Indian Journal of Orthopaedics最新文献

{"title":"Mechanical Axis Deviation Angle Versus Hip-Knee-Ankle Angle in Total Knee Arthroplasty: Correlation and Reliability.","authors":"Vikram A Mhaskar, Rachit Saggar, Jitendra Maheshwari, Satyabrat Karan","doi":"10.1007/s43465-025-01434-1","DOIUrl":"10.1007/s43465-025-01434-1","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the relationship between the Mechanical Axis Deviation Angle (MAD-A) and Hip-Knee-Ankle angle (HKA) in total knee arthroplasty (TKA), and to compare their inter-observer reliability.</p><p><strong>Methods: </strong>MAD-A and HKA measurements were obtained for 108 consecutive knees (57 patients, age, 63.0 ± 4.2 years) undergoing primary TKA from February 2018 to February 2019. Measurements were taken preoperatively and 6 weeks postoperatively using long-leg radiograph, and 3 days postoperatively using CT scanogram. MAD-A was measured as the angle between the femoral mechanical axis (line from the center of the femoral head to the center of the knee) and the overall limb mechanical axis (line from the center of the femoral head to the center of the ankle). This angle specifically quantified the angular deviation of the femoral mechanical axis from the ideal limb mechanical axis. Three independent observers performed measurements for reliability testing.</p><p><strong>Results: </strong>Bland-Altman analysis revealed consistent differences between measurements, with MAD-A demonstrating lower values compared to HKA (mean differences - 1.4° to - 6.2°), representing approximately 43-54% of HKA values. MAD-A and HKA showed strong positive correlations at all time-points (<i>r</i> > 0.97, <i>p</i> < 0.001). Inter-observer reliability was superior for MAD-A (ICC > 0.99) compared to HKA (ICC 0.966-0.988). Mean HKA improved from - 11.5° ± 6.0° to - 2.6° ± 2.6° at 6 weeks, while MAD-A improved from -5.3° ± 2.8° to - 1.2° ± 1.1° (both <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>MAD-A demonstrated strong correlation with HKA and superior inter-observer reliability in assessing coronal alignment in TKA. These findings suggest that MAD-A could serve as a complementary tool to HKA in alignment assessment. Further research is needed to establish normative values across knee pathologies.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 8","pages":"1193-1199"},"PeriodicalIF":1.1,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Vitamin D Deficiency and Adverse Events Following Shoulder Surgeries: A Systematic Review and Meta-analysis.","authors":"Dimitrios V Papadopoulos, Athanasios Kontogiannis, Nikolaos Stavropoulos, Vasileios N Nikolaou, George C Babis","doi":"10.1007/s43465-025-01424-3","DOIUrl":"10.1007/s43465-025-01424-3","url":null,"abstract":"<p><strong>Background and objectives: </strong>The impact of Vitamin D deficiency on postoperative outcomes following orthopaedic surgeries has been a topic of great interest over the past decade. We aimed to investigate whether vitamin D deficiency is associated with an increased rate of adverse events following rotator cuff repairs (RCR) and total shoulder arthroplasties (TSA).</p><p><strong>Materials and methods: </strong>PUBMED and SCOPUS databases were searched from February to May 2023 for studies investigating the association between vitamin D deficiency and adverse events following RCR and TSA. Studies were eligible for inclusion if they: (1) were observational cohort studies or case-control studies, (2) included preoperative Vitamin D levels or ICD-9/ICD-10 codes appropriate for Vitamin D deficiency, (3) provided an effect estimate with its Odds Ratio (OR) and 95% confidence intervals (CI), (4) were available in English. Adverse events included rotator cuff retears following RCR, and revision surgeries for any reason following RCR or TSA. Publication bias was assessed using Begg's and Egger's tests. Data from eligible studies was extracted and pooled OR with 95% CI were calculated using STATA version 15.</p><p><strong>Results: </strong>Four publications were included, reporting 4 independent cohort studies with > 41,000 subjects. Vitamin D deficient patients were 1.2 times more likely to experience adverse events following RCR or TSA than those without Vitamin D deficiency (OR: 1.23, 95% CI: 1.14-1.34, <i>p</i> < 0.001). The subgroup analysis of studies evaluating only RCRs revealed that the likelihood of adverse events following RCR was higher in vitamin D deficient patients than those without vitamin D deficiency (OR: 1.19, 95% CI: 1.09-1.29, <i>p</i> = 0.019).</p><p><strong>Conclusions: </strong>Vitamin D deficiency accounts for higher rates of adverse events following RCR and TSA. However, further research is required to identify the underlying pathophysiology involved in this association between Vitamin D deficiency and adverse events following shoulder surgeries.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 8","pages":"1255-1264"},"PeriodicalIF":1.1,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Calcific Myonecrosis: Case Report of a Rare Clinical Presentation and Literature Review.","authors":"Vikas Maheshwari, Danish V, Vikas Olkha, Mohit Dhingra, Cury Sharma, Anil Regmi","doi":"10.1007/s43465-025-01428-z","DOIUrl":"https://doi.org/10.1007/s43465-025-01428-z","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Calcific myonecrosis is a rare entity characterized by coagulative and liquefactive necrosis with calcifications of the entire muscle mass of the involved compartment secondary to post-traumatic compartment syndrome. There is limited literature on the rare disease with technical difficulties and pitfalls of operative procedures in these patients.</p><p><strong>Presentation of case: </strong>A 52-year-old male presented with complaints of swelling over his right leg with discharging sinus over the past 2 years following a surgical intervention. He was diagnosed as a case of calcific myonecrosis based on history and clinico-radio-histological correlation and was managed successfully with en bloc excision with vacuum-assisted closure (VAC) of wound.</p><p><strong>Clinical discussion: </strong>A rare musculoskeletal condition is characterized by muscle necrosis and extensive calcification within a limb compartment, typically following post-traumatic compartment syndrome involving muscle and neurovascular structures. Diagnosis relies heavily on radiological findings, such as calcifications and adjacent bone erosions, while histopathology is crucial to exclude malignancy. A high index of clinical suspicion is essential for timely identification.</p><p><strong>Conclusion: </strong>Calcific myonecrosis requires a multi-factorial approach to reach to a diagnosis, with ruling out the differentials and proper preoperative plan are the key to success. If un-infected, it is a \"Touch me not disease\"; however, through debridement or en-mass excision of compartment with VAC therapy should be considered for infected cases.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 7","pages":"1000-1006"},"PeriodicalIF":1.1,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial IOA Special Edition.","authors":"Ashish Babhulkar, Saseendar Shanmugsundaram, Nitesh Gahlot","doi":"10.1007/s43465-025-01397-3","DOIUrl":"https://doi.org/10.1007/s43465-025-01397-3","url":null,"abstract":"","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 6","pages":"709"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Autologous Platelet-Rich Plasma for the Treatment of Ankle Sprain: A Systematic Review of Literature with Limited Meta-Analysis.","authors":"Sumit Banerjee, Shalini Mishra, Rajesh Kumar Rajnish, Sandeep Kumar Yadav, Saurabh Gupta, Abhay Elhence","doi":"10.1007/s43465-025-01418-1","DOIUrl":"https://doi.org/10.1007/s43465-025-01418-1","url":null,"abstract":"<p><strong>Background: </strong>Lateral ankle sprains are common among active individuals and, if not managed properly, can result in recurrent sprains, chronic instability, and post-traumatic ankle osteoarthritis. Standard treatment includes physical therapy and a brief period of rest, followed by early functional rehabilitation. Autologous platelet-rich plasma, which is rich in growth factors, has demonstrated promising healing responses in acute ankle sprains. This systematic review assessed the current evidence regarding the efficacy and adverse events associated with autologous PRP injection in acute ankle sprain injuries.</p><p><strong>Method: </strong>This systematic review adhered to PRISMA guidelines. An electronic search was performed across PubMed, Embase, Scopus, and Cochrane Library using specific keywords. Eligible studies comprised prospective or retrospective comparisons of autologous PRP injection versus control for acute ankle sprain injuries reported in English.</p><p><strong>Results: </strong>Three randomized controlled trials and one prospective comparative study met the inclusion criteria, involving 85 ankle injuries in 84 autologous PRP injection groups and 57 ankle injuries in 56 patients in the control group. Autologous PRP injection provided superior short-term pain relief, functional outcomes, and an earlier return to activity and sports, as well as improved radiological outcomes compared to the control group. However, during the follow-up period, both groups exhibited comparable results in terms of Visual Analog Scale (VAS) scores and functional outcomes, with no reported adverse events. A meta-analysis of limited data for VAS and American Orthopaedic Foot and Ankle Society scores demonstrated comparable outcomes between the two groups.</p><p><strong>Conclusion: </strong>Autologous PRP injection appears to play a beneficial role in acute ankle sprains by reducing pain, expediting return to play, and enhancing function, with no reported adverse events.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 7","pages":"910-919"},"PeriodicalIF":1.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Intermittent Teriparatide Facilitate Supraphysiological-Rate Distraction Osteogenesis? A Feasibility Study in the Rabbit Tibial Lengthening Model.","authors":"Siddhartha Sharma, John Khing, Navin Kumar, Ram Naresh, Pravir Sihota, Mandeep S Dhillon, Sameer Aggarwal, Pebam Sudesh","doi":"10.1007/s43465-025-01420-7","DOIUrl":"https://doi.org/10.1007/s43465-025-01420-7","url":null,"abstract":"<p><strong>Background: </strong>Intermittent teriparatide administration is known to accelerate and promote bone healing. We wanted to investigate if intermittent teriparatide administration could facilitate supraphysiological-rate distraction osteogenesis (DO) in the rabbit tibial lengthening model without compromising on the regenerate quality.</p><p><strong>Methods: </strong>24 New Zealand white rabbits underwent tibial lengthening of 10 mm by distraction osteogenesis and were divided into two groups. Group A (<i>n</i> = 12) underwent DO at the physiological (standard) rate of 0.75 mm per day and Group B (<i>n</i> = 12) underwent DO at the supraphysiological (accelerated) rate of 1.5 mm per day. Subgroups A1 and B1 received intermittent teriparatide, whereas subgroups A2 and B2 received saline as the vector control. The latency period (7 days) was equal in both groups. The consolidation phase was 2.5 times the distraction phase. Outcome parameters included mortality, number of failures of DO, regenerate volume, bone mineral density and strength of the regenerate as determined by the three-point bending test parameters (stiffness, work to failure and ultimate load to failure).</p><p><strong>Results: </strong>There was one mortality in each group. Failure of distraction osteogenesis was noted in one animal in groups A1, A2 and B1, and four animals in Group B2. Kaplan-Meir survival analysis revealed significantly higher failures in Group B2 (log-rank test <i>P</i> value = 0.02). ANOVA revealed significant difference in regenerate stiffness (<i>P</i> = 0.04) among the four groups. However, the total volume, bone mineral density, work to failure and ultimate load to failure parameters were not significantly different among the four groups.</p><p><strong>Conclusion: </strong>This feasibility study provides proof of concept of using teriparatide to accelerate distraction osteogenesis to supraphysiological levels, without compromising on the regenerate quality.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 7","pages":"982-989"},"PeriodicalIF":1.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Removal of Metalwork After Lisfranc Fracture-Dislocation Internal Fixation: A Retrospective Study from a Major Trauma Centre with More Than 2 Years of Follow-Up.","authors":"Sherif Ahmed Kamel, Mayur Mohan, Wagih Moussa, Syed Anjum","doi":"10.1007/s43465-025-01416-3","DOIUrl":"https://doi.org/10.1007/s43465-025-01416-3","url":null,"abstract":"<p><strong>Purpose: </strong>Lisfranc injuries are considered rare but significant injuries. There are debates about the best treatment approach, and removal of metalwork is one of them. This study aims to compare the functional outcomes and complications of patients who had the removal of metalwork after Lisfranc fixation and those who retained it.</p><p><strong>Materials and methods: </strong>This study was a retrospective review of patients admitted from 01/01/2017 to 31/07/2020 at University Hospitals of Southampton NHS Foundation Trust, UK, who had internal fixation for Lisfranc injuries. Group A were patients who had retained metalwork, and group B were patients who had metalwork removed. In subgroup B1, removal of metalwork was planned, whilst this was unplanned in subgroup B2. The primary outcome was the Manchester-Oxford Foot Questionnaire (MOXFQ) at the final follow-up. The secondary outcome was the rate of complications.</p><p><strong>Results: </strong>Initial search showed 124 patients. Forty-two patients were included in the study after the exclusion. The average age was 44.6 years (range 19-77 years; SD 15.4). The average follow-up was 57 months (range 33-78 months; SD 14). Eighteen patients (43%) responded to the final telephone appointments for MOXFQ. There was no statistically significant difference in all domains and the Index of MOXFQ between both groups. Relative risks were 0.16 to 2.38 across the range of complications, but none of them was statistically significant <i>(p</i> = 0.14-0.86).</p><p><strong>Conclusion: </strong>We conclude that there was no functional difference between removal and retention of metalwork in Lisfranc fracture dislocation. We recommend removal of metalwork only if indicated. Close follow-up is necessary for the patients to assess the potential complications.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 7","pages":"973-981"},"PeriodicalIF":1.1,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Usefulness of the Alpha-Defensin Lateral Flow Test in the Diagnosis of Prosthetic Infection: A Retrospective Cohort Study.","authors":"Monica Galipienso-Eri, Marta Baraldés-Canals, Andrés Aliaga-Martínez, Alejandro Hernández","doi":"10.1007/s43465-025-01409-2","DOIUrl":"10.1007/s43465-025-01409-2","url":null,"abstract":"<p><strong>Background/purpose: </strong>Periprosthetic joint infection (PJI) accounts for up to 25% of failed total knee arthroplasties and 15% of the hips. The ICM18 established the criteria for the diagnosis, and the alpha-defensin lateral flow test (ADLT) was included within minors. This study aims to analyze the behavior of the ADLT, assessing its PPV and NPV for the diagnosis of PJI at two surgical times.</p><p><strong>Methods: </strong>One hundred fifty procedures were selected and grouped according to the first (1stS) or the second stage (2ndS) of replacement. The joint fluid was divided into 1 mL for cell count, 3 mL for microbiological culture analysis, and 0.5 mL for <i>Synovasure</i>® Test.</p><p><strong>Results: </strong>The prevalence was 52.9% for 1stS and 7.1% for 2ndS. The negative predictive value (NPV) was 59.3% for the 1stS group and 96.3% for the 2ndS.</p><p><strong>Conclusion: </strong>Our results confirm that a negative result during the 1stS is less reliable than a negative result during the 2ndS. ADLT is a rapid test with a high capacity to confirm infection, but a low ability to rule it out. Thus, it is useful for a second stage of septic replacement to avoid the placement of a new implant when there is infection persistence.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 8","pages":"1187-1192"},"PeriodicalIF":1.1,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-Stage Revision for Treatment of Prosthetic Joint Infection in Total Hip Arthroplasty.","authors":"H Humphries, W Wignadasan, A Fontalis, A Alsheddi, M Shaeir, F S Haddad","doi":"10.1007/s43465-025-01405-6","DOIUrl":"10.1007/s43465-025-01405-6","url":null,"abstract":"<p><p>Total hip arthroplasty (THA) is a highly successful procedure for managing hip osteoarthritis, with increasing numbers performed yearly. Prosthetic joint infection (PJI) is a devastating complication which remains one of the leading causes of implant failure and is increasing in prevalence, resulting in significant morbidity, mortality, and economic burden. Traditional management of PJI has relied on two-stage revision, but recent evidence suggests that single-stage revision may be an effective alternative for select patients. This review looks at the pathogenesis, diagnosis and classification of PJI in THA, and examines the current literature on single-stage revision for PJI in THA, including its indications, surgical technique, and clinical outcomes. Indication of the procedure is determined by the patient comorbidities and biology, and micro-organism characteristics. The surgical technique involves the removal of infected implants, thorough debridement, and reimplantation of a new prosthesis within the same procedure. Single-stage revision is associated with reduced hospital stays, lower costs, and improved patient satisfaction compared to two-stage revision. While successful eradication of infection depends on factors such as host immunity, pathogen virulence, and soft tissue viability, studies have demonstrated comparable or superior infection-free survival rates for single-stage revision. Recent advances in microbiological diagnostics, biofilm disruption techniques, and multidisciplinary perioperative management have further enhanced the efficacy of single-stage revision. Despite some contraindications, including highly resistant organisms and severe soft tissue compromise, high-volume centers have expanded their indications with promising results. As the demand for THA continues to rise, optimizing PJI treatment strategies is critical. This review highlights the growing role of single-stage revision as a viable and cost effective approach for managing PJI in carefully selected patients.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 7","pages":"901-909"},"PeriodicalIF":1.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suprapectoral Biceps Tenodesis for Isolated SLAP Tears in Competitive Athletes Yields High Return to Sport Rates: Prospective Cohort Study of 50 Athletes.","authors":"Manit Arora, Jay Shah, Smit Prajapati","doi":"10.1007/s43465-025-01387-5","DOIUrl":"10.1007/s43465-025-01387-5","url":null,"abstract":"<p><strong>Introduction: </strong>Surgical treatment of isolated SLAP tears has traditionally been SLAP repair, however, persistent pain, low return to sport rates and biological healing issues have led to newer treatment options. Biceps tenodesis has recently shown lower post-operative pain scores, higher return to sport and better functional outcome scores compared to SLAP repairs. The purpose of the present study was to assess the functional outcomes and return to sport for athletes undergoing suprapectoral biceps tenodesis.</p><p><strong>Methods: </strong>Institutional ethics approval was obtained from the institutional ethics review board prior to initiation of the study. Athletes presenting to the shoulder clinic with clinical and radiological evidence of isolated SLAP tears were recruited for the study prospectively between January 2023 and October 2023. Patients were assessed using functional outcome measures (UCLA and Constant scores) and pain measure (VAS score) for six months duration. Return to sport and return to sport at pre-injury level were also assessed.</p><p><strong>Results: </strong>Pain and functional outcome scores improved significantly over the study duration with maximal improvement in the first three months post-surgery approaching near maximum scores. Between the third and six-month follow-up a plateau phase is described. All patients returned to sport after surgery with average RTS at 5.2 ± 1.1 months post-surgery with 82% returning to sport at a pre-injury level.</p><p><strong>Conclusion: </strong>Biceps tenodesis is a safe and reproducible procedure for the treatment of isolated SLAP tears in athletes. The present study, the first of its kind for Indian athletes, shows that biceps tenodesis has excellent functional outcomes and a high rate of return to sport.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 6","pages":"833-839"},"PeriodicalIF":1.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}