Arthroscopic all-inside wrapping repair of lateral meniscus bucket-handle tears: clinical and imaging outcomes
Abstract Purpose This study aimed to assess the clinical and radiographic healing rates of the arthroscopic all-inside wrapping repair technique for lateral meniscus bucket-handle tears (LMBHTs). Methods This retrospective study examined patients diagnosed with LMBHTs who underwent all-inside wrappi...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-025-05489-6 |
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| author | Kun-Hui Chen Hsuan-Hsiao Ma Alisan Fu Hsin-Yi Wang Hsiao-Li Ma En-Rung Chiang |
| author_facet | Kun-Hui Chen Hsuan-Hsiao Ma Alisan Fu Hsin-Yi Wang Hsiao-Li Ma En-Rung Chiang |
| author_sort | Kun-Hui Chen |
| collection | DOAJ |
| description | Abstract Purpose This study aimed to assess the clinical and radiographic healing rates of the arthroscopic all-inside wrapping repair technique for lateral meniscus bucket-handle tears (LMBHTs). Methods This retrospective study examined patients diagnosed with LMBHTs who underwent all-inside wrapping repair with or without anterior cruciate reconstruction between 2012 and 2021. Patients with previous knee surgeries, multiligamentous knee injuries, or advanced osteoarthritis were excluded. Clinical follow-up was at least 2 years. Clinical healing was defined as no reoperation of LMBHTs following initial repair and the absence of symptoms related to the LMBHT during follow-up. Postoperative clinical outcomes were assessed using the International Knee Documentation Committee (IKDC) score. At 6 months postoperatively, the healing of the repaired meniscus was evaluated using Henning’s criteria through magnetic resonance imaging (MRI). Results Of the 34 patients included, two required re-operation for a re-tear of the BHT, resulting in a clinical healing rate of 94.1% (95% confidence interval [CI]: 82.9–99.2%) at a mean follow-up of 4.2 years. Among the remaining 32 patients, the mean postoperative IKDC score was 83.7 ± 8.2 (range, 70–95). MRI evaluations at 6 months postoperatively revealed complete healing in 64.7% (22/34; 95% CI: 47.9–79.5%), partial healing in 23.5% (8/34), and failure to heal in 12.5% (4/34, including the two re-tear cases). Subgroup analyses indicated no significant difference in the IKDC scores between patients with complete healing and those with partial healing on MRI (85.5 ± 7.9 vs. 82.3 ± 8.5; p = 0.53). Future studies with larger cohorts and stratified analyses are needed to explore potential predictors of healing outcomes. Conclusions The all-inside wrapping repair technique demonstrated favorable outcomes in patients with lateral BHTs and can be used as a viable alternative. |
| format | Article |
| id | doaj-art-bf20e256277e415dba3a3e2f8aa823b1 |
| institution | Kabale University |
| issn | 1749-799X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj-art-bf20e256277e415dba3a3e2f8aa823b12025-02-02T12:34:09ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-01-012011910.1186/s13018-025-05489-6Arthroscopic all-inside wrapping repair of lateral meniscus bucket-handle tears: clinical and imaging outcomesKun-Hui Chen0Hsuan-Hsiao Ma1Alisan Fu2Hsin-Yi Wang3Hsiao-Li Ma4En-Rung Chiang5Department of Orthopaedics and Traumatology, Taipei Veterans General HospitalDepartment of Orthopaedics and Traumatology, Taipei Veterans General HospitalDepartment of Orthopaedics and Traumatology, Taipei Veterans General HospitalDepartment of Surgery, School of Medicine, National Yang Ming Chiao Tung UniversityDepartment of Orthopaedics and Traumatology, Taipei Veterans General HospitalDepartment of Orthopaedics and Traumatology, Taipei Veterans General HospitalAbstract Purpose This study aimed to assess the clinical and radiographic healing rates of the arthroscopic all-inside wrapping repair technique for lateral meniscus bucket-handle tears (LMBHTs). Methods This retrospective study examined patients diagnosed with LMBHTs who underwent all-inside wrapping repair with or without anterior cruciate reconstruction between 2012 and 2021. Patients with previous knee surgeries, multiligamentous knee injuries, or advanced osteoarthritis were excluded. Clinical follow-up was at least 2 years. Clinical healing was defined as no reoperation of LMBHTs following initial repair and the absence of symptoms related to the LMBHT during follow-up. Postoperative clinical outcomes were assessed using the International Knee Documentation Committee (IKDC) score. At 6 months postoperatively, the healing of the repaired meniscus was evaluated using Henning’s criteria through magnetic resonance imaging (MRI). Results Of the 34 patients included, two required re-operation for a re-tear of the BHT, resulting in a clinical healing rate of 94.1% (95% confidence interval [CI]: 82.9–99.2%) at a mean follow-up of 4.2 years. Among the remaining 32 patients, the mean postoperative IKDC score was 83.7 ± 8.2 (range, 70–95). MRI evaluations at 6 months postoperatively revealed complete healing in 64.7% (22/34; 95% CI: 47.9–79.5%), partial healing in 23.5% (8/34), and failure to heal in 12.5% (4/34, including the two re-tear cases). Subgroup analyses indicated no significant difference in the IKDC scores between patients with complete healing and those with partial healing on MRI (85.5 ± 7.9 vs. 82.3 ± 8.5; p = 0.53). Future studies with larger cohorts and stratified analyses are needed to explore potential predictors of healing outcomes. Conclusions The all-inside wrapping repair technique demonstrated favorable outcomes in patients with lateral BHTs and can be used as a viable alternative.https://doi.org/10.1186/s13018-025-05489-6Lateral meniscus repairBucket-handle tearAll-inside wrapping repairn |
| spellingShingle | Kun-Hui Chen Hsuan-Hsiao Ma Alisan Fu Hsin-Yi Wang Hsiao-Li Ma En-Rung Chiang Arthroscopic all-inside wrapping repair of lateral meniscus bucket-handle tears: clinical and imaging outcomes Journal of Orthopaedic Surgery and Research Lateral meniscus repair Bucket-handle tear All-inside wrapping repairn |
| title | Arthroscopic all-inside wrapping repair of lateral meniscus bucket-handle tears: clinical and imaging outcomes |
| title_full | Arthroscopic all-inside wrapping repair of lateral meniscus bucket-handle tears: clinical and imaging outcomes |
| title_fullStr | Arthroscopic all-inside wrapping repair of lateral meniscus bucket-handle tears: clinical and imaging outcomes |
| title_full_unstemmed | Arthroscopic all-inside wrapping repair of lateral meniscus bucket-handle tears: clinical and imaging outcomes |
| title_short | Arthroscopic all-inside wrapping repair of lateral meniscus bucket-handle tears: clinical and imaging outcomes |
| title_sort | arthroscopic all inside wrapping repair of lateral meniscus bucket handle tears clinical and imaging outcomes |
| topic | Lateral meniscus repair Bucket-handle tear All-inside wrapping repairn |
| url | https://doi.org/10.1186/s13018-025-05489-6 |
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