{"doi":"10.1016/j.arthro.2025.04.014","title":"Patient‐Reported Outcomes Measurement Information System Captures Clinically Meaningful Improvement After Transtibial Pull‐Out Repair of Medial Meniscal Posterior Root Tears: 2‐Year Outcomes","abstract":"PURPOSE: To (1) establish cohort-specific minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) thresholds for Patient-Reported Outcomes Measurement Information System (PROMIS) values and legacy knee-specific patient-reported outcome measures (PROMs) after isolated medial meniscal posterior root tear (MMPRT) repair using the transtibial pull-out repair technique; (2) determine achievement rates; and (3) analyze correlations among scores. METHODS: Patients undergoing primary isolated MMPRT transtibial pull-out repair with preoperative and minimum 2-year postoperative data were analyzed. PROMs included the PROMIS-Pain Interference (PI) score, PROMIS-Physical Function (PF) score, PROMIS-Depression (D) score, Knee Injury and Osteoarthritis Outcome Score Jr (KOOS Jr), and International Knee Documentation Committee (IKDC) score. Paired 2-tailed Student t tests evaluated PROM changes from preoperatively to postoperatively, with the level of significance at P < .05. MCID thresholds were determined using the distribution-based method, whereas PASS thresholds were anchor based. Pearson correlation coefficients were used to compare PROM scores. RESULTS: Sixty-eight patients (mean age, 57.2 ± 9.7 years; 75.0% female sex; mean body mass index, 32.2 ± 6.1) were included and followed up for 32.9 ± 10.6 months. From preoperatively to final follow-up, all PROMs significantly improved (P < .05). The MCID thresholds and achievement rates were 6.5 and 63%, respectively, for the PROMIS-PF score; -5.7 and 69%, respectively, for the PROMIS-PI score; -4.8 and 50%, respectively, for the PROMIS-D score; 10.5 and 87%, respectively, for the IKDC score; and 10.3 and 75%, respectively, for the KOOS Jr. The PASS thresholds and rates were 47.8 and 59%, respectively, for the PROMIS-PF score; 53.6 and 54%, respectively, for the PROMIS-PI score; 40.5 and 49%, respectively, for the PROMIS-D score; 67.7 and 66%, respectively, for the IKDC score; and 72.3 and 66%, respectively, for the KOOS Jr. The strongest correlations were observed between the PROMIS-PI score and the KOOS Jr (r = -0.687) and IKDC score (r = -0.660). The PROMIS-D score showed the weakest correlations with the KOOS Jr and IKDC score (r = 0.395 and r = -0.399, respectively). Knee-specific PROMs showed a strong correlation with each other (r = 0.710). CONCLUSIONS: This study establishes cohort-specific MCID and PASS thresholds for the PROMIS subscale scores, IKDC score, and KOOS Jr at a minimum 2-year follow-up after isolated transtibial pull-out MMPRT repair. At 2 years, the MCID and PASS were achieved by 63% and 59% of patients, respectively, for the PROMIS-PF score; 69% and 54%, respectively, for the PROMIS-PI score; and 50% and 49%, respectively, for the PROMIS-D score. For the IKDC score and KOOS Jr, the MCID rates were 87% and 75%, respectively, and the PASS rates were 66% and 66%, respectively. LEVEL OF EVIDENCE: Level IV, retrospective case series.","journal":"Arthroscopy The Journal of Arthroscopic and Related Surgery","year":2025,"id":521008,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":5,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.937,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1390878,"name":"Felicitas Allende","orcid":"0000-0001-9319-2571","position":1,"is_corresponding":false},{"id":1391305,"name":"Myles Atkins","orcid":null,"position":2,"is_corresponding":false},{"id":791069,"name":"Johnathon R. McCormick","orcid":"0000-0002-1344-7886","position":3,"is_corresponding":false},{"id":286516,"name":"Adam B. Yanke","orcid":"0000-0002-9601-4217","position":4,"is_corresponding":false},{"id":286518,"name":"Brian J. Cole","orcid":"0000-0002-4006-2113","position":5,"is_corresponding":false},{"id":286517,"name":"Nikhil N. Verma","orcid":"0000-0001-9875-2769","position":6,"is_corresponding":false},{"id":286519,"name":"Jorge Chahla","orcid":"0000-0002-9194-1150","position":7,"is_corresponding":false},{"id":1237029,"name":"José Rafael García","orcid":"0000-0003-1092-3899","position":0,"is_corresponding":true}],"reference_count":67,"raw_metadata":null,"created_at":"2026-07-19T02:49:32.958846Z","pmid":"40268070","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}