Arthroscopic outside-in suture technique versus all-inside suture technique for patients with meniscus injury: A Meta-Analysis

doi:10.3877/cma.j.issn.2096-0263.2022.02.007

Abstract

Abstract:

Objective

To provide evidence-based basis for the surgery option by comparing the efficacy and safety of arthroscopic outside-in suture technique versus all-inside suture technique for meniscus injury.

Methods

Articles which compared two suture techniques published in PubMed, EMbase, Cochrane library, Web of Science, CNKI, Wan Fang Data, CQVIP and CBM were retrieved from January 1990 to December 2020. Methodological quality of the trials was critically assessed. Relevant data were extracted to Meta-analysis by Review Manager 5.3. Results Eight articles were enrolled in this study, including 1 English article and 7 Chinese articles. A total of 664 patients were investigated, including 329 patients in arthroscopic outside-in suture technique and 335 patients in arthroscopic all-inside suture technique.

Results

showed that a statistical significance was found in the rate of postoperative complications [OR=4.42, 95% CI(1.26, 15.48), P=0.02] and operation time[MD=9.74, 95% CI(7.75, 11.72), P<0.001]. The healing rate, postoperative Lysholm score, intraoperative blood loss, mean length of hospital stay and rate of postoperative abnormal signs (joint tenderness, joint lock and McMurray test) were not statistically significant.

Conclusions

Compared to arthroscopic outside-in suture technique for meniscus injury, arthroscopic all-inside suture technique reduced the rate of postoperative complications and shorten the operation time. Therefore, arthroscopic all-inside suture technique is recommended as the first choice for meniscus injury repair.

Key words: Meniscus injury, Arthroscopy, Outside-in, All-inside

Zhiqiang Dong, Lingan Huang, Fei Li, Gaige Wu, Pengcui Li, Xiaochun Wei. Arthroscopic outside-in suture technique versus all-inside suture technique for patients with meniscus injury: A Meta-Analysis[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2022, 08(02): 109-116.

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References 27

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纳入研究	发表年份	研究类型	样本量（例）		年龄（岁）		随访时间（月）	结局指标
纳入研究	发表年份	研究类型	外内组	全内组	外内组	全内组	随访时间（月）	结局指标
黄兴国等^[13]	2020	回顾性研究	86	90	54.36±6.33	56.31±6.99	未提及	⑤⑥⑦⑧
卢奇昊等^[14]	2018	回顾性研究	40	40	32.42±5.23	32.21±5.57	未提及	②⑤⑥⑦⑧
甘经岳等^[12]	2020	回顾性研究	33	33	36.10±2.90	36.30±2.80	未提及	⑤⑥
魏刚等^[15]	2017	回顾性研究	50	50	31.87±4.96	31.34±4.56	12-18	⑤⑥⑦⑧
山家玥等^[8]	2019	回顾性研究	16	15	35.06±11.37	32.67±12.08	6	①②⑤⑧
张宁等^[16]	2017	回顾性研究	43	43	未提及	未提及	6	①
房丽等^[11]	2019	回顾性研究	44	44	49.23±3.35	50.13±3.23	12	①②④
Hantes等^[17]	2006	前瞻性研究	17	20	28.50	25.00	22.5	①④

纳入研究	发表年份	研究类型	样本量（例）		年龄（岁）		随访时间（月）	结局指标
纳入研究	发表年份	研究类型	外内组	全内组	外内组	全内组	随访时间（月）	结局指标
黄兴国等^[13]	2020	回顾性研究	86	90	54.36±6.33	56.31±6.99	未提及	⑤⑥⑦⑧
卢奇昊等^[14]	2018	回顾性研究	40	40	32.42±5.23	32.21±5.57	未提及	②⑤⑥⑦⑧
甘经岳等^[12]	2020	回顾性研究	33	33	36.10±2.90	36.30±2.80	未提及	⑤⑥
魏刚等^[15]	2017	回顾性研究	50	50	31.87±4.96	31.34±4.56	12-18	⑤⑥⑦⑧
山家玥等^[8]	2019	回顾性研究	16	15	35.06±11.37	32.67±12.08	6	①②⑤⑧
张宁等^[16]	2017	回顾性研究	43	43	未提及	未提及	6	①
房丽等^[11]	2019	回顾性研究	44	44	49.23±3.35	50.13±3.23	12	①②④
Hantes等^[17]	2006	前瞻性研究	17	20	28.50	25.00	22.5	①④

研究内容	研究人群的选则				组间可比性	暴露因素的测定			总得分
研究内容	①	②	③	④	⑤	⑥	⑦	⑧	总得分
黄兴国等^[13]	1	1	1	1	2	1	0	0	7
卢奇昊等^[14]	1	1	1	1	2	1	0	0	7
甘经岳等^[12]	1	1	1	0	2	1	0	0	6
魏刚等^[15]	1	1	1	0	2	1	1	0	7
山家玥等^[8]	1	1	1	1	1	1	1	0	7
张宁等^[16]	1	1	1	1	1	1	0	0	6
房丽等^[11]	1	1	1	0	2	1	1	0	7
Hants等^[17]	1	1	1	0	2	1	1	1	8

研究内容	研究人群的选则				组间可比性	暴露因素的测定			总得分
研究内容	①	②	③	④	⑤	⑥	⑦	⑧	总得分
黄兴国等^[13]	1	1	1	1	2	1	0	0	7
卢奇昊等^[14]	1	1	1	1	2	1	0	0	7
甘经岳等^[12]	1	1	1	0	2	1	0	0	6
魏刚等^[15]	1	1	1	0	2	1	1	0	7
山家玥等^[8]	1	1	1	1	1	1	1	0	7
张宁等^[16]	1	1	1	1	1	1	0	0	6
房丽等^[11]	1	1	1	0	2	1	1	0	7
Hants等^[17]	1	1	1	0	2	1	1	1	8

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