H\u00f4pital Priv\u00e9 Jean Mermoz, Centre Orthop\u00e9dique Santy FIFA Medical Center Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6837-0425","authenticated-orcid":false,"given":"Bertrand","family":"Sonnery\u2010Cottet","sequence":"additional","affiliation":[{"name":"Ramsay Sant\u00e9, H\u00f4pital Priv\u00e9 Jean Mermoz, Centre Orthop\u00e9dique Santy FIFA Medical Center Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,17]]},"reference":[{"issue":"6","key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1053\/jars.2000.4819","article-title":"Meniscal repair devices","volume":"16","author":"Barber FA","year":"2000","journal-title":"Arthroscopy"},{"issue":"9","key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"1889","DOI":"10.1177\/0363546511406871","article-title":"Intra\u2010articular findings in primary and revision anterior cruciate ligament reconstruction surgery: a comparison of the MOON and MARS 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biomechanical study","volume":"46","author":"DePhillipo NN","year":"2018","journal-title":"Am J Sports Med"},{"issue":"4","key":"e_1_2_12_7_1","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1177\/1941738111429419","article-title":"The basic science of human knee menisci: structure, composition, and function","volume":"4","author":"Fox AJS","year":"2012","journal-title":"Sports Health"},{"issue":"2","key":"e_1_2_12_8_1","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1002\/ca.22456","article-title":"The human meniscus: a review of anatomy, function, injury, and advances in treatment","volume":"28","author":"Fox AJS","year":"2015","journal-title":"Clin Anat"},{"issue":"9","key":"e_1_2_12_9_1","doi-asserted-by":"crossref","first-page":"2357","DOI":"10.1177\/03635465221100973","article-title":"Suture hook versus all\u2010inside repair for longitudinal tears of the posterior horn of the medial meniscus concomitant to anterior cruciate ligament reconstruction: a 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influencing failure","volume":"52","author":"Schweizer C","year":"2024","journal-title":"Am J Sports Med"},{"issue":"7","key":"e_1_2_12_22_1","doi-asserted-by":"crossref","first-page":"2267","DOI":"10.1007\/s00167-021-06770-x","article-title":"Nineteen percent of meniscus repairs are being revised and failures frequently occur after the second postoperative year: a systematic review and meta\u2010analysis with a minimum follow\u2010up of 5 years","volume":"30","author":"Schweizer C","year":"2022","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"e_1_2_12_23_1","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1002\/arj.70109","article-title":"Editorial commentary: posterior visualization in ramp repair: the only path to true healing","volume":"42","author":"Sonnery\u2010Cottet 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augmentation (SAMBBA) technique","volume":"3","author":"Sonnery\u2010Cottet B","year":"2014","journal-title":"Arthrosc Tech"},{"issue":"13","key":"e_1_2_12_27_1","doi-asserted-by":"crossref","first-page":"3189","DOI":"10.1177\/0363546518800717","article-title":"Epidemiological evaluation of meniscal ramp lesions in 3214 anterior cruciate ligament\u2013injured knees from the SANTI Study Group database: a risk factor analysis and study of secondary meniscectomy rates following 769 ramp repairs","volume":"46","author":"Sonnery\u2010Cottet B","year":"2018","journal-title":"Am J Sports Med"},{"issue":"8","key":"e_1_2_12_28_1","doi-asserted-by":"crossref","first-page":"1542","DOI":"10.1177\/0363546510364052","article-title":"Long\u2010term outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears","volume":"38","author":"Stein T","year":"2010","journal-title":"Am J Sports Med"},{"issue":"13","key":"e_1_2_12_29_1","doi-asserted-by":"crossref","first-page":"3206","DOI":"10.1177\/03635465241288233","article-title":"Survivorship and outcomes of meniscal ramp lesions repaired through a posteromedial portal during anterior cruciate ligament reconstruction: outcome study with a minimum 10\u2010year follow\u2010up","volume":"52","author":"Tanel L","year":"2024","journal-title":"Am J Sports Med"},{"issue":"4","key":"e_1_2_12_30_1","doi-asserted-by":"crossref","first-page":"e871","DOI":"10.1016\/j.eats.2016.04.009","article-title":"Classification and surgical repair of ramp lesions of the medial meniscus","volume":"5","author":"Thaunat M","year":"2016","journal-title":"Arthrosc Tech"},{"issue":"11","key":"e_1_2_12_31_1","doi-asserted-by":"crossref","first-page":"2269","DOI":"10.1016\/j.arthro.2016.02.026","article-title":"Repair of meniscal ramp lesions through a posteromedial portal during anterior cruciate ligament reconstruction: outcome study with a minimum 2\u2010year follow\u2010up","volume":"32","author":"Thaunat M","year":"2016","journal-title":"Arthroscopy"},{"issue":"2","key":"e_1_2_12_32_1","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1007\/s00167-019-05625-w","article-title":"Good mid\u2010term outcomes and low rates of residual rotatory laxity, complications and failures after revision anterior cruciate ligament reconstruction (ACL) and lateral extra\u2010articular tenodesis (LET)","volume":"28","author":"The ESSKA Arthroscopy Committee","year":"2020","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"6","key":"e_1_2_12_33_1","doi-asserted-by":"crossref","first-page":"531","DOI":"10.2106\/JBJS.K.00733","article-title":"Outcome of revision anterior cruciate ligament reconstruction: a systematic review","volume":"94","author":"Wright RW","year":"2012","journal-title":"J Bone Jt 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