{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:45:49Z","timestamp":1760921149519,"version":"build-2065373602"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,8,7]],"date-time":"2020-08-07T00:00:00Z","timestamp":1596758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,8,7]],"date-time":"2020-08-07T00:00:00Z","timestamp":1596758400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,8,7]],"date-time":"2020-08-07T00:00:00Z","timestamp":1596758400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"funder":[{"DOI":"10.13039\/100009027","name":"Smith and Nephew Orthopaedics","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009027","name":"Smith and Nephew Orthopaedics","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>All\u2010inside meniscal repair devices have evolved to allow surgeons to undertake complex repairs in a timely and efficient manner. This is advantageous in active patients, where meniscus preservation is critical in preserving joint function and stability. The aim of the study was to evaluate the failure rate of all\u2010inside meniscal repair performed in patients undergoing reconstructive ligament surgery using a particular meniscal repair device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients were identified using a single\u2010site prospectively maintained patient registry. Primary outcome was failure, defined as return to surgery with documented failure of repair. Complication rates and functional scores were also recorded. Patients in whom meniscal repair failure was identified were further assessed, to identify any common features.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over an 8\u2010year period, 323 patients underwent meniscal repair at the time of ligament reconstruction, compared to 244\u00a0meniscectomies. Of these, 286 patients underwent repair using an all\u2010inside suture device. One\u2010hundred and twenty\u2010seven repairs were to the medial meniscus only, 124 were lateral, and in 35 patients both menisci were repaired. Follow\u2010up was to a median of 51.5\u00a0months. There were 31 (9.7%) failures reported at a median of 22\u00a0months post\u2010operatively (IQR 13.5\u201341.5). Medial repair failures were seen more frequently than lateral (13.6% versus 5.6% OR 2.62 95% CI 1.17\u20135.88 <jats:italic>p<\/jats:italic>\u2009=\u20090.022). Failure of ACL reconstruction was associated with meniscal repair failure (OR 5.83 95% CI 1.55\u201321.95 <jats:italic>p<\/jats:italic>\u2009=\u20090.0039). Multi\u2010ligament reconstruction was undertaken in 70\/286 patients receiving meniscal repair and was not associated with failure (OR 1.3 95% CI 0.57\u20132.98 <jats:italic>p<\/jats:italic>\u2009=\u20090.51). Mode number of all\u2010inside sutures used was 3\u00a0in both medial and lateral repairs (Range 1\u20139 lateral; 1\u20137\u00a0medial).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>All\u2010inside repair is a safe and versatile technique which can be used in the majority of meniscal tears encountered during ligament reconstruction with excellent mid\u2010term success. Failure is seen more commonly in medial sided repairs and with failure of ACL reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-06189-w","type":"journal-article","created":{"date-parts":[[2020,8,7]],"date-time":"2020-08-07T04:03:28Z","timestamp":1596773008000},"page":"1714-1721","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Excellent medium\u2010term survival of an all\u2010inside tensionable knotted suture device justifies repair of most meniscal tears encountered during reconstructive knee ligament surgery"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5122-0199","authenticated-orcid":false,"given":"A. D.","family":"Shearman","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery North Hampshire Hospital Basingstoke UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. J.","family":"Foster","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery North Hampshire Hospital Basingstoke UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. J.","family":"Wilson","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery North Hampshire Hospital Basingstoke UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. J.","family":"Risebury","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery North Hampshire Hospital Basingstoke UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. K.","family":"Yasen","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery North Hampshire Hospital Basingstoke UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,8,7]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100838.1999.tb00443.x"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658201000205"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.11.020"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2003.11.010"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.00266"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508330143"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517698944"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20108063(85)80080\u20103"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.30B4.664"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.180.2.2068321"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2010.02.016"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.3928\/0147\u20107447\u201019830901\u201008"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749\u20108063(95)90085\u20103"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010014\u20103423\u20105"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999\u2010009\u20101184\u20100"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.10.017"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.11.018"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.88B12.18140"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010011\u20101501\u20105"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749\u20108063(91)90093\u2010D"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270011001"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510364402"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01584"},{"key":"e_1_2_8_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.08.292"},{"key":"e_1_2_8_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300042001"},{"key":"e_1_2_8_27_2","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldq043"},{"key":"e_1_2_8_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.08.016"},{"key":"e_1_2_8_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260013301"},{"key":"e_1_2_8_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2011.01.010"},{"key":"e_1_2_8_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010016\u20104172\u20104"},{"key":"e_1_2_8_32_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.28952"},{"key":"e_1_2_8_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658901700609"},{"key":"e_1_2_8_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510364052"},{"key":"e_1_2_8_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0278\u20105919(20)30387\u20102"},{"key":"e_1_2_8_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516642220"},{"key":"e_1_2_8_37_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514536022"}],"container-title":["Knee 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November 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 July 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 August 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"Smith and Nephew provided financial assistance with research administrative costs. They were not involved in data collection, data analysis, manuscript design or preparation.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Funding was provided by Smith and Nephew Orthopaedics.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Funding"}},{"value":"This study was registered as a service evaluation of a device and was granted local research approval within our institution.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}