Knee Surg Relat Res.  2019 Mar;31(1):1-11. 10.5792/ksrr.17.078.

A Systematic Review and Meta-Analysis of Arthroscopic Meniscus Repair in Young Patients: Comparison of All-Inside and Inside-Out Suture Techniques

• Kang DG
• Park YJ
• Yu JH
• Oh JB
• Lee DY

• KMID: 2446714
• DOI: http://doi.org/10.5792/ksrr.17.078

Abstract

PURPOSE
The purposes of the present study were to review published studies that investigated arthroscopic meniscus repair to treat meniscus injury in young patients and to compare all-inside and inside-out suture techniques.
METHODS
Various electronic databases were queried for published articles, and this search was updated in August 2017 for evaluating the outcomes of arthroscopic meniscus surgery in young patients. Data search, extraction, analysis, and quality assessment were performed according to the Cochrane Collaboration guidelines, and the clinical outcomes were evaluated using various outcome values in young patients according to suture techniques.
RESULTS
Three randomized controlled trials and three prospective comparative studies were included in this systematic review and meta-analysis. There were no significant differences in clinical outcomes such as meniscus healing rate (risk ratio [RR], 1.11; 95% confidence interval [CI], 0.90 to 1.37; I²=39%) and perioperative complications (RR, 0.62; 95% CI, 0.23 to 1.72; I²=43%) between all-inside and inside-out techniques for meniscus repair.
CONCLUSIONS
The present study shows favorable results for clinical outcomes such as meniscus healing rate and perioperative complications in young patients. Furthermore, based on our results, both all-inside and inside-out meniscal suture techniques are equally effective in these patients.

Keyword

Knee; Meniscus; Tear; Repair; Suture technique

MeSH Terms

Cooperative Behavior
Humans
Knee
Prospective Studies
Suture Techniques*
Sutures*
Tears