Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Increased Risk of Patellofemoral Instability Events and Surgical Management in Patients With Joint Hypermobility Syndromes: A Matched Cohort Analysis.","authors":"Michael J Kutschke, J Alex Albright, Julia M Winschel, Elaine W He, Aristides I Cruz, Alan H Daniels, Brett D Owens","doi":"10.1016/j.asmr.2024.100995","DOIUrl":"https://doi.org/10.1016/j.asmr.2024.100995","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the odds of patellofemoral instability events requiring subsequent surgery and revision surgical intervention in patients with joint hypermobility syndromes (JHS) to that of a matched cohort.</p><p><strong>Methods: </strong>This is a retrospective cohort study using the PearlDiver Mariner Database. Records were queried between 2010 and 2021 with a diagnosis of JHS, including Ehlers-Danlos syndrome (EDS) and Marfan syndrome. Propensity matching was performed with a randomly generated control cohort without a diagnosis of JHS to account for age, sex, Charlson comorbidity index, diabetes, and obesity. Multivariable logistic regression was used to compare rates of patellar dislocation over a 1- and 2-year period between the 2 cohorts while controlling for previous knee injury or surgery. Patients who sustained a patellar dislocation over the 2-year period were followed to calculate rates of surgical intervention and subsequent revision.</p><p><strong>Results: </strong>In a population of 91,747, those with JHS experienced patellofemoral instability at a significantly increased rate at both a 1-year (adjusted odds ratio [aOR] 11.40; 95% confidence interval 9.23-14.25, <i>P</i> < .001) and 2-year (aOR 8.73; 7.36-10.44, <i>P</i> < .001) periods. The greatest risk was observed in patients with EDS at 1 year (aOR 16.32; 12.54-21.67, <i>P</i> < .001). Of those with an instability event, patients with JHS experienced a significantly increased rate of surgery at 1 year (aOR 3.20; 1.61-7.28, <i>P</i> = .002) and 2 years (aOR 3.18; 1.70-6.62, <i>P</i> < .001). Of those treated with surgery, there was no significant difference in the rates of revision surgical intervention between the JHS and control cohorts.</p><p><strong>Conclusions: </strong>Patients with JHS experienced significantly increased rates of patellofemoral instability and subsequent surgery. However, of those treated with surgery, there was no difference in rates of revision surgical intervention between those with or without joint hypermobility syndromes.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"100995"},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cumulative Impact Loading and Cartilage Synthesis Biomarkers May Be Associated With Injury Risk in Female Collegiate Basketball Players.","authors":"Julie P Burland, Michael Szymanski, Jeb Struder, Margaret Morrissey, Michelle Van Dyke, Christian Lattermann, Janelle Francisco, Cory M Edgar","doi":"10.1016/j.asmr.2024.100992","DOIUrl":"https://doi.org/10.1016/j.asmr.2024.100992","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate whether cumulative impact load and serum biomarkers are related to lower-extremity injury and to determine any impact load and cartilage biomarker relationships in collegiate female basketball athletes.</p><p><strong>Methods: </strong>This was a prospective longitudinal study evaluating lower-extremity impact load, serum cartilage biomarkers, and injury incidence over the course of a single collegiate women's basketball season. Data were collected from August 2022 to April 2023; no other follow-up after the cessation of the season was conducted in this cohort. Inclusion criteria for the study included collegiate women's basketball athletes, ages 18 to 25 years, who were noninjured at the start of the study time frame (August 2024). Cartilage synthesis (procollagen II carboxy propeptide and aggrecan chondroitin sulfate 846 epitope) and degradation (collagen type II cleavage) biomarkers were evaluated at 6 season timepoints. Impact load metrics (cumulative bone stimulus, impact intensity) were collected during practices using inertial measurement units secured to the distal medial tibiae. Injury was defined as restriction of participation for 1 or more days beyond day of initial injury. Cumulative impact load metrics were calculated over the week before any documented injury and blood draws for analysis. Point biserial and Pearson product moment correlations were used to determine the relationship between impact load metrics, serum biomarkers, and injury.</p><p><strong>Results: </strong>Eleven collegiate women's basketball athletes (height: 1.86 meters, mass: 82.0 kg, age: 20.54 years) participated. Greater medium-range (6-20 g) cumulative impact intensities during week 5 and 6 for both limbs (r = 0.674, <i>P</i> = .023) and high-range (20-200 g) during week 8 for both limbs (0.672, <i>P</i> = .024) were associated with injury. Greater cumulative bone stimulus was associated with increased procollagen II carboxy propeptide levels before conference playoffs for right (r = 0.694, <i>P</i> = .026) and left (r = 0.747, <i>P</i> = .013) limbs. Greater chondroitin sulfate 846 epitope levels at off-season-1 (r = 0.729, <i>P</i> = .017), and at the beginning of the competitive season (r = 0.645, <i>P</i> = .044) were associated with season-long injury incidence.</p><p><strong>Conclusions: </strong>In this study, we found that moderate-to-high intensity impacts (6-200 g) early in the season were associated with subsequent injury among female collegiate basketball players. Increased cartilage synthesis at various time points was correlated with increased cumulative bone stimulus metrics and season-long injury incidence in this population.</p><p><strong>Level of evidence: </strong>Level IV, prognostic case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"100992"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Snowboarding-Related Concussions and Musculoskeletal Injuries Decreased From 2012 to 2022.","authors":"Kyle K Obana, Avanish Yendluri, Mininder S Kocher, Theodore J Ganley, David P Trofa, Robert L Parisien","doi":"10.1016/j.asmr.2024.100990","DOIUrl":"https://doi.org/10.1016/j.asmr.2024.100990","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze mechanisms, diagnoses, and incidence of youth snowboarding-related injuries presenting to US emergency departments.</p><p><strong>Methods: </strong>Data from the National Electronic Injury Surveillance System were analyzed for pediatric snowboarding injuries (≤18 years old) from 2012 to 2022. Data were collected for mechanism of injury, diagnosis, location of injury, and disposition. National estimates (NEs) were calculated using the statistical sample weight of the corresponding hospital assigned by the National Electronic Injury Surveillance System. Linear regressions were used to analyze injuries over time.</p><p><strong>Results: </strong>In total, 3,036 (NEs = 120,140) pediatric snowboarding injuries were included in this study. Average age was 14.0 ± 2.7 years. The most common mechanism of injury was impact with the ground (NEs = 97,120, 80.8%). The most injured body parts were 719 wrists (NEs = 115,505, 96.1%), 580 heads (NEs = 22,258, 18.5%), and 381 shoulders (NEs = 17,269, 14.4%). The most common diagnoses were fractures (NEs = 48,886, 40.7%), strains/sprains (NEs = 22,948, 19.1%), and concussions (NEs = 12,553, 10.4%). Fractures primarily involved the wrist (NEs = 18,122, 37.1%), lower arm (NEs = 12,348, 25.3%), and shoulder (NEs = 9,073, 18.6%). From 2012 to 2022, there were average decreases of 1,051 overall injuries per year (<i>P</i> < .01), 299 fractures per year (<i>P</i> = .04), 298 strains/sprains per year (<i>P</i> < .01), and 143 concussions per year (<i>P</i> < .01). There were average decreases of 784 impact with ground injuries per year (<i>P</i> < .01), 161 not specified injuries per year (<i>P</i> < .01), and 42 impact with inanimate object injuries per year (<i>P</i> = .03) from 2012 to 2022.</p><p><strong>Conclusions: </strong>Pediatric snowboarding injuries demonstrated a large decline from 2012 to 2022. Fractures are the most common diagnosis, primarily affecting the wrist and shoulder. The head was the second most injured body part, and concussions were the third most common diagnosis.</p><p><strong>Clinical relevance: </strong>This study highlights decreasing injuries despite growing popularity of snowboarding, bringing to light the importance of protective equipment, on-site injury management, and implementation of clinics at resort bases.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"100990"},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neither Bone Marrow Aspirate Concentrate nor Platelet-Rich Plasma Improves Patient-Reported Outcomes After Surgical Management of Acetabular Labral Tears; However, Bone Marrow Aspirate Concentrate May Be Effective for Moderate Cartilage Damage: A Systematic Review.","authors":"Bilal S Siddiq, Riccardo Giorgino, Stephen M Gillinov, Jonathan S Lee, Kieran S Dowley, Nathan J Cherian, Scott D Martin","doi":"10.1016/j.asmr.2024.100991","DOIUrl":"https://doi.org/10.1016/j.asmr.2024.100991","url":null,"abstract":"<p><strong>Purpose: </strong>To (1) systematically assess which orthobiologic agents are being used in acetabular labral repairs and (2) report all available outcomes for patients undergoing operative management for labral repairs with orthobiologic agents.</p><p><strong>Methods: </strong>The PubMed, Embase, and Cochrane databases were queried in August 2023. Articles were included if they used an orthobiologic agent during hip arthroscopy for acetabular labral repair and reported functional outcomes. Each study was queried for demographic data, orthobiologic agent used, volume of agent used, imaging modality used to guide administration, follow-up period, and all reported outcomes. The following Boolean phrase was used to systematically search the current literature: ((Orthobiologics) OR (Platelet-rich plasma) OR (PRP) OR (Mesenchymal stem cells) OR (MSCs) OR (Hyaluronic acid) OR (Growth factors) OR (bone marrow aspirate) OR (BMAC)) AND (hip joint OR (acetabular labrum) OR (Chondrolabr∗ damage) OR (Chondrolabr∗ tear)) AND (outcome∗ OR function∗ OR PROM OR PRO OR arthr∗ OR image OR pain OR complication).</p><p><strong>Results: </strong>Three studies met the inclusion criteria and included 201 patients who received treatment with orthobiologic agents. Of these patients, 119 (59.7%) were women, with age ranging from 35 to 49 years. Ninety-seven patients (48.3%) received bone marrow aspirate concentrate (BMAC), and 104 (51.7%) received platelet-rich plasma (PRP). Both BMAC studies showed no significant improvements compared with controls; however, a subanalysis limited to patients with moderate cartilage damage who received BMAC showed significantly improved 2-year patient-reported outcome measures (International Hip Outcome Tool 33 score, 82.5 vs 69.5; <i>P</i> = .03). The one PRP study did not show significant improvements compared with controls. No complications were noted after either PRP or BMAC harvesting and application in any included study.</p><p><strong>Conclusions: </strong>Overall, BMAC and PRP do not significantly improve patient-reported outcome measures compared with controls. However, there is limited evidence that BMAC may help patients with moderate cartilage damage.</p><p><strong>Level of evidence: </strong>Level III, systematic review of Level II and III studies.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"100991"},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Randomized Controlled Trials for Platelet-Rich Plasma Use in Knee Osteoarthritis Rarely Report Key Sociodemographic Patient Variables: A Scoping Review.","authors":"Jacob L Kotlier, Amir Fathi, Cailan L Feingold, Eric H Lin, Albert Yang, Darryl Payton, Cory K Mayfield, Joseph N Liu, Frank A Petrigliano","doi":"10.1016/j.asmr.2024.100988","DOIUrl":"https://doi.org/10.1016/j.asmr.2024.100988","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the characteristics and rate of sociodemographic variables reported in randomized controlled trials (RCTs) studying platelet-rich plasma (PRP) injections in the treatment of knee osteoarthritis (OA).</p><p><strong>Methods: </strong>In January 2024, PubMed, Scopus, and Web of Science databases were queried for the phrase \"Platelet-Rich Plasma Knee Osteoarthritis.\" Included studies were RCTs investigating PRP use in knee OA published in English between 2012 and 2023. Each RCT was inspected for patient age and sex or gender as well as the following sociodemographic variables: race, ethnicity, insurance status, income, housing status, work status, and education. Data were presented in a descriptive fashion and analyzed using χ² test and Fisher's exact test to compare 2 and 3 categorical variables, respectively, with significance defined as <i>P</i> < .05.</p><p><strong>Results: </strong>From 2012 through 2023, 71 RCTs met inclusion criteria. Included publications reported both age and sex or gender in 71/71 papers (100%). Reporting rates for other sociodemographic variables were as follows: race (3/71, 4.23%), work status (5/71, 7.04%), and education (3/71, 4.23%). No studies included the ethnicity, insurance status, income, or housing status of the enrolled patients. There was no difference in reporting sociodemographic variables by journal (<i>P</i> = .083) or by year of publication (<i>P</i> = .340). Sociodemographic variables were reported significantly less frequently than age and sex or gender (<i>P</i> < .001).</p><p><strong>Conclusions: </strong>In this study, we found that age and sex or gender are always reported in RCTs of PRP use for knee OA. However, other sociodemographic variables, such as race, work status, and education, that may be important to understand are rarely reported.</p><p><strong>Clinical relevance: </strong>Sociodemographic variables may affect outcomes in knee osteoarthritis. It is important to understand which of these variables are most studied and which variables are most overlooked. This will help us better understand the quality of the available information.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"100988"},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hip Arthroscopy After Total Hip Arthroplasty Is Rare (0.04%) and May be Contralateral.","authors":"Caitlin A Orner, Michael B Banffy","doi":"10.1016/j.asmr.2024.100987","DOIUrl":"https://doi.org/10.1016/j.asmr.2024.100987","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the patient demographics and incidence of hip arthroscopy after total hip arthroplasty using the PearlDiver database.</p><p><strong>Methods: </strong>This is a retrospective study of patients undergoing total hip arthroplasty and arthroscopic hip surgery. The PearlDiver Claims Database was queried using Current Procedural Terminology (CPT) codes for records from 2010 to 2021. Inclusion criteria were presence of a hip arthroplasty CPT code, followed by a hip arthroscopy CPT code. Additional data collected included age, sex, and time between surgeries. A subanalysis for <i>International Classification of Diseases</i> (ICD), <i>Ninth</i> (-9) and <i>Tenth</i> (-10) <i>Revision</i>, codes was completed to estimate association with iliopsoas tendinitis.</p><p><strong>Results: </strong>Query of the database showed that 314 patients had a hip arthroscopy code after a hip arthroplasty code. In total, 0.04% of patients who underwent arthroplasty subsequently underwent arthroscopy; 63.4% were female. Mean age was 58.2 ± 12.2 years at time of arthroscopy. A total of 214 (72.3%) patients had a CPT code for synovectomy, 56 (18.9%) for loose body removal, and 44 (15.3%) for diagnostic arthroscopy. The mean time from arthroplasty code to arthroscopy code was 2.5 ± 2.0 years. In total, 105 patients (33.4%) also had an ICD-10 diagnosis code for iliopsoas tendinitis, and 116 (36.9.0%) had the ICD-9 code for enthesopathy of hip.</p><p><strong>Conclusions: </strong>In this study, we found that hip arthroscopy after hip arthroplasty is uncommon but occurs more frequently in female patients, is undertaken in a broad age range of patients, and often is associated with a diagnosis of iliopsoas or hip tendinitis.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"100987"},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to MRI Accurately Predicts Quadrupled Semitendinosus Autograft Size Using Posterior Hamstring Harvest for ACL Reconstruction Journal - Arthroscopy, Sports Medicine, and Rehabilitation, Volume 6, Issue 2, 100844.","authors":"","doi":"10.1016/j.asmr.2024.100976","DOIUrl":"https://doi.org/10.1016/j.asmr.2024.100976","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1016/j.asmr.2023.100844.].</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"100976"},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tibial Tubercle Osteotomies Performed in an Outpatient Setting Have a Low Rate of Early Complications","authors":"","doi":"10.1016/j.asmr.2024.100948","DOIUrl":"10.1016/j.asmr.2024.100948","url":null,"abstract":"<div><h3>Purpose</h3><p>To characterize the early postoperative complications following outpatient tibial tubercle osteotomy (TTO) to determine its safety in this setting.</p></div><div><h3>Methods</h3><p>Patients undergoing TTO by a single surgeon between July 2017 and August 2022 for patellar instability or patellofemoral chondromalacia and achieving a minimum of 3 months of clinical and radiographic follow-up were evaluated for inclusion. Although an inclusion criterion was a minimum follow-up of 3 months, if evidence of a healed osteotomy was observed sooner, final follow-up was accepted at 2 months. Patient demographics, perioperative risk factors, and incidence of complications were collected retrospectively. Categorical data were analyzed using χ² and Fisher exact tests. Continuous data were analyzed using 2-tailed <em>t</em> tests and Mann-Whitney <em>U</em> data for parametric and nonparametric data, respectively.</p></div><div><h3>Results</h3><p>A total of 195 knees in 167 patients met inclusion criteria, with a mean age of 24.7 ± 9.2 years and mean follow-up time of 10.9 months (range, 2-69 months). Fifty-one early postoperative complications occurred in 47 (24.1%) knees in 42 (25.1%) patients. Ten major and 41 minor complications occurred. Major complications were associated with older age (<em>P</em> = .015), smoking (<em>P</em> = .038), and smaller preoperative patellar tendon–lateral trochlear ridge distance (<em>P</em> = .012). Forty-four reoperations occurred in 42 (21.5%) knees in 37 (22.2%) patients. The most common reasons for reoperation included removal of symptomatic hardware (31 knees; 15.9%) and arthrofibrosis requiring lysis of adhesions and manipulation under anesthesia (8 knees; 4.1%). The mean time to reoperation was 13.0 months (range, 1-42 months). Smaller body mass index was associated with increased risk of reoperation (<em>P</em> = .002).</p></div><div><h3>Conclusions</h3><p>Outpatient TTO is safe when performed with the described technique, but the later development of minor complications is not infrequent following surgery. Patients should be counseled regarding a relatively high incidence of hardware irritation, arthrofibrosis, and eventual reoperation.</p></div><div><h3>Level of Evidence</h3><p>Level IV, case series.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 4","pages":"Article 100948"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X2400066X/pdfft?md5=47d3b4ee114f781dc65c7af9287752eb&pid=1-s2.0-S2666061X2400066X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141057468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of Platelet-Rich Plasma Augmentation in Meniscus Repair Results in a Lower Failure Rate than in the Control Group: A Systematic Review From Meta-analysis","authors":"","doi":"10.1016/j.asmr.2024.100934","DOIUrl":"10.1016/j.asmr.2024.100934","url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate the efficacy of platelet-rich plasma (PRP) as an augmentation in meniscus repair.</p></div><div><h3>Methods</h3><p>A comprehensive search of PubMed, Medline (via EBSCO), ProQuest, and ScienceDirect from January to February 2023 was conducted using the terms “meniscus repair,” “PRP,” and “meniscus tear.” Meta-analyses that investigated the rate of failure after meniscus repair were included. Studies before 2003, not in English, associated procedures during surgery, and animal studies were excluded. The included studies underwent quality appraisal and risk of bias assessment. Data were extracted from each study‘s text, figures, tables, and associated supplementary files and then analyzed qualitatively.</p></div><div><h3>Results</h3><p>The failure rate is lower in the PRP augmentation group compared with the group without augmentation, with a mean difference of 0.42, 0.50, and 0.43. Visual analog scale score was also found to be significantly lower in the treatment group, with a mean difference of 0.40, 0.76, and 6.69. However, only mean differences in Lysholm score in one of the included studies were found significant regarding functional outcomes, which can be found in the Xie et al. study with a mean difference of 3.06.</p></div><div><h3>Conclusions</h3><p>In this study, we found that meniscal repairs augmented with PRP have a lower failure rate.</p></div><div><h3>Level of Evidence</h3><p>Level IV, systematic review of Level III-IV studies.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 4","pages":"Article 100934"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X2400052X/pdfft?md5=570f10ced767650c96fef75f8cb3d9e9&pid=1-s2.0-S2666061X2400052X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140771920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"iPhone-Based Cartilage Topography Scanning Yields Similar Results to Computed Tomography Scanning","authors":"","doi":"10.1016/j.asmr.2024.100936","DOIUrl":"10.1016/j.asmr.2024.100936","url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate the feasibility and accuracy of 3-dimensional (3D) iPhone scans using commercially available applications compared with computed tomography (CT) for mapping chondral surface topography of the knee.</p></div><div><h3>Methods</h3><p>Ten cadaveric dysplastic trochleae, 16 patellae, and 24 distal femoral condyles (DFCs) underwent CT scans and 3D scans using 3 separate optical scanning applications on an iPhone X. The 3D surface models were compared by measuring surface-to-surface least distance distribution of overlapped models using a validated 3D-3D registration volume merge method. The absolute least mean square distances for the iPhone-generated models from each scanning application were calculated in comparison to CT models using a point-to-surface distance algorithm allowing regional “inside/outside” measurement of the absolute distance between models.</p></div><div><h3>Results</h3><p>Only 1 of the 3 scanning applications created models usable for quantitative analysis. Overall, there was a median absolute least mean square distance between the usable model and CT-generated models of 0.18 mm. The trochlea group had a significantly lower median absolute least mean square distance compared with the DFC group (0.14 mm [interquartile range, 0.13-0.17] vs 0.19 mm [0.17-0.25], <em>P</em> = .002). iPhone models were smaller compared with CT models (negative signed distances) for all trochleae, 83% of DFCs, and 69% of patellae.</p></div><div><h3>Conclusions</h3><p>In this study, we found minimal differences between a 3D iPhone scanning application and conventional CT scanning when analyzing surface topography.</p></div><div><h3>Clinical Relevance</h3><p>Emerging 3D iPhone scanning technology can create accurate, inexpensive, real-time 3D models of the intended target. Surface topography evaluation may be useful in graft selection during surgical procedures such as osteochondral allograft transplantation.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 4","pages":"Article 100936"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X24000543/pdfft?md5=c531a008b0acbdc81e33eae80475e259&pid=1-s2.0-S2666061X24000543-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140774889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}