{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T06:24:49Z","timestamp":1787898289986,"version":"build-2784847793"},"reference-count":38,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T00:00:00Z","timestamp":1716336000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Bucket-handle meniscal tears are mostly treated arthroscopically. However, there is no clear evidence as to whether the time to surgery impacts the outcome and whether or not lesions should be treated urgently. Methods: Sixty patients were interviewed about the current status of their knee with a mean follow-up of 6.1 years (SD = 3.5). Forty-one patients underwent meniscus repair, and fifteen patients received partial resections. The primary outcome was the rate of reoperation after meniscus repair. Secondary outcomes were pain at rest and during exercise, return to sports, and Tegner and Lysholm scores. Results: The average time to surgery was 14.4 days, with no significant impact of surgical timing on the rate of reoperation. Furthermore, no significant differences were found in pain levels, return to sports, or Tegner and Lysholm scores based on the timing of surgery. Conclusions: In our cohort, the time to surgery was not a prognostic factor for the reoperation rate or postoperative outcome in repairing bucket-handle meniscal tears. Therefore, arthroscopic repair should not be performed in an emergency setting but conducted after careful planning by experienced arthroscopy surgeons. Regarding the return to sports, postoperative factors such as rehabilitation protocols or surgical techniques could be more important than the time to surgery.<\/jats:p>","DOI":"10.3390\/jcm13113048","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T11:03:47Z","timestamp":1716375827000},"page":"3048","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Bucket-Handle Meniscal Tears Might Not Be an Urgency: The Time to Meniscus Repair Does Not Seem to Affect the Mid-Term Outcome\u2014A Retrospective Study of Sixty Tears with a Mean Follow-Up of 6 Years"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0005-299X","authenticated-orcid":false,"given":"Philipp","family":"Schippers","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, University Medical Center, Johannes Gutenberg University Mainz, 55131 Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3807-511X","authenticated-orcid":false,"given":"Victoria","family":"Buschmann","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University Medical Center, Johannes Gutenberg University Mainz, 55131 Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Wunderlich","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University Medical Center, Johannes Gutenberg University Mainz, 55131 Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yama","family":"Afghanyar","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University Medical Center, Johannes Gutenberg University Mainz, 55131 Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9842-2249","authenticated-orcid":false,"given":"Sebastian","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt Am Main, 60389 Frankfurt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Wegner","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University Medical Center, Johannes Gutenberg University Mainz, 55131 Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Drees","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University Medical Center, Johannes Gutenberg University Mainz, 55131 Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erol","family":"Gercek","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University Medical Center, Johannes Gutenberg University Mainz, 55131 Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Eckhard","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University Medical Center, Johannes Gutenberg University Mainz, 55131 Mainz, Germany"},{"name":"Praxis f\u00fcr Gelenkchirurgie Bad Kreuznach, 55543 Bad Kreuznach, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,22]]},"reference":[{"key":"ref_1","first-page":"551","article-title":"Traumatic Lesions of the Internal Meniscus of the Knee. Anatomical Classification and Clinical Diagnosis","volume":"48","author":"Trillat","year":"1962","journal-title":"Rev. De Chir. Orthop. Et Reparatrice De L\u2019appareil Mot."},{"key":"ref_2","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":"Briggs","year":"2014","journal-title":"Arthrosc. J. Arthrosc. Relat. Surg."},{"key":"ref_3","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":"Ververidis","year":"2006","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1016\/j.arthro.2008.12.010","article-title":"Meniscal Repair","volume":"25","author":"Kopf","year":"2009","journal-title":"Arthrosc. J. Arthrosc. Relat. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.1007\/s11999-010-1253-4","article-title":"In Brief: Meniscal Tears","volume":"468","author":"Bernstein","year":"2010","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/0020-1383(93)90038-8","article-title":"Patterns of Meniscal Tears Associated with Anterior Cruciate Ligament Lesions in Athletes","volume":"24","author":"Binfield","year":"1993","journal-title":"Injury"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1742","DOI":"10.1177\/03635465211015425","article-title":"What Is the Failure Rate After Arthroscopic Repair of Bucket-Handle Meniscal Tears? A Systematic Review and Meta-Analysis","volume":"50","author":"Costa","year":"2020","journal-title":"Am. J. Sports Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"3386","DOI":"10.1177\/0363546520906141","article-title":"All-Inside Repair of Bucket-Handle Meniscal Tears: Clinical Outcomes and Prognostic Factors","volume":"48","author":"Ardizzone","year":"2019","journal-title":"Am. J. Sports Med."},{"key":"ref_9","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":"Saltzman","year":"2020","journal-title":"Cartilage"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1177\/0363546503262182","article-title":"Histology of the Torn Meniscus: A Comparison of Histologic Differences in Meniscal Tissue between Tears in Anterior Cruciate LigamentIntact and Anterior Cruciate LigamentDeficient Knees","volume":"32","author":"Meister","year":"2004","journal-title":"Am. J. Sports Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2634","DOI":"10.1177\/0363546511424723","article-title":"Comparison of All-Inside Meniscal Repair Devices with Matched Inside-Out Suture Repair","volume":"39","author":"Rosso","year":"2011","journal-title":"Am. J. Sports Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2325967118779045","DOI":"10.1177\/2325967118779045","article-title":"Comparative Outcomes of All-Inside Versus Inside-Out Repair of Bucket-Handle Meniscal Tears: A Propensity-Matched Analysis","volume":"6","author":"Samuelsen","year":"2018","journal-title":"Orthop. J. Sports Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2557","DOI":"10.1016\/j.arthro.2022.02.010","article-title":"Several Techniques Exist with Favorable Biomechanical Outcomes in Radial Meniscus Tear Repair\u2014A Systematic Review","volume":"38","author":"Oosten","year":"2022","journal-title":"Arthrosc. J. Arthrosc. Relat. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1007\/s00402-011-1391-5","article-title":"Meniscal Tear Repaired with Fast-Fix Sutures: Clinical Results in Stable versus ACL-Deficient Knees","volume":"132","author":"Tucciarone","year":"2012","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2222","DOI":"10.2106\/JBJS.K.01584","article-title":"Meniscal Repair Outcomes at Greater than Five Years: A Systematic Literature Review and Meta-Analysis","volume":"94","author":"Nepple","year":"2012","journal-title":"J. bone Jt. Surg. Am. Vol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"3146","DOI":"10.1016\/j.arthro.2019.06.016","article-title":"Factors Predicting Failure Rates and Patient-Reported Outcome Measures After Arthroscopic Meniscal Repair","volume":"35","author":"Yeo","year":"2019","journal-title":"Arthrosc. J. Arthrosc. Relat. Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1055\/s-0044-101558","article-title":"S2k-Leitlinie Meniskuserkrankung: Konservative Und Operative Therapie","volume":"156","author":"Siebert","year":"2018","journal-title":"Z. F\u00fcr Orthop\u00e4die Und Unfallchirurgie"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1007\/s00167-020-05847-3","article-title":"Management of Traumatic Meniscus Tears: The 2019 ESSKA Meniscus Consensus","volume":"28","author":"Kopf","year":"2020","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/0749-8063(90)90001-T","article-title":"Long-Term Assessment of Arthroscopic Meniscus Repair: A Two- to Six-Year Follow-up Study","volume":"6","author":"Stone","year":"1990","journal-title":"Arthrosc. J. Arthrosc. Relat. Surg."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/S0968-0160(01)00061-8","article-title":"Review of the Clinical Results of Arthroscopic Meniscal Repair","volume":"8","author":"Venkatachalam","year":"2001","journal-title":"Knee"},{"key":"ref_21","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":"Tengrootenhuysen","year":"2011","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1097\/00003086-199003000-00007","article-title":"Decision-Making Factors in the Treatment of Meniscus Lesions","volume":"252","author":"Dehaven","year":"1990","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_23","first-page":"28","article-title":"Clinical Results of Meniscus Repair","volume":"12","author":"Kubiak","year":"2010","journal-title":"Ortop. Traumatol. Rehabil."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1302\/2633-1462.25.BJO-2021-0007.R1","article-title":"Follow-up Definitions in Clinical Orthopaedic Research","volume":"2","author":"Ahmad","year":"2021","journal-title":"Bone Jt. Open"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1097\/00003086-198509000-00007","article-title":"Rating Systems in the Evaluation of Knee Ligament Injuries","volume":"198","author":"Tegner","year":"1985","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1177\/036354658201000306","article-title":"Evaluation of Knee Ligament Surgery Results with Special Emphasis on Use of a Scoring Scale","volume":"10","author":"Lysholm","year":"1982","journal-title":"Am. J. Sports Med."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1007\/s10140-020-01758-5","article-title":"CT Diagnosis of Bucket Handle Meniscus Tear","volume":"27","author":"Shiang","year":"2020","journal-title":"Emerg. Radiol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"3511","DOI":"10.1007\/s00167-020-05931-8","article-title":"Delayed or Neglected Meniscus Tear Repair and Meniscectomy in Addition to ACL Reconstruction Have Similar Clinical Outcome","volume":"28","author":"Eken","year":"2020","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_29","first-page":"514","article-title":"Surgical Repair of Neglected Bucket-Handle Meniscal Tears Displaced into the Intercondylar Notch: Clinical and Radiological Results","volume":"31","author":"Cetinkaya","year":"2017","journal-title":"J. Knee Surg."},{"key":"ref_30","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":"Feng","year":"2008","journal-title":"Arthrosc. J. Arthrosc. Relat. Surg."},{"key":"ref_31","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":"Hupperich","year":"2018","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Kaminski, R., Kulinski, K., Kozar-Kaminska, K., Wielgus, M., Langner, M., Wasko, M.K., Kowalczewski, J., and Pomianowski, S. (2018). A Prospective, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study Evaluating Meniscal Healing, Clinical Outcomes, and Safety in Patients Undergoing Meniscal Repair of Unstable, Complete Vertical Meniscal Tears (Bucket Handle) Augmented with Platelet-Rich Plasma. BioMed Res. Int., 2018.","DOI":"10.1155\/2018\/9315815"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1007\/s00167-014-3423-5","article-title":"All-inside Suture Device Is Superior to Meniscal Arrows in Meniscal Repair: A Prospective Randomized Multicenter Clinical Trial with 2-Year Follow-Up","volume":"23","author":"Kise","year":"2015","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.otsr.2014.12.006","article-title":"Isolated Meniscal Injuries in Paediatric Patients: Outcomes after Arthroscopic Repair","volume":"101","author":"Lucas","year":"2015","journal-title":"Orthop. Traumatol. Surg. Res."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"3104","DOI":"10.1177\/0363546517719244","article-title":"Comparable Outcomes After Bucket-Handle Meniscal Repair and Vertical Meniscal Repair Can Be Achieved at a Minimum 2 Years\u2019 Follow-Up","volume":"45","author":"Moatshe","year":"2017","journal-title":"Am. J. Sports Med."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1177\/03635465030310051401","article-title":"Repair of Locked Bucket-Handle Meniscal Tears in Knees with Chronic Anterior Cruciate Ligament Deficiency","volume":"31","author":"Shelbourne","year":"2003","journal-title":"Am. J. Sports Med."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1016\/j.arthro.2004.03.009","article-title":"Comparison of Partial Meniscectomy versus Meniscus Repair for Bucket-Handle Lateral Meniscus Tears in Anterior Cruciate Ligament Reconstructed Knees","volume":"20","author":"Shelbourne","year":"2004","journal-title":"Arthrosc. J. Arthrosc. Relat. Surg."},{"key":"ref_38","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":"Cankaya","year":"2016","journal-title":"Acta Ortop\u00e9dica Bras."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/11\/3048\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:46:47Z","timestamp":1760107607000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/11\/3048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,22]]},"references-count":38,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["jcm13113048"],"URL":"https:\/\/doi.org\/10.3390\/jcm13113048","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,22]]}}}