{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T21:44:43Z","timestamp":1776721483076,"version":"3.51.2"},"reference-count":18,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Increased knowledge of the long-term destructive consequences of meniscectomy has created a shift towards operative repair of isolated meniscus lesions. However, in the literature the results of isolated meniscal repair in athletes currently remain underreported. Our objective was to investigate the clinical and functional outcomes as well as survival and return to sport in patients who underwent meniscal repair after isolated meniscal tear, with a focus on athletes (both professional and recreational) in the study population. This retrospective study included 52 athletes who underwent knee surgery for isolated meniscal tear between 2014 and 2020. Patients with concomitant ligamentous and\/or chondral injury were not included in this study. The mean age of the patients was 25.5 years (ranging from 12 to 57 years). The mean follow-up period of all patients was 33.3 months (ranging 10 to 80 months). The mean purpose of the study was to report the return to sport. The International Knee Documentation Committee rating (IKDC), Lysholm score, the Knee Osteoarthritis Outcome Score (KOOS) and Tegner activity level were determined at the follow-up. Failure was defined as re-operation with meniscectomy or revision meniscal repair. In total, 44 out of 52 patients (85%) returned to their previous sports activities. At follow-up, the mean Lysholm score was 90, representing a good to excellent result. Assessment of KOOS (mean value 88.8) and IKDC (mean value 89) scores also showed good to excellent results. A mean level of Tegner scale was 6.2, indicating a relatively high level of sports participation. Failure was encountered in 8 out of 52 knees (15%). Therefore, isolated meniscal repair resulted in good to excellent knee function and most athletes can return to their previous level of sports participation.<\/jats:p>","DOI":"10.3390\/ijerph20065088","type":"journal-article","created":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T03:04:46Z","timestamp":1678763086000},"page":"5088","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Clinical Outcome of Arthroscopic Repair for Isolated Meniscus Tear in Athletes"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4541-4659","authenticated-orcid":false,"given":"Goran","family":"Vrgo\u010d","sequence":"first","affiliation":[{"name":"Department for Orthopaedic Surgery, University Hospital, \u201cSveti Duh\u201d, Sveti Duh 64, 10000 Zagreb, Croatia"},{"name":"Faculty of Kinesiology, University of Zagreb, Horva\u0107anski zavoj 15, 10000 Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7662-5774","authenticated-orcid":false,"given":"Filip","family":"Vuleti\u0107","sequence":"additional","affiliation":[{"name":"Department for Orthopaedic Surgery, University Hospital, \u201cSveti Duh\u201d, Sveti Duh 64, 10000 Zagreb, Croatia"},{"name":"Faculty of Kinesiology, University of Zagreb, Horva\u0107anski zavoj 15, 10000 Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grgur","family":"Matoli\u0107","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Zagreb, \u0160alata 2, 10000 Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0236-6244","authenticated-orcid":false,"given":"Alan","family":"Ivkovi\u0107","sequence":"additional","affiliation":[{"name":"Department for Orthopaedic Surgery, University Hospital, \u201cSveti Duh\u201d, Sveti Duh 64, 10000 Zagreb, Croatia"},{"name":"School of Medicine, University of Zagreb, \u0160alata 2, 10000 Zagreb, Croatia"},{"name":"Department of Clinical Medicine, University Applied Health Sciences, Mlinarska cesta 38, 10000 Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0883-2525","authenticated-orcid":false,"given":"Damir","family":"Hudetz","sequence":"additional","affiliation":[{"name":"Department for Orthopaedic Surgery, University Hospital, \u201cSveti Duh\u201d, Sveti Duh 64, 10000 Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stjepan","family":"Bulat","sequence":"additional","affiliation":[{"name":"Department for Orthopaedic Surgery, University Hospital, \u201cSveti Duh\u201d, Sveti Duh 64, 10000 Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frane","family":"Bukvi\u0107","sequence":"additional","affiliation":[{"name":"Department for Orthopaedic Surgery, University Hospital, \u201cSveti Duh\u201d, Sveti Duh 64, 10000 Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5125-4471","authenticated-orcid":false,"given":"Sa\u0161a","family":"Jankovi\u0107","sequence":"additional","affiliation":[{"name":"Department for Orthopaedic Surgery, University Hospital, \u201cSveti Duh\u201d, Sveti Duh 64, 10000 Zagreb, Croatia"},{"name":"Faculty of Kinesiology, University of Zagreb, Horva\u0107anski zavoj 15, 10000 Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2615","DOI":"10.1177\/0363546516652601","article-title":"Treatment of Painful, Irreparable Partial Meniscal Defects with a Polyurethane Scaffold: Midterm Clinical Outcomes and Survival Analysis: Midterm Clinical Outcomes and Survival Analysis","volume":"44","author":"Dhollander","year":"2016","journal-title":"Am. J. Sports Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1461","DOI":"10.1016\/j.jbiomech.2015.02.030","article-title":"In Vivo Cartilage Strain Increases Following Medial Meniscal Tear and Correlates with Synovial Fluid Matrix Metalloproteinase Activity","volume":"48","author":"Carter","year":"2015","journal-title":"J. Biomech."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1007\/s00167-017-4463-4","article-title":"Sport-Specific Outcomes after Isolated Meniscal Repair: A Systematic Review","volume":"26","author":"Eberbach","year":"2018","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/s40634-021-00345-y","article-title":"The Future of Meniscus Science: International Expert Consensus","volume":"8","author":"DePhillipo","year":"2021","journal-title":"J. Exp. Orthop."},{"key":"ref_5","first-page":"4","article-title":"Clinical Outcome of Meniscus Repair for Isolated Meniscus Tear in Athletes","volume":"10","author":"Nakayama","year":"2017","journal-title":"Asia Pac. J. Sports Med. Arthrosc. Rehabil. Technol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"S327","DOI":"10.1016\/j.otsr.2015.09.008","article-title":"Meniscectomy versus Meniscal Repair: 233 10 Years Radiological and Clinical Results in Vertical Lesions in Stable Knee","volume":"101","author":"Lutz","year":"2015","journal-title":"Orthop. Traumatol. Surg. Res."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1007\/s00167-013-2528-6","article-title":"A Meta-Analysis Comparing Meniscal Repair with Meniscectomy in the Treatment of Meniscal Tears: The More Meniscus, the Better Outcome?","volume":"23","author":"Xu","year":"2015","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1177\/1941738118768201","article-title":"Operative Treatment of Isolated Meniscus Injuries in Adolescent Patients: A Meta-Analysis and Review","volume":"10","author":"Mosich","year":"2018","journal-title":"Sports Health"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2325967120962093","DOI":"10.1177\/2325967120962093","article-title":"Return to Play after Isolated Meniscal Repairs in Athletes: A Systematic Review","volume":"8","author":"Blanchard","year":"2020","journal-title":"Orthop. J. Sports Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1275","DOI":"10.1016\/j.arthro.2011.03.088","article-title":"Meniscal Repair versus Partial Meniscectomy: A Systematic Review Comparing Reoperation Rates and Clinical Outcomes","volume":"27","author":"Paxton","year":"2011","journal-title":"Arthroscopy"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1542","DOI":"10.1177\/0363546510364052","article-title":"Long-Term Outcome after Arthroscopic Meniscal Repair versus Arthroscopic Partial Meniscectomy for Traumatic Meniscal Tears","volume":"38","author":"Stein","year":"2010","journal-title":"Am. J. Sports Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1177\/0363546508330138","article-title":"Meniscal Repair in the Elite Athlete: Results of 45 Repairs with a Minimum 5-Year Follow-up: Results of 45 Repairs with a Minimum 5-Year Follow-Up","volume":"37","author":"Logan","year":"2009","journal-title":"Am. J. Sports Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1177\/0363546513508763","article-title":"Arthroscopic Meniscus Allograft Transplantation in Male Professional Soccer Players: A 36-Month Follow-up Study: A 36-Month Follow-up Study","volume":"42","author":"Marcacci","year":"2014","journal-title":"Am. J. Sports Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.1016\/j.arthro.2016.01.055","article-title":"Prevalence of Articular Cartilage Lesions and Surgical Clinical Outcomes in Football (Soccer) Players\u2019 Knees: A Systematic Review","volume":"32","author":"Andrade","year":"2016","journal-title":"Arthroscopy"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1865","DOI":"10.1177\/0363546514535069","article-title":"Return to Play after Partial Lateral Meniscectomy in National Football League Athletes","volume":"42","author":"Aune","year":"2014","journal-title":"Am. J. Sports Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e000212","DOI":"10.1136\/bmjsem-2016-000212","article-title":"Rehabilitation Following Meniscal Repair: A Systematic Review","volume":"4","author":"Spang","year":"2018","journal-title":"BMJ Open Sport Exerc. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"232596712110312","DOI":"10.1177\/23259671211031281","article-title":"Effect of Meniscal Treatment on Functional Outcomes 6 Months after Anterior Cruciate Ligament Reconstruction","volume":"9","author":"Casp","year":"2021","journal-title":"Orthop. J. Sports Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1016\/j.jor.2018.05.042","article-title":"Long-Term Outcome after All inside Meniscal Repair Using the FasT-Fix System","volume":"15","author":"Zimmerer","year":"2018","journal-title":"J. Orthop."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/6\/5088\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:54:25Z","timestamp":1760122465000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/6\/5088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,14]]},"references-count":18,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["ijerph20065088"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20065088","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,14]]}}}