{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T20:37:04Z","timestamp":1780605424831,"version":"3.54.1"},"reference-count":38,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Knee Surg"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The aim of this study was to evaluate the success of the all-inside repair technique for medial bucket-handle meniscus tear (BHMT) and the factors affecting healing. A total of 36 patients with BHMT who were operated between 2012 and 2018 and completed final follow-up examinations were included in the study. Functional evaluation was made with the International Knee Documentation Committee (IKDC) score, Lysholm score, and Tegner score. Healing was evaluated on magnetic resonance imaging (MRI) slices. The patients were evaluated with respect to the effect on healing of factors such as demographic data, body mass index (BMI), smoking status, anterior cruciate ligament tear reconstruction (ACLTR) applied at the same time as BHMT repair, and the tear being chronic or acute. The mean age of the patients was 28.6\u2009\u00b1\u20098.6 years (range,18\u201346 years), the mean follow-up period was 25.8\u2009\u00b1\u200913.9 months (range, 13\u201359 months), and BMI was mean 25.6\u2009\u00b1\u20093.5\u2009kg\/m2 (range, 20.1\u201330.5\u2009kg\/m2). The meniscus tears were acute in 16 (44.4%) patients and chronic in 20 (55.6%). ACLTR was applied together with BHMT repair in 25 patients. The hybrid technique, as the outside-in technique in addition to the all-inside technique, was applied to 12 (33.3%) patients, where there was seen to be extension to the anterior horn. The failure rate was determined as 27.8% according to the postoperative MRI evaluation and the Barrett criteria. No positive or negative statistically significant effect on healing was determined of chronic BHMT or of simultaneous application of ACLTR (p\u2009=\u20091.00 and 0.457, respectively). Cigarette smoking and high BMI were determined to have a statistically significant negative effect on healing (p\u2009=\u20090.026 and 0.007, respectively). In conclusion, it can be seen that the success of the all-inside technique for BHMT remains controversial. Due to the features of the application, it can be used in meniscus tears of the posterior horn only. In the current study, with the success rate of 72.2% of the all-inside technique in meniscus body tears, it was seen that a high success rate could not be achieved.<\/jats:p>","DOI":"10.1055\/s-0040-1722624","type":"journal-article","created":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T06:34:24Z","timestamp":1611902064000},"page":"1242-1248","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of Cases with Anterior Cruciate Ligament Reconstruction Accompanied by Simultaneous Medial Meniscus Bucket Handle Tear Repair and Isolated Medial Meniscus Bucket Handle Tear Repair"],"prefix":"10.1055","volume":"35","author":[{"given":"Yavuz","family":"Akal\u0131n","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Health Application and Research Center, University of Health Sciences, Y\u00fcksek \u0130htisas Training and Research Hospital, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2188-1471","authenticated-orcid":false,"given":"\u00d6zg\u00fcr","family":"Avc\u0131","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Health Application and Research Center, University of Health Sciences, Y\u00fcksek \u0130htisas Training and Research Hospital, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sava\u015f \u0130.","family":"\u0130nce","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Health Application and Research Center, University of Health Sciences, Y\u00fcksek \u0130htisas Training and Research Hospital, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazan","family":"\u00c7evik","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Health Application and Research Center, University of Health Sciences, Y\u00fcksek \u0130htisas Training and Research Hospital, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6274-6102","authenticated-orcid":false,"given":"\u0130smail G.","family":"\u015eahin","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Edirne Sultan 1. Murat State Hospital, Edirne, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7362-0284","authenticated-orcid":false,"given":"Alpaslan","family":"\u00d6zt\u00fcrk","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Health Application and Research Center, University of Health Sciences, Y\u00fcksek \u0130htisas Training and Research Hospital, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,1,28]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"719","DOI":"10.2106\/00004623-197456040-00007","article-title":"Factors effecting late results after meniscectomy","volume":"56","author":"R J Johnson","year":"1974","journal-title":"J Bone Joint Surg Am"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1302\/0301-620X.66B5.6548755","article-title":"Late degenerative changes after meniscectomy. Factors affecting the knee after operation","volume":"66","author":"P R Allen","year":"1984","journal-title":"J Bone Joint Surg Br"},{"issue":"252","key":"ref3","first-page":"64","article-title":"Arthroscopic meniscal repair using an exogenous fibrin clot","author":"C E Henning","year":"1990","journal-title":"Clin Orthop Relat Res"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1302\/0301-620X.30B4.664","article-title":"Knee joint changes after meniscectomy","volume":"30B","author":"T J Fairbank","year":"1948","journal-title":"J Bone Joint Surg Br"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1007\/s00167-010-1286-y","article-title":"Long-term outcome after meniscal repair","volume":"19","author":"M Tengrootenhuysen","year":"2011","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1055\/s-0031-1286051","article-title":"Meniscus repair and transplantation techniques","volume":"24","author":"T C Burns","year":"2011","journal-title":"J Knee Surg"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1007\/s001670050162","article-title":"The arrow versus horizontal suture in arthroscopic meniscus repair. A prospective randomized study with arthroscopic evaluation","volume":"7","author":"P Albrecht-Olsen","year":"1999","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.arthro.2005.10.017","article-title":"Results of all-inside meniscal repair with the FasT-Fix meniscal repair system","volume":"22","author":"E S Kotsovolos","year":"2006","journal-title":"Arthroscopy"},{"issue":"07","key":"ref9","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1053\/jars.2000.7672","article-title":"Chondral injury following meniscal repair with a biodegradable implant","volume":"16","author":"K Anderson","year":"2000","journal-title":"Arthroscopy"},{"issue":"11","key":"ref10","doi-asserted-by":"crossref","first-page":"2197","DOI":"10.1007\/s00167-011-1803-7","article-title":"Cyst following meniscal repair","volume":"20","author":"V Kulkarni","year":"2012","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"04","key":"ref11","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1177\/0363546510388930","article-title":"Diagnostic values of 3 methods for evaluating meniscal healing status after meniscal repair: comparison among second-look arthroscopy, clinical assessment, and magnetic resonance imaging","volume":"39","author":"Y Miao","year":"2011","journal-title":"Am J Sports Med"},{"issue":"12","key":"ref12","doi-asserted-by":"crossref","first-page":"1358","DOI":"10.1016\/j.arthro.2008.07.017","article-title":"Second-look arthroscopic evaluation of bucket-handle meniscus tear repairs with anterior cruciate ligament reconstruction: 67 consecutive cases","volume":"24","author":"H Feng","year":"2008","journal-title":"Arthroscopy"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"2325967118820305","DOI":"10.1177\/2325967118820305","article-title":"Outcomes after the operative treatment of bucket-handle meniscal tears in children and adolescents","volume":"7","author":"D E Kramer","year":"2019","journal-title":"Orthop J Sports Med"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1177\/0095399703258743","article-title":"Prospective evaluation of 1485 meniscal tear patterns in patients with stable knees","volume":"32","author":"M H Metcalf","year":"2004","journal-title":"Am J Sports Med"},{"issue":"04","key":"ref15","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1007\/s00167-005-0678-x","article-title":"Meniscal bucket handle tears: a retrospective study of arthroscopy and the relation to MRI","volume":"14","author":"A N Ververidis","year":"2006","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"03","key":"ref16","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1007\/s00330-002-1618-5","article-title":"MR imaging of meniscal bucket-handle tears: a review of signs and their relation to arthroscopic classification","volume":"13","author":"U Ayding\u00f6z","year":"2003","journal-title":"Eur Radiol"},{"issue":"08","key":"ref17","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1016\/S0749-8063(98)70018-0","article-title":"Clinical results of meniscus repair in patients 40 years and older","volume":"14","author":"G R Barrett","year":"1998","journal-title":"Arthroscopy"},{"issue":"04","key":"ref18","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1302\/0301-620X.65B4.6874707","article-title":"The bucket-handle tear of the meniscus. A clinical and arthrographic study","volume":"65","author":"D T Shakespeare","year":"1983","journal-title":"J Bone Joint Surg Br"},{"issue":"11","key":"ref19","doi-asserted-by":"crossref","first-page":"1332","DOI":"10.1007\/s00167-009-0785-1","article-title":"A novel technique for arthroscopic reduction and repair of a bucket-handle meniscal tear","volume":"17","author":"J R Yoon","year":"2009","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"10","key":"ref20","doi-asserted-by":"crossref","first-page":"1365","DOI":"10.1007\/s00402-018-2989-7","article-title":"What are the factors to affect outcome and healing of meniscus bucket handle tears?","volume":"138","author":"A Hupperich","year":"2018","journal-title":"Arch Orthop Trauma Surg"},{"issue":"03","key":"ref21","doi-asserted-by":"crossref","first-page":"168","DOI":"10.5435\/00124635-200205000-00003","article-title":"Meniscal injury: I. Basic science and evaluation","volume":"10","author":"P E Greis","year":"2002","journal-title":"J Am Acad Orthop Surg"},{"issue":"06","key":"ref22","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1055\/s-0037-1604146","article-title":"Surgical Repair of neglected bucket-handle meniscal tears displaced into the intercondylar notch: clinical and radiological results","volume":"31","author":"E Cetinkaya","year":"2018","journal-title":"J Knee Surg"},{"issue":"04","key":"ref23","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1590\/1413-785220162404156575","article-title":"Combined inside-out and all-inside technique in bucket-handle meniscus tears","volume":"24","author":"S Y\u0131lmaz","year":"2016","journal-title":"Acta Ortop Bras"},{"issue":"05","key":"ref24","doi-asserted-by":"crossref","first-page":"2325967119843203","DOI":"10.1177\/2325967119843203","article-title":"Evaluation of midterm clinical and radiographic outcomes of arthroscopically repaired vertical longitudinal and bucket-handle lateral meniscal tears","volume":"7","author":"E Uzun","year":"2019","journal-title":"Orthop J Sports Med"},{"issue":"03","key":"ref25","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1080\/00913847.2017.1331688","article-title":"Clinical outcomes following surgically repaired bucket-handle meniscus tears","volume":"45","author":"M J Moses","year":"2017","journal-title":"Phys Sportsmed"},{"issue":"04","key":"ref26","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1016\/j.arthro.2013.12.020","article-title":"Outcomes after repair of chronic bucket-handle tears of medial meniscus","volume":"30","author":"A Espejo-Reina","year":"2014","journal-title":"Arthroscopy"},{"issue":"07","key":"ref27","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1016\/j.otsr.2017.05.025","article-title":"Prognostic factors for all-inside meniscal repair. A 87-case series","volume":"103","author":"L Laurendon","year":"2017","journal-title":"Orthop Traumatol Surg Res"},{"issue":"03","key":"ref28","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1177\/03635465980260031901","article-title":"Different regional healing rates with the outside-in technique for meniscal repair","volume":"26","author":"M F van Trommel","year":"1998","journal-title":"Am J Sports Med"},{"issue":"05","key":"ref29","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1007\/s00167-015-3642-4","article-title":"Long-term outcome after all-inside meniscal repair using the RapidLoc system","volume":"24","author":"E Solheim","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"314","key":"ref30","first-page":"185","article-title":"Second look arthroscopy after meniscal repair. Factors affecting the healing rate","author":"M Kimura","year":"1995","journal-title":"Clin Orthop Relat Res"},{"issue":"06","key":"ref31","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1177\/0363546509337010","article-title":"Success of meniscal repair at ACL Reconstruction","volume":"37","author":"C Toman","year":"2009","journal-title":"Am J Sports Med"},{"issue":"01","key":"ref32","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1177\/1947603518783473","article-title":"Arthroscopically repaired bucket-handle meniscus tears: patient demographics, postoperative outcomes, and a comparison of success and failure cases","volume":"11","author":"B M Saltzman","year":"2020","journal-title":"Cartilage"},{"issue":"05","key":"ref33","doi-asserted-by":"crossref","first-page":"1540","DOI":"10.1007\/s00167-016-4002-8","article-title":"Smoking increases the risk of early meniscus repair failure","volume":"24","author":"R Blackwell","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"04","key":"ref34","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1055\/s-0030-1268695","article-title":"Smoking and mouse MCL healing","volume":"23","author":"R Wright","year":"2010","journal-title":"J Knee Surg"},{"issue":"04","key":"ref36","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.amepre.2005.01.013","article-title":"Associations of body mass index with meniscal tears","volume":"28","author":"G M Ford","year":"2005","journal-title":"Am J Prev Med"},{"issue":"07","key":"ref37","doi-asserted-by":"crossref","first-page":"1606","DOI":"10.1177\/0363546512447792","article-title":"Risk factors for medial meniscus posterior root tear","volume":"40","author":"B-Y Hwang","year":"2012","journal-title":"Am J Sports Med"},{"issue":"02","key":"ref38","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1177\/0363546511411701","article-title":"Comparison of inside-out and all-inside techniques for the repair of isolated meniscal tears: a systematic review","volume":"40","author":"J A Grant","year":"2012","journal-title":"Am J Sports Med"},{"issue":"01","key":"ref39","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1177\/0363546516632504","article-title":"Inside-out versus all-inside repair of isolated meniscal tears: an updated systematic review","volume":"45","author":"Y A Fillingham","year":"2017","journal-title":"Am J Sports Med"}],"container-title":["The Journal of Knee Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1722624.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,5]],"date-time":"2022-09-05T23:41:49Z","timestamp":1662421309000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1722624"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,28]]},"references-count":38,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,9,5]]},"published-print":{"date-parts":[[2022,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1722624","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1538-8506","1938-2480"],"issn-type":[{"value":"1538-8506","type":"print"},{"value":"1938-2480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,28]]}}}