{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:35:22Z","timestamp":1791984922776,"version":"4.4.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2019,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Meniscal injuries in children can pose treatment challenges, as the meniscus must maintain its biomechanical function over a long lifetime while withstanding a high activity level. While the adult literature contains a plethora of studies regarding risk factors for failure of meniscal surgery, such reports are scarcer in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To determine the rate at which children undergoing meniscal surgery require subsequent reoperation as well as to define risk factors for reoperation in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case-control study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective institutional database of 907 first-time meniscal surgical procedures performed between 2000 and 2015 was reviewed. All patients were &lt;18 years old. Demographic and intraoperative information was recorded, as were concurrent injuries or operations and subsequent procedures. Univariate analysis consisted of chi-square and independent-samples t tests. Multivariate logistic regression with purposeful selection was then performed to adjust for confounding factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean \u00b1 SD patient age was 13.2 \u00b1 2.1 years, and 567 (63%) were male. The mean postoperative follow-up duration was 20.1 \u00b1 10.1 months. Overall, 83 patients (9%) required repeat surgery at a mean of 23.2 months after the index operation. After adjustment for confounders in a multivariate model, meniscal repair resulted in 3.1-times higher odds of reoperation when compared with meniscectomy (95% CI, 1.2-8.3; P = .02), while white-white zone tears had 2.8-times lower odds of reoperation (95% CI, 1.01-7.7; P = .04) versus red-red and red-white zone tears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Approximately 9% of children undergoing meniscal surgery will require reoperation at a mean 23.2 months after the index operation. Repair carried approximately 3-times higher odds of reoperation than meniscectomy, while white-white zone tears had nearly 3-times lower odds of requiring repeat surgery when compared with tears in other zones.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2325967119842885","type":"journal-article","created":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T11:55:57Z","timestamp":1556798157000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Which Factors Increase the Risk of Reoperation After Meniscal Surgery in Children?"],"prefix":"10.1177","volume":"7","author":[{"given":"Neeraj M.","family":"Patel","sequence":"first","affiliation":[{"name":"Ann & Robert H. Lurie Children\u2019s Hospital of Chicago, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surya N.","family":"Mundluru","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center at Houston, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas A.","family":"Beck","sequence":"additional","affiliation":[{"name":"Ortho Montana, Billings, Montana, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore J.","family":"Ganley","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,5,2]]},"reference":[{"key":"bibr1-2325967119842885","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.10.003"},{"key":"bibr2-2325967119842885","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516629943"},{"key":"bibr3-2325967119842885","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0b013e318204d01a"},{"key":"bibr4-2325967119842885","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(96)00033-2"},{"key":"bibr5-2325967119842885","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117703944"},{"key":"bibr6-2325967119842885","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2712-8"},{"key":"bibr7-2325967119842885","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.30B4.664"},{"key":"bibr8-2325967119842885","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515576899"},{"issue":"252","key":"bibr9-2325967119842885","first-page":"19","author":"Fithian DC","year":"1990","journal-title":"Clin Orthop Relat Res"},{"key":"bibr10-2325967119842885","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-014-3022-0"},{"key":"bibr11-2325967119842885","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.29897"},{"key":"bibr12-2325967119842885","unstructured":"Kolata G. Cost of contact in sports is estimated at over 600,000 injuries a year. https:\/\/www.nytimes.com\/2017\/09\/29\/health\/sports-injuries-football-yale.html. Published September 29, 2017."},{"key":"bibr13-2325967119842885","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197658050-00003"},{"key":"bibr14-2325967119842885","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508314411"},{"key":"bibr15-2325967119842885","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509354055"},{"key":"bibr16-2325967119842885","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971030-00014"},{"key":"bibr17-2325967119842885","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513503444"},{"key":"bibr18-2325967119842885","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00539"},{"key":"bibr19-2325967119842885","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517710213"},{"key":"bibr20-2325967119842885","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01584"},{"key":"bibr21-2325967119842885","unstructured":"Peachman RR. Broken bones and bruises rise as youth soccer gets aggressive. https:\/\/www.nytimes.com\/2016\/09\/13\/well\/family\/broken-bones-and-bruises-rise-as-youth-soccer-gets-aggressive.html. 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