{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T12:39:44Z","timestamp":1791635984048,"version":"4.3.4"},"reference-count":30,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"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: It is known that meniscus root tears affect the biomechanics of the knee in a way that is equivalent to a total meniscectomy. Therefore, repair is increasingly favored for meniscal root tears. In our study, we aimed to investigate the clinical and radiological outcomes of meniscal root repairs with suture anchors. Materials and Methods: Patients who had undergone surgery for medial meniscus posterior root tear (MMPRT) using suture-anchors between 2018 and 2023 were retrospectively analyzed. Patients were excluded if they had a previous infection, a fracture and an operation on the same knee, or osteoarthritis and a follow-up period under one year. The MMPRTs were classified according to the LaPrade classification system. For the functional classification, the range of motion (ROM), the Visual Analog Scale (VAS), the Lysholm Knee Score (LKS), and the International Knee Documentation Committee (IKDC) Subjective Knee Form were used for the postoperative functional assessments. The radiological assessment was performed by measuring the medial meniscus extrusion (MME) and evaluating the signal changes in the magnetic resonance imaging (MRI) of the knee, which was recorded during the last follow-up examination. Results: Thirty-two patients (6M\/26F) were included in the study. The mean age was 49.9 \u00b1 5.4 years old, and the follow-up period was 29.6 \u00b1 24.1 months. The LKS improved from 53.7 \u00b1 6.9 to 83.6 \u00b1 5.2 and the IKDC improved from 46.1 \u00b1 6.9 to 83.0 \u00b1 5.5 at the final follow-up control (p &lt; 0.001 and p &lt; 0.001). The VAS score decreased from 8.4 \u00b1 0.5 to 2.5 \u00b1 0.9 (p &lt; 0.001). The MRI scan of the knee performed at the last follow-up examination showed no improvement in only one patient. While the MME before surgery was 5.0 \u00b1 2.1 mm, it was 4.6 \u00b1 2.1 mm at the last follow-up examination (p = 0.178). An increase in the Kellgren\u2013Lawrence stage was observed in 4 of our patients (from stage 1 to stage 2 in one patient, from stage 0 to stage 1 in 3 patients). Conclusions: The results of this study suggest that repairing MMPRTs using suture-anchors is a valid solution for treatment and prevention in patients with poor prognoses in order to achieve positive results in reducing pain, restoring mobility, improving functional outcomes and avoiding a significant increase in progression to arthrosis.<\/jats:p>","DOI":"10.3390\/jcm14238272","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T11:04:31Z","timestamp":1763723071000},"page":"8272","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Arthroscopic All-Suture Anchor Repair of Medial Meniscus Posterior Root Tears Without a Posteromedial Portal: Clinical Improvement and Healing Despite Persistent Extrusion"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8495-3161","authenticated-orcid":false,"given":"Murat","family":"A\u015fci","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, School of Medicine, Bilecik Seyh Edebali University, 11230 Bilecik, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yavuz","family":"\u015eahbat","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Bah\u00e7e\u015fehir Liv Hospital, 34517 \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3782-5535","authenticated-orcid":false,"given":"Mete","family":"Gedikba\u015f","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, School of Medicine, Bilecik Seyh Edebali University, 11230 Bilecik, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4640-8955","authenticated-orcid":false,"given":"Utkan","family":"Sobay","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, K\u0131r\u0131kkale Y\u00fcksek \u0130htisas Hospital, 71300 K\u0131r\u0131kkale, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3627-7055","authenticated-orcid":false,"given":"F\u0131rat","family":"Erpala","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, \u00c7e\u015fme Alper \u00c7izgenakat State Hospital, 35950 \u0130zmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9052-0031","authenticated-orcid":false,"given":"Taner","family":"G\u00fcne\u015f","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Ac\u0131badem Eski\u015fehir Hospital, 26130 Eski\u015fehir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Floyd, E.R., Rodriguez, A.N., Falaas, K.L., Carlson, G.B., Chahla, J., Geeslin, A.G., and LaPrade, R.F. 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