{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:28:10Z","timestamp":1793381290160,"version":"4.5.0"},"reference-count":95,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T00:00:00Z","timestamp":1708560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T00:00:00Z","timestamp":1708560000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T00:00:00Z","timestamp":1708560000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T00:00:00Z","timestamp":1708560000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012630","name":"Zimmer Biomet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012630","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","arthroscopyjournal.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compile and analyze structural and clinical outcomes after meniscus root tear treatment as currently described in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A review was conducted to identify studies published since 2011 on efficacy of repair, meniscectomy, and nonoperative management in the treatment of meniscus root tears. Patient cohorts were grouped into treatment categories, with medial and lateral root tears analyzed separately; data were collected on patient demographics, structural outcomes including joint space width, degree of medial meniscal extrusion, progression to total knee arthroplasty, and patient\u2010reported outcome measures. Risk of bias was assessed using the MINORS (methodological index for non\u2010randomized studies) criteria. Heterogeneity was measured using the I\u2010statistic, and outcomes were summarized using forest plots without pooled means.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The 56 included studies comprised a total of 3,191 patients. Mean age among the included studies ranged from 24.6 to 65.6 years, whereas mean follow\u2010up ranged from 12 to 125.9 months. Heterogeneity analysis identified significant differences between studies. Change in joint space width ranged from \u20132.4 to \u20130.6 mm (i.e., decreased space) after meniscectomy (n\u00a0= 186) and \u20130.9 to \u20130.1 mm after root repair (n\u00a0= 209); change in medial meniscal extrusion ranged from \u20130.6 to 6.5 mm after root repair (n\u00a0= 521) and 0.2 to 4.2 mm after meniscectomy (n\u00a0= 66); and event rate for total knee arthroplasty ranged from 0.00 to 0.22 after root repair (n\u00a0= 205), 0.35 to 0.60 after meniscectomy (n\u00a0= 53), and 0.27 to 0.35 after nonoperative treatment (n\u00a0= 93). Root repair produced the greatest numerical increase in International Knee Documentation Committee and Lysholm scores of the 3 treatment arms. In addition, root repair improvements in Knee Injury and Osteoarthritis Outcome Score Pain (range: 22\u201032), Sports and Recreational Activities (range: 23\u201036), Quality of Life (range: 22\u201042), and Symptoms subscales (range: 10\u201019), in studies with low risk of bias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The literature reporting on the treatment of meniscus root tears is heterogenous and largely limited to Level III and IV studies. Current evidence suggests root repair may be the most effective treatment strategy in lessening joint space narrowing of the knee and producing improvements in patient\u2010reported outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review of Level II\u2010IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2024.02.017","type":"journal-article","created":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T14:49:02Z","timestamp":1708613342000},"page":"390-417","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":51,"title":["Root Repair Has Superior Radiological and Clinical Outcomes Than Partial Meniscectomy and Nonoperative Treatment in the Management of Meniscus Root Tears: A Systematic Review"],"prefix":"10.1002","volume":"41","author":[{"given":"Dustin R.","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yining","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna K.","family":"Reinholz","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara E.","family":"Till","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhinav","family":"Lamba","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel B.F.","family":"Saris","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher L.","family":"Camp","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron J.","family":"Krych","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,22]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.22456"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-19-00102"},{"key":"e_1_2_3_4_2","first-page":"250","article-title":"Meniscal root tears: Current concepts review","volume":"6","author":"Pache S.","year":"2018","journal-title":"Arch Bone Joint Surg"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00748"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4359-8"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.183.1.1830017"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1607038"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120961368"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520920561"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-098942"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4454-5"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513499314"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01252"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518755754"},{"key":"e_1_2_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516662445"},{"key":"e_1_2_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.11.098"},{"key":"e_1_2_3_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221079794"},{"key":"e_1_2_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120962078"},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000019499"},{"key":"e_1_2_3_21_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1729622"},{"key":"e_1_2_3_22_2","article-title":"Are outcomes of acute meniscus root tear repair better than debridement or nonoperative management? A systematic review","author":"Eseonu K.C.","year":"2021","journal-title":"Am J Sports Med."},{"key":"e_1_2_3_23_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_3_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-015-2269-8"},{"key":"e_1_2_3_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519888212"},{"key":"e_1_2_3_26_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00065"},{"key":"e_1_2_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2019.02.007"},{"key":"e_1_2_3_28_2","doi-asserted-by":"publisher","DOI":"10.5792\/ksrr.2014.26.2.106"},{"key":"e_1_2_3_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.12.046"},{"key":"e_1_2_3_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5024-1"},{"key":"e_1_2_3_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.03.035"},{"key":"e_1_2_3_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.08.266"},{"key":"e_1_2_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2017.07.022"},{"key":"e_1_2_3_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2019.02.007"},{"key":"e_1_2_3_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2020.02.025"},{"key":"e_1_2_3_36_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-021-03035-8"},{"key":"e_1_2_3_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2020.04.023"},{"key":"e_1_2_3_38_2","doi-asserted-by":"publisher","DOI":"10.1177\/2309499019888836"},{"key":"e_1_2_3_39_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512439181"},{"key":"e_1_2_3_40_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06376-9"},{"key":"e_1_2_3_41_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4755-8"},{"key":"e_1_2_3_42_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06055-9"},{"key":"e_1_2_3_43_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-05905-w"},{"key":"e_1_2_3_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.05.051"},{"key":"e_1_2_3_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.06.033"},{"key":"e_1_2_3_46_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.08.005"},{"key":"e_1_2_3_47_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06151-w"},{"key":"e_1_2_3_48_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05810-x"},{"key":"e_1_2_3_49_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06332-7"},{"key":"e_1_2_3_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.12.014"},{"key":"e_1_2_3_51_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221077271"},{"key":"e_1_2_3_52_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05771-1"},{"key":"e_1_2_3_53_2","doi-asserted-by":"publisher","DOI":"10.1177\/2309499020918759"},{"key":"e_1_2_3_54_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516673996"},{"key":"e_1_2_3_55_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518819225"},{"key":"e_1_2_3_56_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2020.03.022"},{"key":"e_1_2_3_57_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.05.029"},{"key":"e_1_2_3_58_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1692992"},{"key":"e_1_2_3_59_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518788064"},{"key":"e_1_2_3_60_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511435622"},{"key":"e_1_2_3_61_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520940715"},{"key":"e_1_2_3_62_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-013-0234-2"},{"key":"e_1_2_3_63_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-020-02830-z"},{"key":"e_1_2_3_64_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2019.10.022"},{"key":"e_1_2_3_65_2","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.892661"},{"key":"e_1_2_3_66_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2019.03.003"},{"key":"e_1_2_3_67_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3274-0"},{"key":"e_1_2_3_68_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510382225"},{"key":"e_1_2_3_69_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511398212"},{"key":"e_1_2_3_70_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2020.04.017"},{"key":"e_1_2_3_71_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmart.2020.05.001"},{"key":"e_1_2_3_72_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2020.04.018"},{"key":"e_1_2_3_73_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-3156-1"},{"key":"e_1_2_3_74_2","doi-asserted-by":"publisher","DOI":"10.1097\/BCO.0000000000000605"},{"key":"e_1_2_3_75_2","article-title":"Trans\u2010tibial pull\u2010out technique in repair of posterior root tear of medial meniscus","volume":"7","author":"Abdelazim M.A.","year":"2020","journal-title":"Eur J Mol Clin Med"},{"key":"e_1_2_3_76_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02748.x"},{"key":"e_1_2_3_77_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514559684"},{"key":"e_1_2_3_78_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3073-7"},{"key":"e_1_2_3_79_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06405-7"},{"key":"e_1_2_3_80_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520988072"},{"key":"e_1_2_3_81_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.03.022"},{"key":"e_1_2_3_82_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.05.014"},{"key":"e_1_2_3_83_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-021-02874-9"},{"key":"e_1_2_3_84_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4441-x"},{"key":"e_1_2_3_85_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06273-1"},{"key":"e_1_2_3_86_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-004-0761-2"},{"key":"e_1_2_3_87_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(91)90131-G"},{"key":"e_1_2_3_88_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-010-1274-2"},{"key":"e_1_2_3_89_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519844250"},{"key":"e_1_2_3_90_2","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos-2019-000380"},{"key":"e_1_2_3_91_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211023774"},{"key":"e_1_2_3_92_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2019.02.015"},{"key":"e_1_2_3_93_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.01.052"},{"key":"e_1_2_3_94_2","doi-asserted-by":"publisher","DOI":"10.1177\/23094990211003350"},{"key":"e_1_2_3_95_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.15.00082"},{"key":"e_1_2_3_96_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520909828"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980632400152X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980632400152X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2024.02.017","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2024.02.017","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2024.02.017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:52:32Z","timestamp":1773564752000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2024.02.017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,22]]},"references-count":95,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1016\/j.arthro.2024.02.017"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2024.02.017","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,22]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Root Repair Has Superior Radiological and Clinical Outcomes Than Partial Meniscectomy and Nonoperative Treatment in the Management of Meniscus Root Tears: A Systematic Review","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2024.02.017","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}