{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:53:22Z","timestamp":1777881202618,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Ramp lesions, tears at the posteromedial meniscocapsular junction, often accompany anterior cruciate ligament injuries and compromise stability. The all-inside repair is gaining popularity for its minimally invasive approach, though comparative data with suture hook (SH) repair remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare clinical outcomes of all-inside suture implant (SI) versus SH repair technique for ramp lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Systematic review; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses)-guided search of PubMed, EMBASE, Cochrane Library, and Google Scholar identified studies comparing all-inside SI versus SH repair for ramp lesions. Two reviewers independently screened, extracted data, and assessed quality with the Risk Of Bias in Non-Randomized Studies\u2013of Interventions. Pooled mean differences and odds ratios (ORs) were calculated, with heterogeneity evaluated by Q-test and\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      , applying random-effects models when appropriate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Five studies (2 case-control and 3 cohorts) with 901 patients were included; 388 underwent all-inside SI repair. The mean age was 28.71 years, with follow-up ranging from 12 to 24 months. There was a significant difference in overall repair failure between groups, with 99 failures out of 388 cases (25.5%) in the all-inside SI group compared with 55 failures out of 513 cases (10.7%) in the SH group (OR, 2.36;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .01). Specifically, all-inside SI repair demonstrated a greater likelihood of secondary meniscectomy (OR, 2.40). Postoperative International Knee Documentation Committee, Tegner, Lysholm, and return-to-sport rates showed no significant differences. Preoperative laxity &gt;7 mm and age \u226420 years did not significantly affect failure risk.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>SI repair for ramp lesions shows higher failure and secondary meniscectomy rates than SH repair. Functional outcomes appear largely comparable between the 2 repair techniques. Results should be interpreted cautiously, as outcomes depend on surgical technique, visualization, suture configuration, and rehabilitation. More high-quality studies are needed to define the optimal repair method.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671261428091","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T11:58:21Z","timestamp":1774267101000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of All-Inside Suture Implant Versus Suture Hook Technique for Meniscal Ramp Lesions: A Systematic Review and Meta-analysis"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2430-2697","authenticated-orcid":false,"given":"Majd","family":"Mzeihem","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kayleigh C.","family":"Vance","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew A.","family":"Siegel","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark R.","family":"Hutchinson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4849-7514","authenticated-orcid":false,"given":"Seth L.","family":"Sherman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Stanford University, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7227-9125","authenticated-orcid":false,"given":"Yazdan","family":"Raji","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-21-00091"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05521-3"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967116657815"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.7507\/1002-1892.202403032"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.05.011"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518774315"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518814258"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221100973"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510388933"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2023.06.015"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519872964"},{"key":"e_1_3_2_13_2","unstructured":"Risk of Bias Tools: ROBINS-I V2 Tool. riskofbias.info. 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