{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:16:06Z","timestamp":1790738166423,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,6,14]],"date-time":"2012-06-14T00:00:00Z","timestamp":1339632000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Symptomatic horizontal meniscal tears in young patients are a singular entity. The extent of the lesion is often large, without any injury to the knee. The meniscal tissue might be degenerative. However, a complete resection of the lesion would result in a subtotal meniscectomy. The purpose of this study was to consider the use of a meniscal repair in such patients in order to close the horizontal cleavage extending up to the avascular zone. The hypothesis was that the clinical outcomes after open meniscal repair of horizontal tears are good with a low rate of secondary meniscectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 1998 and 2006, 28 patients (30\u00a0knees) underwent an open meniscal repair to treat symptomatic horizontal meniscal tears [6 women and 22\u00a0men, median age 25 years (16\u201344 years)]. The duration of symptoms was at least 12 weeks (12\u201372 weeks). Open meniscal repair was performed following arthroscopy. There were 14\u00a0medial and 7 lateral menisci, 10\u00a0grade 3 tears, and 11\u00a0grade 2 tears. If present (15 cases), meniscal cysts were removed using the same approach. Clinical outcomes were evaluated using KOOS and IKDC scores. The return to sporting activities and the need for a secondary meniscectomy were also assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010one patients were evaluated at a median follow\u2010up of 40\u00a0months (24\u2013101\u00a0months). Twenty returned to their preinjury level of sporting activity. The median KOOS score was 92 \u00b1 12.9. The median subjective IKDC score was 89 \u00b1 14.1. There were four secondary meniscectomies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Open meniscal repair of complex horizontal tears extending into the avascular zone was effective at midterm follow\u2010up in young and active patients. The meniscus was preserved in 80 % of cases. Functional results deteriorated in those older than 30 years. This entity should be differentiated from degenerative meniscal tears that often occur in patients over 50, which may be associated with osteoarthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Retrospective study, Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-012-2099-y","type":"journal-article","created":{"date-parts":[[2012,6,13]],"date-time":"2012-06-13T10:08:45Z","timestamp":1339582125000},"page":"1530-1533","source":"Crossref","is-referenced-by-count":93,"title":["Clinical outcomes of open meniscal repair of horizontal meniscal tears in young patients"],"prefix":"10.1002","volume":"21","author":[{"given":"Nicolas","family":"Pujol","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopedic Department, Centre Hospitalier de Versailles Versailles\u2010Saint Quentin University 177, rue de Versailles 78157 Le Chesnay France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yohann","family":"Bohu","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopedic Department, Centre Hospitalier de Versailles Versailles\u2010Saint Quentin University 177, rue de Versailles 78157 Le Chesnay France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Boisrenoult","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopedic Department, Centre Hospitalier de Versailles Versailles\u2010Saint Quentin University 177, rue de Versailles 78157 Le Chesnay France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Macdes","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopedic Department, Centre Hospitalier de Versailles Versailles\u2010Saint Quentin University 177, rue de Versailles 78157 Le Chesnay 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solitary ganglion cysts of the anterior segment of the lateral meniscus","volume":"19","author":"Lu KH","year":"2003","journal-title":"Arthroscopy"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.19434"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1998.28.2.88"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260013301"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300051301"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2009.09.004"}],"container-title":["Knee Surgery, Sports Traumatology, 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