Medial Meniscal Ramp Tears in Patients With Anterior Cruciate Ligament Tears Undergoing Reconstruction: A Surgically Relevant Classification System Based on Tear Morphology.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] Conflict of interest statement: Disclosures The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: S.T. reports a consulting relationship with Smith & Nephew. R.S. reports a consulting relationship with Smith & Nephew and Arthrex. C.M.L. reports that a family member has a consulting or advisory relationship with Smith & Nephew and Ossur Americas, receives funding grants from Smith & Nephew and Ossur Americas, and receives royalties from Ossur, Smith & Nephew, and Elsevier. In addition, C.M.L. receives educational support from Foundation Medical and Evolution Surgical. R.F.L. reports a consulting or advisory relationship with Smith & Nephew and Ossur Americas; receives funding grants from Smith & Nephew and Ossur Americas; and receives royalties from Ossur, Smith & Nephew, and Elsevier. All other authors (L.V.T., E.L.S.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. 16. Medicine (Baltimore). 2022 Jan 14;101(2):e28557. doi: 10.1097/MD.0000000000028557. Comparative clinical outcomes of different therapies for traumatic meniscal tears in adults: A protocol for systematic review and network meta-analysis. Hou JH(1), Gong YL, Ma P, Chen X, Dong WT, Liu JJ, Liu BJ, Zhang CM. Author information: (1)Department of Sports Medicine, Affiliated Hospital of Gansu University of Traditional Chinese Medicine, Lanzhou, China. BACKGROUND: Meniscus tears are usually classified as degenerative or traumatic tears according to their pathogenesis. At present, traumatic meniscal tears are generally believed to have high healing potential. In recent years, multiple treatments have been described for traumatic meniscal tears, such as the inside-out technique, outside-in technique, all-inside technique, biological augmentation of meniscal repair, meniscectomy, and non-surgical treatment. However, the functional recovery of the knee joint and healing of the meniscus after treatment are quite different from the results reported in the literature, which requires more reliable evidence-based medical findings. This study will evaluate evidence from multiple types of research comparing different therapies for traumatic meniscal tears in adults. METHODS: We will search the EMBASE, Cochrane Library (the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials [CENTRAL], Cochrane Methodology Register), PubMed, Web of Science (Science and Social Science Citation Index), China Knowledge Network, CBM, Wanfang data, and VIP electronic databases from their inception to August 10, 2021, with no language restrictions. We will also manually search Baidu and Google Scholar to identify randomized controlled studies, non-randomized controlled studies, and cohort studies on the treatment of traumatic meniscal tears. Two researchers will independently screen the literature, extract the data, and evaluate the quality of the studies. Software programs, including Microsoft Access, Excel, Stata (Version 15), WinBUGS (Version 1.4.3), and ADDIS (Version 1.16.8), were used to analyze and manipulate the data. RESULTS: In this study, the main outcomes were physical function and healing rate, based on the Western Ontario and McMaster Universities Osteoarthritis Index, Lysholm Knee Scoring Scale, Knee Injury and Osteoarthritis Outcome Score, Functional Recovery Scale, and clinical healing rate. The secondary indexes included total cost, cost-effectiveness ratio, incremental cost-effectiveness ratio, Tegner activity scale score, visual analogue scale, numerical rating scale, and meniscal tear complications. CONCLUSIONS: This systematic review will provide reliable evidence-based findings for the clinical application of different therapies for traumatic meniscal tears in adults. Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. DOI: 10.1097/MD.0000000000028557 PMCID: PMC8757970