title: All-inside meniscal repair surgery: factors affecting the outcome.
abstract: BACKGROUND
  Meniscal injury is currently a well-recognized source of knee dysfunction. While it would be ideal to repair all meniscus tears, the failure rate is significantly high, although it may be reduced by careful selection of the patients. Our objective was to assess the outcome of meniscal repair surgery and the role of simultaneous reconstruction of the anterior cruciate ligament (ACL).
  
  
  METHODS
  Retrospectively, all consecutive patients between January 2008 and 2011 who underwent meniscal repair were included. Patients were identified using the hospital database with diagnosis and procedure codes. Patient notes were reviewed, including details of the type of tear, chronicity, location, and surgery. We used symptomatic resolution as the outcome measure.
  
  
  RESULTS
  136 Meniscal repairs were performed in 122 patients with a mean age of 26.8 years. Mean follow-up duration was 9 months. 63 % of the patients underwent medial and 37 % underwent lateral meniscal repair, with failure rates of 19 % for medial and 12 % for lateral menisci. Ligament injuries were found in 61 % of the patients (n = 83). Failure of meniscal repair occurred in 14.5 % (n = 12) of the patients who had early ACL reconstruction and in 27 % (n = 22) of the patients who had delayed ACL reconstruction (p = 0.0006). The failure rate was found to be 13 % in patients who were younger than 25 years (61 %) and 15 % in patients who were older than 25 years (39 %).
  
  
  CONCLUSIONS
  The success rate of meniscal repair was found to be significantly better when ACL reconstruction was performed simultaneously with meniscal repair.
  
  
  METHODS
  Level IV.
authors.affiliation: University Hospital of North Staffordshire, Stoke-on-Trent, ST4 6QG, UK, haroonmajeed@gmail.com.
authors.forename: Haroon
authors.initials: H
authors.lastname: Majeed
authors.forename: SaravanaVail
authors.initials: S
authors.lastname: Karuppiah
authors.forename: Kohila Vani
authors.initials: KV
authors.lastname: Sigamoney
authors.forename: Guido
authors.initials: G
authors.lastname: Geutjens
authors.forename: Robert G
authors.initials: RG
authors.lastname: Straw
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001182:Arthroscopy; D002648:Child; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D053441:Suture Anchors; D000070600:Tibial Meniscus Injuries; D061665:Time-to-Treatment; D016896:Treatment Outcome; D055815:Young Adult