{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T22:39:31Z","timestamp":1779230371316,"version":"3.51.4"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To examine the healing status of meniscal repair performed concomitantly with anterior cruciate ligament (ACL) reconstruction with our current indication and surgical procedure based on second\u2010look arthroscopic results. Additionally, the significance of the demographic and clinical factors that can potentially influence the healing rate was statistically assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between January 2009 and January 2015, second\u2010look was performed for patients who opted to have tibial screw removal and agreed to have concomitant arthroscopy. The healing status of the repaired meniscus was classified into 3 conditions: healed, incompletely healed, and not healed. In addition, clinical outcomes were evaluated at a minimal 1\u2010year follow\u2010up. The effects of patient factors on the meniscal healing rate were statistically assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 217 knees underwent arthroscopic meniscal repair concomitant with ACL reconstruction, while second\u2010look was performed for 105 knees. The average period from index surgery to second\u2010look was 15.0\u00a0months. Clinical evaluation was conducted at a mean of 17\u00a0months (12\u201050\u00a0months). Based on the second\u2010look arthroscopic findings, 64 menisci, 22 menisci, and 29 menisci were categorized as healed, incompletely healed, and not healed, respectively. When the not healed condition was defined as failed repair, a Tegner activity score of 8 or more, recurrent instability, tears in the red\u2010white to white\u2010white zones, and time from injury to surgery of 4\u00a0months or longer were identified as clinical factors significantly correlated with failure (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Meniscal repair in ACL reconstructed knees with expanded indications achieved a healing rate (including incomplete healing) of 75%. Clinical factors such as high sports activity level, recurrent ACL instability, poor vascularity of the repaired site, and long duration from injury to surgery were shown to impair the healing status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level \u2163, therapeutic study, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2019.04.009","type":"journal-article","created":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T17:10:17Z","timestamp":1566234617000},"page":"2868-2877","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":20,"title":["Second\u2010Look Arthroscopic Evaluations of Meniscal Repairs Associated With Anterior Cruciate Ligament Reconstruction"],"prefix":"10.1002","volume":"35","author":[{"given":"Ryo","family":"Kanto","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Meiwa Hospital Nishinomiya Japan"},{"name":"Department of Orthopaedic Surgery Hyogo College of Medicine Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motoi","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Meiwa Hospital Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Meiwa Hospital Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akio","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Meiwa Hospital Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Nakayama","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hyogo College of Medicine Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichi","family":"Yoshiya","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hyogo College of Medicine Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,19]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516642220"},{"key":"e_1_2_3_3_2","first-page":"144","article-title":"Inside\u2010out meniscal repair using zone specific instruments","volume":"9","author":"Brown G.C.","year":"1996","journal-title":"Am J Knee 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