Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Patient-Reported Outcomes Differentially Worsen in Patients With Greater Obesity Classes After Hip Arthroscopy","authors":"Gregory Perraut M.D. ,&nbsp;Madison Thompson B.A. ,&nbsp;Emily Krisanda M.D. ,&nbsp;Seleem Elkadi M.D. ,&nbsp;Shankar Thiru B.A. ,&nbsp;Danny Chamaa B.A. ,&nbsp;Evan Michaelson M.D. ,&nbsp;William Postma M.D.","doi":"10.1016/j.asmr.2024.101072","DOIUrl":"10.1016/j.asmr.2024.101072","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the association between obesity classification and patient-reported outcomes (PROs) in hip arthroscopy.</div></div><div><h3>Methods</h3><div>This retrospective cohort study included patients who underwent hip arthroscopy and completed at least 1 preoperative and corresponding postoperative PRO—the modified Harris Hip Score (mHHS), visual analog pain scale (VAS), or Veterans RAND 12 (VR-12)—between December 2018 and August 2023. Exclusion criteria included previous ipsilateral hip surgery, incomplete or missing PROs, missing body mass index (BMI) data, follow-up &lt;2 weeks, inflammatory arthritis, hip dysplasia, or avascular necrosis. Nonobesity was defined as BMI &lt;30 and obesity as BMI ≥30, further classified as class I/II (BMI 30-40) or class III (BMI ≥40). Significance was set at alpha = 0.05.</div></div><div><h3>Results</h3><div>In total, 349 cases were included in this study. Average BMI was 25.87 and age was 34.42 years. 65% of patients were female. In total, 288 patients (82.5%) did not have obesity and 61 patients (17.5%) had obesity. In the obesity group, 3 patients (4.9%) were defined as having class III obesity. Compared with baseline, patients without obesity demonstrated significant improvements across all 4 PROs at every time point. Similarly, patients classified with class I/II obesity showed significant improvement in the VAS, HHS, and VR-12 Physical but not in the VR-12 Mental score. Patients with class III obesity did not experience any improvement in PROs after 4 weeks and had significantly worse scores compared with both patients with class I/II obesity and patients without obesity at every time point.</div></div><div><h3>Conclusions</h3><div>Although patients without obesity consistently demonstrated significant improvements across all 4 PROs, outcomes for patients with obesity varied depending on the severity of obesity. Patients with class I/II obesity showed intermittent improvements, with significant gains in some PROs but not all. In contrast, patients with class III obesity did not experience any significant lasting improvements in outcomes after hip arthroscopy.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective cohort study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101072"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Greater Detail Is Needed When Reporting Schenck Knee Dislocation V Injuries in the Orthopaedic Literature: A Systematic Review","authors":"Aaron J. Marcel M.S. ,&nbsp;Sarah Levitt B.S. ,&nbsp;Joshua S. Green M.D. ,&nbsp;Jay Moran M.D. ,&nbsp;Peter Jokl M.D. ,&nbsp;Robert C. Schenck M.D. ,&nbsp;Daniel C. Wascher M.D. ,&nbsp;Michael J. Alaia M.D. ,&nbsp;Michael J. Medvecky M.D.","doi":"10.1016/j.asmr.2024.101046","DOIUrl":"10.1016/j.asmr.2024.101046","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine how knee dislocations (KDs) with associated periarticular fractures classified using the Schenck KD V subcategory are reported in the literature.</div></div><div><h3>Methods</h3><div>PubMed, Cumulative Index to Nursing and Allied Health Literature, and Scopus were queried in January 2024. Studies were included if full-text articles in English were available, the Schenck KD classification system was used, and Schenck KD class V was mentioned. The exclusion criteria were as follows: studies in which the Schenck KD classification system was used but only KD classes I to IV were mentioned; systematic reviews, meta-analyses, review articles, commentaries, surgical technique articles, or animal studies; or studies in which pediatric patients were included. Studies were systematically examined for details regarding the descriptions of KD V injuries, including fracture and ligament tear patterns.</div></div><div><h3>Results</h3><div>Seventy-four studies met the inclusion criteria. Of these 74 studies, 45 (60.8%) provided no description of either the ligament tear or fracture patterns that were present in KD V injuries. Fifty-two studies (70.3%) provided no description of the ligament tear patterns and 51 studies (68.9%) provided no description of the fracture patterns associated with KD V injuries. Only 16 of 74 studies (21.6%) included descriptions of ligament tear patterns and fractures present in KD V injuries.</div></div><div><h3>Conclusions</h3><div>Descriptions of Schenck KD class V are poorly represented in the orthopaedic literature.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level II to IV studies.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101046"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Elevated Instability Resolution Angle Predicts Inferior Patient-Reported Outcomes in Isolated Medial Patellofemoral Ligament Reconstruction","authors":"Zachary Wang B.S.,&nbsp;Daniel Kaplan M.D.,&nbsp;Navya Dandu M.D.,&nbsp;Erik Haneberg B.S.,&nbsp;Kevin Credille M.D., M.S.,&nbsp;Tristan Elias M.D.,&nbsp;Nikhil Verma M.D.,&nbsp;Brian J. Cole M.D., M.B.A.,&nbsp;Adam B. Yanke M.D., Ph.D.","doi":"10.1016/j.asmr.2024.101066","DOIUrl":"10.1016/j.asmr.2024.101066","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the prognostic utility of an examination under anesthesia (EUA) by evaluating the patient-reported outcome scores (PROs) and failure rates of patients undergoing primary, isolated medial patellofemoral ligament reconstruction (MPFLR) relative to their EUA findings.</div></div><div><h3>Methods</h3><div>A retrospective review was performed on patients who underwent primary, isolated MPFLR between August 2015 and August 2021. During the EUA the instability resolution angle (IRA) was identified by applying a lateral force on the patella through increasing knee flexion and defined by the degree of flexion the patella ceased lateral translation. PROs, including International Knee Documentation Committee (IKDC), Knee Injury and Osteoarthritis Outcome Score Jr, and Kujala, were collected at 1-year and 2-year minimum after surgery. In addition, MPFLR failure was recorded and defined by patellar redislocation.</div></div><div><h3>Results</h3><div>In total, 94 patients met inclusion criteria, with 42 patients having an IRA &lt;60° and 52 patients with an IRA ≥60° of knee flexion. At 2-year minimum follow-up, IKDC and Kujala PROs were significantly lower in patients with IRA ≥60° compared with patients with IRA &lt;60° for both final and delta PROs. Mean tibial tubercle-trochlear groove distance examined on preoperative magnetic resonance imaging was 17.21 ± 5.00 mm for the IRA ≥60° cohort and 14.36 ± 4.89 mm for the IRA &lt;60° cohort (<em>P &lt;</em> .01). Four patients redislocated their patella, and all 4 had an IRA ≥60° (<em>P =</em> .07).</div></div><div><h3>Conclusions</h3><div>Patients who underwent isolated MPFLR with an IRA ≥60° had significantly lower IKDC and Kujala scores than similar patients with IRA &lt;60° of knee flexion at 2-year minimum follow-up. Four (7.7%) patients with IRA ≥60° redislocated their patella, whereas zero patients with IRA &lt;60° experienced redislocation.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective cohort study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101066"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultra-High Molecular Weight Polyethylene Suture and Tape Show Similar Biomechanical Properties in Inside-Out Repair of Lateral Meniscus Tears in a Porcine Model","authors":"José Leonardo Rocha de Faria M.D., M.Sc. Ph.D. ,&nbsp;Igor Farias de Araújo M.D. ,&nbsp;Arthur Paiva Grimaldi Santos M.Sc. ,&nbsp;Mariana Radulski M.D. ,&nbsp;Douglas Mello Pavão M.D., M.Sc. Ph.D. ,&nbsp;Ari Digiacomo Ocampo More M.D., M.Sc. Ph.D. ,&nbsp;Alan de Paula Mozella M.D., M.Sc. Ph.D. ,&nbsp;Geraldo da Rocha Motta Filho M.D., M.Sc. ,&nbsp;João Antonio Matheus Guimarães M.D., Ph.D. ,&nbsp;Rodrigo Salim M.D., Ph.D. ,&nbsp;Carlos Rodrigo de Mello Roesler Ph.D.","doi":"10.1016/j.asmr.2024.101071","DOIUrl":"10.1016/j.asmr.2024.101071","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare the stiffness, laxity, and failure rate of ultra-high molecular weight polyethylene (UHMWPE) suture to suture tape measuring 0.15 × 1 mm used in 2 vertical inside-out suture points for the treatment of longitudinal meniscal lesions.</div></div><div><h3>Methods</h3><div>Twenty-eight porcine knees were selected for this controlled biomechanical evaluation in a laboratory setting. The knees were divided into 2 groups: group S (vertical inside-out meniscal sutures using UHMWPE suture) and group T (vertical inside-out meniscal sutures using UHMWPE tape). A 1.5-cm longitudinal lesion was created in the lateral meniscus, followed by 2 vertical sutures on the femoral surface of the meniscus. Biomechanical analyses were performed using a testing machine, including cyclic loading tests and load-to-failure tests.</div></div><div><h3>Results</h3><div>Stiffness at the 5th cycle was 21.1 ± 1.8 N/mm for group T and 19.2 ± 2.0 N/mm for group S (<em>P</em> = .013). At the 30th cycle, stiffness was 26.1 ± 2.5 N/mm for group T and 23.1 ± 2.4 N/mm for group S (<em>P</em> = .003). At ultimate load to failure, stiffness was 26.5 ± 1.6 N/mm for group CS and 25.0 ± 1.6 N/mm for group T (<em>P</em> = .918). The results showed no significant difference in lesion widening after cyclic testing or in load-to-failure between the 2 groups.</div></div><div><h3>Conclusions</h3><div>Both the meniscal suture tape and the ultra-high strength suture exhibit similar biomechanical behaviors under radial loads, making both viable options for meniscal repair. The suture tape demonstrated significantly greater stiffness during the test cycles, which can offer more stable initial fixation. However, the actual differences were small, which limits the clinical relevance of the findings.</div></div><div><h3>Clinical Relevance</h3><div>The findings of this study provide evidence that, compared with UHMWPE suture, suture tape may offer superior initial stability, which is crucial for the healing process of meniscal tissue.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101071"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Persistent Gender Disparity in Authorship of Arthroscopic Surgery Research","authors":"Uma Balachandran BA,&nbsp;Auston R. Locke MPH,&nbsp;Niklas H. Koehne BA,&nbsp;Charu Jain BA,&nbsp;Camila Vicioso BA,&nbsp;Jiwoo Park BA,&nbsp;Katrina S. Nietsch MS,&nbsp;Alexis C. Colvin MD","doi":"10.1016/j.asmr.2025.101076","DOIUrl":"10.1016/j.asmr.2025.101076","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine how the gender of the first and last authors of annual meeting abstracts and journal articles from a related source have changed between 2012 and 2022.</div></div><div><h3>Methods</h3><div>All abstracts and original research articles published from 2012 to 2022 were extracted from the websites of The Arthroscopy Association of North America and <em>Arthroscopy: The Journal of Arthroscopic and Related Surgery</em>, respectively. The full names of first and last authors were analyzed with the validated Genderize algorithm. Analyses were performed to evaluate authorship of abstracts and articles.</div></div><div><h3>Results</h3><div>Of 850 abstracts, 845 (99.4%) had an identifiable first-author gender and 843 (99.2%) had an identifiable last-author gender. The proportion of female first authors increased from 9.2% in 2012 to 15.2% in 2022, whereas the proportion of female last authors decreased from 13.5% in 2012 to 12.3% in 2022. Of 4,811 articles, 4,744 (98.6%) had an identifiable first author gender and 4,767 (99.1%) had an identifiable last author gender. The proportion of female first authors increased from 10.4% in 2012 to 16.8% in 2022, whereas the proportion of female last authors decreased from 19.0% in 2012 to 9.1% in 2022. For both abstracts and articles, the gender of the last author was not significantly associated with the presence of a female first author.</div></div><div><h3>Conclusions</h3><div>Between 2021 and 2022, there was a significant increase in the proportion of female first authors of both abstracts and articles examined in this study. However, a similar increase was not seen among last authors.</div></div><div><h3>Clinical Relevance</h3><div>It is important to examine gender representation among authors who publish arthroscopic research to understand how a greater balance may be achieved.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101076"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevention and Rehabilitation of the Athletic Hamstring Injury","authors":"Adriana Geraci P.T., D.P.T. ,&nbsp;Delaney Mahon P.T., D.P.T. ,&nbsp;Eric Hu B.S. ,&nbsp;Jesus E. Cervantes B.S. ,&nbsp;Shane J. Nho M.D., M.S.","doi":"10.1016/j.asmr.2024.101021","DOIUrl":"10.1016/j.asmr.2024.101021","url":null,"abstract":"<div><div>Hamstring injuries are a common occurrence in both recreational and competitive athletes. Professional athletes have an increased incidence of hamstring-related injuries because most of these injuries are often attributed to movements involving forceful and rapid hamstring lengthening. The incidence of hamstring injuries is particularly high in professional baseball players, likely due to the high-speed running and frequent transition from static standing to dynamic movements inherent to the sport itself. To improve an athlete’s ability to return to sport and minimize days off due to injury, a programmed rehabilitation program combining a range of training parameters that ensure the athlete can work near the limit of their capacity while concurrently allowing sufficient time for the injured tissue to heal is essential. The purpose of this article is to summarize the different features and evaluation of hamstring injuries in athletes, highlight evidence-based rehabilitation interventions, and identify preventative strategies to effectively and efficiently treat athletes, particularly baseball players, with hamstring injuries.</div></div><div><h3>Level of Evidence</h3><div>Level V, expert opinion.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101021"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic Warm-ups Play Pivotal Role in Athletic Performance and Injury Prevention","authors":"Derek Sople P.T., D.P.T., O.C.S.,&nbsp;Reg B. Wilcox III P.T., D.P.T., M.S., M.B.A., O.C.S.","doi":"10.1016/j.asmr.2024.101023","DOIUrl":"10.1016/j.asmr.2024.101023","url":null,"abstract":"<div><div>Dynamic warm-ups (DWs) are being increasingly used before athletic performance because of their perceived potential to promote readiness to play, enhance performance, and reduce injury across the recreational and elite athlete populations. There has been widespread adoption of warm-ups before athletic activity and evolving literature suggesting best practices including the role of static versus dynamic stretching and combination of pre-performance activities. DWs have gained traction as a preferred warm-up approach over static stretching because of the increased potential to improve athletic performance and reduce injury by enhancing the musculoskeletal, neurologic, cardiovascular, and psychological systems before performance. In this article, we aim to discuss the physiological and potential athletic performance benefits of DWs, key differences compared with prior widely adopted pre-activity static stretching, injury reduction benefits, and recommendations for implementing DWs into pre–athletic performance activities including crucial components of a multifaceted sport-specific approach.</div></div><div><h3>Level of Evidence</h3><div>Level V, expert opinion.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101023"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Most Patients Report Acceptable Knee Function, Satisfaction, and Clinical Outcomes at a Minimum Ten Years After Quadriceps Free Tendon Anterior Cruciate Ligament Reconstruction","authors":"Cory Hewitt M.D. ,&nbsp;Regina Kostyun Ph.D., A.T.C. ,&nbsp;John P. Fulkerson M.D. ,&nbsp;Matthew E. Shuman M.D. ,&nbsp;Clifford G. Rios M.D.","doi":"10.1016/j.asmr.2024.101062","DOIUrl":"10.1016/j.asmr.2024.101062","url":null,"abstract":"<div><h3>Purpose</h3><div>To describe the long-term outcomes of anterior cruciate ligament reconstruction (ACLR) with quadriceps-free tendon autograft (QFT) in terms of subjective function, clinical outcomes, and knee satisfaction.</div></div><div><h3>Methods</h3><div>A retrospective chart review design with prospective descriptive survey was used to determine clinical and subjective outcomes for patients treated with a QFT-ACLR from 2000 to 2013. Patients with multiligament reconstructions were excluded. The primary outcomes were clinical outcomes (reinjury of indexed knee, ACL injury to contralateral knee after indexed surgery), subjective function (International Knee Documentation Committee subjective score, Lysholm score), knee satisfaction (single assessment numeric evaluation), and global health and wellbeing (Patient-Reported Outcomes Measurement Information System Global-10).</div></div><div><h3>Results</h3><div>In total, 34 patients were contacted (average: 18.2 years, range: 10-23 years) after surgery (response rate, 17.3%). The mean age at time of surgery was 32.3 ± 11.1 years, and 50.4 ± 11.6 years at follow-up. For clinical outcomes, 23.5% of patients reported a reinjury of their QFT reconstructed ACL. Contralateral ACL injuries were reported in 17.6% of patients. No differences in subjective function and knee satisfaction were identified between patients with and without concomitant procedure at the time of surgery. Nearly two-thirds of patients reported strong mental health and physical function on the PROMIS Global Health.</div></div><div><h3>Conclusions</h3><div>This study presents a minimum of 10-year follow-up on QFT-ACLR, revealing 74% of patients reporting no reinjury, 67% of patients reporting acceptable-exceptional subjective knee function, and 74% indicating better physical and mental health compared to the general population. No differences were observed in knee function or satisfaction scores among patients who underwent a concomitant cartilage procedure at the time of QFT-ALCR with patients without these concomitant injuries.</div></div><div><h3>Level of Evidence</h3><div>Level IV, therapeutic case-series.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101062"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"External Fixator Application, 2-Stage Procedures, and Postoperative Infection Risk Are Higher in Multiligamentous Knee Injuries After Frank Knee Dislocations","authors":"Adam V. Daniel M.D.,&nbsp;Taylor A. Johnson M.D.,&nbsp;Katherine F. Druskovich M.D.,&nbsp;Warren A. Williams M.D.,&nbsp;Daniel Miller M.D.,&nbsp;Stanley J. Kupiszewski M.D.","doi":"10.1016/j.asmr.2024.101070","DOIUrl":"10.1016/j.asmr.2024.101070","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine outcomes after surgical treatment of multiligamentous knee injuries (MLKIs) in patients with dislocated versus non-dislocated knees.</div></div><div><h3>Methods</h3><div>Patients who were surgically treated for MLKIs between 2008 and 2021 were included in this study. Patients were divided into 2 groups: those with a frank knee dislocation (KD), diagnosed by radiographs or reduction notes in the emergency department, and those without a frank KD (non-KD). The following patient-reported outcome measures were collected: visual analog scale for pain, International Knee Documentation Committee subjective score, and Lysholm knee scoring scale. Additional procedures such as revision ligamentous reconstruction and complications such as infection and arthrofibrosis were also obtained.</div></div><div><h3>Results</h3><div>A total of 88 patients (88 knees; 36 KD vs 52 non-KD) were included in the final analysis. This study included 30 female and 58 male patients, and the mean age was 34.3 ± 12.7 years (range, 10-61 years). The mean follow-up period for the patients who did not receive revision surgery was 9.2 years (range, 3.4-15.3 years). There were no differences in age, sex, mechanism of injury, meniscal/chondral injury, or neurovascular status between the groups. Furthermore, there were no differences in visual analog scale, International Knee Documentation Committee, or Lysholm scores. Significantly more patients in the KD group showed higher KD grades (KD III–KD V, 29 [81%] vs 21 [40%]; <em>P</em> &lt; .001), and significantly more KD I injuries were observed in the non-KD group (48.1% vs 11.1%, <em>P</em> &lt; .001). More patients in the KD group underwent staged procedures (69.4% vs 28.8%, <em>P</em> &lt; .001) and had external fixators applied (50% vs 5.8%, <em>P</em> &lt; .001). The overall complication rate was comparable between groups, with no differences in revision surgery or arthrofibrosis; however, the KD group had a higher postoperative infection rate (16.7% vs 1.9%, <em>P</em> = .017).</div></div><div><h3>Conclusions</h3><div>Patients who experienced frank KDs showed an increased odds of receiving external fixation, showed an increased odds of undergoing a staged procedure, had higher grades of injury, and had a higher risk of postoperative infection compared with those without KDs. At final follow-up, no differences in patient-reported outcomes were noted between the 2 groups.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective cohort study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101070"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-Term Preoperative Nonsteroidal Anti-inflammatory Drug Use Does Not Impact Revision Rate After Repair of Rotator Cuff, Achilles, Distal Biceps, or Quadriceps Tendon","authors":"Romir Parmar B.S. ,&nbsp;Sailesh V. Tummala M.D. ,&nbsp;Alejandro Holle B.S. ,&nbsp;Jose Iturregui M.D. ,&nbsp;Alexander J. Hoffer M.D. ,&nbsp;John M. Tokish M.D.","doi":"10.1016/j.asmr.2024.101034","DOIUrl":"10.1016/j.asmr.2024.101034","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine whether long-term preoperative nonsteroidal anti-inflammatory drug (NSAID) use affected the revision rates after primary tendon repair for the following common sports medicine surgical procedures: rotator cuff repair (RCR), Achilles tendon repair (ATR), distal biceps repair (DBR), or quadriceps tendon repair (QTR).</div></div><div><h3>Methods</h3><div>A retrospective comparative study using a national insurance database was performed. Patients who underwent major tendon repair, including RCR, ATR, DBR, or QTR, with at least 2-year follow-up were identified. Those who had a diagnosis of long-term NSAID use prior to the index operation were identified and matched 1:4 to controls without NSAID use based on age, sex, specific tendon repaired, and Elixhauser Comorbidity Index. The revision repair rates of the 2 groups were compared.</div></div><div><h3>Results</h3><div>A total of 36,068 patients underwent major tendon repair. Of these, 7,246 (20%) met the long-term NSAID use criteria prior to tendon repair (NSAID users). After RCR, 3.2% of NSAID users (n = 190) and 2.6% of controls (n = 617) underwent revision surgery within 2 years (odds ratio [OR], 1.15; 95% confidence interval [CI], 0.97-1.36; <em>P</em> = .10). After ATR, NSAID users had a revision rate of 3.9% (n = 24) versus 2.5% (n = 62) in the control cohort (OR, 1.47; 95% CI, 0.89-2.38; <em>P</em> = .12). After DBR, both NSAID users and controls had fewer than 11 revision cases (OR, 1.54; 95% CI, 0.49-4.16; <em>P</em> = .42). After QTR, the revision rate was 5.9% (n = 30) for NSAID users compared with 4.8% (n = 95) for the control group (OR, 1.22; 95% CI, 0.77-1.86; <em>P</em> = .38). None of the observed differences in revision rates between NSAID users and controls were significant.</div></div><div><h3>Conclusions</h3><div>Patients with a diagnosis of and coding for long-term preoperative NSAID use do not have greater revision rates within 2 years of primary tendon repair than patients without this diagnosis.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective case-control study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101034"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}