Knee Surg Relat Res  
A Systematic Review and Meta-Analysis of Arthroscopic Meniscus Repair in Young Patients: Comparison of All-Inside and Inside-Out Suture Techniques
Dong-Geun Kang, MD1, Young-Jin Park, MD2, Jae-Ha Yu, MD3, Jong-Byung Oh, MD3, and Dong-Yeong Lee, MD3
1Department of Orthopaedic Surgery, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Changwon; 2Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju; 3Department of Orthopaedic Surgery, The Armed Forces Daegu Hospital, Gyeongsan, Korea
Correspondence to: Dong-Yeong Lee, MD
Department of Orthopaedic Surgery, The Armed Forces Daegu Hospital, Daegyeong-ro 425-41, Hayang-eup, Gyeongsan 38427, Korea
Tel: +82-53-750-1777, Fax: +82-53-854-0822
E-mail: whatttary@hanmail.net
Received: October 13, 2017; Revised: January 15, 2018; Accepted: February 19, 2018; Published online: November 29, 2018.
© Korean Knee Society. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords: Knee, Meniscus, Tear, Repair, Suture technique


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