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Research Snapshot

Long-Term Outcome After Arthroscopic Meniscal Repair Versus Arthroscopic Partial Meniscectomy for Traumatic Meniscal Tear

July 6, 2022 – MeniscusTears.com
Read full study here

Study Purpose

This study was conducted to learn whether patients with traumatic meniscal tears have better long-term outcomes if their meniscus is repaired versus partially removed.

Participants

This study involved 81 patients with meniscal tears. Prior to their injuries, some participated in recreational sports 5 or more times a week (“athletes”), while others were less active.

Outcomes

Patients in the two groups (meniscus repair and partial meniscus removal) were compared based on three outcomes: osteoarthritis progression, ability to play sports at a pre-injury level, and knee function.

Timeframe

Outcomes were compared between the two groups at two different points following their surgeries: after 2 to 5 years (“mid-term”), and again after 5 to 8 years (“long-term”).

Main Findings

  • Success rate after meniscal repair was 86% vs. 90% for partial meniscus removal
  • Mid-term outcomes for all patients: Both the meniscus repair and removal groups showed similar results in osteoarthritis progression, return to pre-injury sports activity level, and knee function.
  • Long-term outcomes for all patients:
  • A higher percentage of patients in the repair group (81%) had no progression in osteoarthritis than those in the removal group (40%)
  • Nearly all patients in the repair group (96%) regained their pre-injury sports activity level vs. half of the patients in the removal group
  • No significant difference between the repair and removal groups in knee function
  • Outcomes for athletes: At both mid-term and long-term time-points, more patients in the repair group (over 94%) regained their pre-injury sports activity level compared to the removal group (around 50%). For patients 30 years and younger, meniscus repair also slowed osteoarthritis progression compared to partial removal.

Key Message

This study shows that arthroscopic meniscal repair offers better long-term results in terms of preventing osteoarthritic progression and regaining sports activity than partial meniscus removal.

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Dr. Justin Saliman, a seasoned knee orthopedic surgeon, invented the Edison Award winning “Novo Stitch Pro Meniscal Repair System” to arthroscopically sew back all meniscus tear types – including those previously considered difficult or impossible to sew.

 

Minimally-invasive, the system involves a “Circumferential Stitching Technique” that has proven superior to traditional meniscus repair techniques. As a result, patients heal pain and dysfunction while preventing arthritis and knee surgical replacement in the long-term.

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    About Dr. Justin Saliman

    Justin D. Saliman, MD, located in Beverly Hills, is a Stanford sports medicine trained orthopaedic surgeon operating out of Cedars-Sinai Hospital in Los Angeles.

     

    He is the founder of Ceterix® Orthopaedics and the inventor of the NovoStitch® Pro Meniscal Repair System, which was acquired by a large medical device company called Smith & Nephew in 2019.

    The device was granted FDA approval in 2012 and Dr. Saliman has been using it to preserve knee joints ever since.

     

    Nobody has more experience sewing meniscus tears
    back together than Dr. Saliman.

     

    He is specialized in joint preserving minimally invasive techniques to repair injuries to the knee to prevent arthritis and the need for joint replacement later in life.

    Dr. Saliman completed a sports medicine fellowship at Stanford University in Palo Alto, California, where he cared for the San Francisco 49ers and the athletic teams at Santa Clara and Stanford Universities.

    Prior to his fellowship, he completed his orthopaedic surgery residency at the prestigious St. Luke’s-Roosevelt Hospital Center of Columbia University in New York City. He earned his medical degree at the University of Colorado School of Medicine outside his hometown of Denver.

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    8436 W 3rd Street
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      Get the best treatment for your knee.

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      8436 W 3rd Street
      Los Angeles, CA 9004812

      Get the best treatment for your knee.

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