Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"No Significant Difference in Cost or Outcomes at 1-Year Minimum Follow-Up After Arthroscopic Partial Meniscectomy Comparing 1.9 mm Distal Chip-on-Tip Needlescope Versus 4 mm Glass Rod Lens Arthroscope: Both Treatments Are Highly Cost-Effective.","authors":"James H Lubowitz, Chad Lavender","doi":"10.1002/ars2.70112","DOIUrl":"10.1002/ars2.70112","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate cost, outcomes, and incremental cost-effectiveness of arthroscopic partial meniscectomy comparing visualization using a 1.9 mm distal chip-on-tip needlescope versus a standard 4 mm glass rod lens arthroscope.</p><p><strong>Methods: </strong>We retrospectively reviewed prospectively collected data (from a larger randomized controlled trial) on patients having partial meniscectomy performed by 1 surgeon at 1 facility between February 2023 and February 2025. International Knee Documentation Committee and visual analog scale pain scores at 1-year minimum follow-up, costs, cost-effectiveness (cost/quality-adjusted life years [QALYs]), and incremental cost-effectiveness ratio (cost of 1 additional year of life in perfect health) were collected. Sensitivity analyses were assessed for potential variations in cost or effectiveness.</p><p><strong>Results: </strong>Twenty-four patients are included in each group; mean follow-up is 26 months (range 12-36). Comparing needle versus standard, mean age (years) is 50 versus 46.5 (<i>P</i> = .19); percent male sex is 71 versus 46 (<i>P</i> = .14); improvement in International Knee Documentation Committee is 58.7 versus 48.7 (<i>P</i> = .24); improvement in visual analog scale is 5.4 versus 4.5 (<i>P</i> = .55). Mean cost per case is $17,236.69 versus $16,994.00 (<i>P</i> = .26). Cost-effectiveness is $1177.32/QALY versus $1215.59/QALY. The incremental cost-effectiveness ratio is $367.71. Sensitivity analysis shows that if the costs of needle decreased to equal the costs of standard, needle becomes cost-neutral while providing superior outcomes (dominant), and if the effectiveness of standard arthroscopy increased to equal needle, needle becomes dominated (more expensive, effectiveness neutral).</p><p><strong>Conclusions: </strong>Arthroscopic partial meniscectomy comparing 1.9 mm distal chip-on-tip needlescope versus 4 mm glass rod lens arthroscope results in no significant differences in cost or outcomes at 1-year minimum follow-up. Both treatments are highly cost-effective. Incremental cost-effectiveness ratio for needlescope compared with arthroscope, $367.71, is more than 2 orders of magnitude lower than the willingness-to-pay threshold of $50,000/QALY.</p><p><strong>Level of evidence: </strong>Level IV, economic: input data from Level III study and uncertainty as examined by univariate sensitivity analysis.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70112"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13629506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115892","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":"Ergonomics in Knee Arthroscopy: A Scoping Review.","authors":"Mariam Alemi, Yousof Alemi, Martinique Vella-Baldacchino","doi":"10.1002/ars2.70111","DOIUrl":"10.1002/ars2.70111","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the existing evidence regarding ergonomics in knee arthroscopy, including surgeon positioning, limb manipulation strategies, support devices, and reported ergonomic burden.</p><p><strong>Methods: </strong>This scoping review was conducted in accordance with the Arksey and O'Malley methodological framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. A literature search of PubMed, Embase, and Scopus was performed from database inception to December 2025. Eligible studies addressed ergonomic considerations in knee arthroscopy. Two independent reviewers screened titles, abstracts, and full texts, and findings were synthesized narratively.</p><p><strong>Results: </strong>The search identified 1013 records, of which 8 met the inclusion criteria. The literature consisted predominantly of descriptive technical reports, alongside cross-sectional questionnaires and 1 observational study. Routine knee arthroscopy involved sustained valgus and varus stress applied to the limb and non-neutral postures maintained by surgeons or assistants. Positioning aids and technical innovations have been proposed; however, none have undergone objective ergonomic assessment. Surgeon-reported data suggested that knee arthroscopy is ergonomically challenging and frequently associated with musculoskeletal discomfort.</p><p><strong>Conclusions: </strong>The review identified 8 studies examining ergonomics in knee arthroscopy, which predominantly consisted of descriptive technical reports lacking objective ergonomic assessment. Surgeon-reported data indicated that knee arthroscopy is frequently perceived as ergonomically challenging, with musculoskeletal discomfort most commonly affecting the lower back and shoulders.</p><p><strong>Clinical relevance: </strong>Knee arthroscopy places substantial physical demand on surgeons. Mapping the ergonomic challenges and limitations associated with arthroscopy may help inform future device innovation aimed at reducing work-related musculoskeletal injury.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70111"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13629507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115837","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":"More Improved Postoperative Range-of-Motion Retention After Arthroscopic Lysis of Adhesions After Total Knee Arthroplasty Is Associated With Arthroscopic Fellowship-Trained Compared With Nonfellowship-Trained Surgeons.","authors":"George Bcharah, Alexandra Cancio-Bello, Calvin Nguyen, Eugenia Lin, Mario Hevesi, Cedric J Ortiguera, Anikar Chhabra, Joshua Bingham","doi":"10.1002/ars2.70088","DOIUrl":"10.1002/ars2.70088","url":null,"abstract":"<p><strong>Purpose: </strong>To describe whether subspecialty training, specifically arthroscopic fellowship training, influences intraoperative range-of-motion (ROM) gains, postoperative ROM retention, and lysis of adhesions (LOA) complication rates.</p><p><strong>Methods: </strong>Between August 1989 and May 2025, all patients who underwent arthroscopic LOA for stiffness after primary total knee arthroplasty (TKA) at a single multisite academic institution with a minimum follow-up of 3 months were reviewed. Cases were stratified by the surgeon's training: 1 group with arthroscopic fellowship training and another with nonarthroscopic or no fellowship training. Primary outcomes were intraoperative ROM change and postoperative ROM retention compared with intraoperative and pre-TKA baseline values. Revision and periprosthetic joint infection rates were also collected.</p><p><strong>Results: </strong>A total of 94 LOA cases were identified, where 48 (51.1%) were performed by nonarthroscopically trained surgeons. Intraoperative ROM improvements were similar between groups in both knee flexion (35.2° arthroscopic vs 31.1° nonarthroscopic, <i>P</i> = .130) and extension (2.43° vs 3.91°, <i>P</i> = .079). Compared with the intraoperative ROM, procedures performed by arthroscopically trained surgeons showed significantly better long-term retention of both flexion (loss of 4.85° vs 15.98°, <i>P </i>= .006) and extension (gain of 0.50° vs loss of 1.58°, <i>P</i> = .036) at postoperative follow-up. When compared with preprimary TKA baseline ROM, flexion at follow-up was slightly improved in the arthroscopic group but declined significantly in the nonarthroscopic group (gain of 1.66° vs loss of 21.76°, <i>P</i> < .001). Eight revision TKAs (8.51%) occurred after LOA, 6 of which involved nonarthroscopic surgeons, and 1 periprosthetic joint infection case was reported.</p><p><strong>Conclusions: </strong>LOA performed by arthroscopic fellowship-trained surgeons results in significantly better retention of postoperative ROM than nonfellowship-trained surgeons when used for arthrofibrosis after TKA.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70088"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115863","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":"Orthopaedic Sports Medicine Podcasts Show High Instagram Engagement but Limited Use of Short-Form Video.","authors":"Isabella Trancoso, Michael Allen, Mitchell J Christiansen, Mary K Mulcahey","doi":"10.1002/ars2.70119","DOIUrl":"10.1002/ars2.70119","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize orthopaedic sports medicine podcasts and to evaluate their use of social media and video formats.</p><p><strong>Methods: </strong>A cross-sectional review was conducted of orthopaedic sports medicine podcasts active between April 1, 2024, and April 1, 2025. Podcasts were included if hosted by a sports medicine fellowship-trained orthopaedic surgeon or primary care sports medicine physician and had at least 1 episode released within the study period. The search term \"sports medicine\" was queried on Spotify, Apple, and YouTube on April 1, 2025, with additional identification through ChatGPT-assisted search. Average episode length, total episodes, release frequency, format, editing style, and social media presence data were all collected.</p><p><strong>Results: </strong>Seventeen podcasts met inclusion criteria. Most podcasts released episodes weekly, averaging 35 minutes and 25 seconds per episode (Standard deviation: 16:14, range: 12:39-1:16:18). Nine (52.9%) were audio-only, and 8 (47.1%) offered both audio and video formats. Facebook had the highest average follower count (17,435.5), and Instagram was found to be the leading platform for engagement with the highest average likes (117.4), comments (1.5), and shares (19.1). Four podcasts (23.5%) posted shorts/reels (short-form videos) consistently, all on YouTube.</p><p><strong>Conclusions: </strong>Facebook accounts showed the highest average follower counts, whereas Instagram posts generated the greatest average engagement per post. Of the orthopaedic sports medicine podcasts analyzed, 8 (47.1%) incorporated both audio and video formats, whereas 4 (23.5%) consistently posted short-form video content on social media. Although most podcasts maintained at least 1 social media account, consistent use of short-form video on social media platforms was relatively limited.</p><p><strong>Clinical relevance: </strong>Understanding how orthopaedic sports medicine podcasts use social media and short-form video can help discern the current media landscape and how information is disseminated.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70119"},"PeriodicalIF":0.0,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13622961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081266","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":"Both Knotless and Traditional Knot-Tying Suture Anchors Result in Favorable Clinical Outcomes in the Treatment of Acetabular Labral Tears: A Systematic Review.","authors":"David Hou, Laura Ndjonko, Samuel R Johnson, Patrick England, Ujash Sheth, Vehniah K Tjong","doi":"10.1002/ars2.70092","DOIUrl":"10.1002/ars2.70092","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;To compare clinical outcomes and complication profile of knotless versus knot-tying suture anchors in arthroscopic hip labral repair.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A systematic review was performed following Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines. Data on suture anchor type, patient-reported outcomes (including modified Harris Hip Score, Hip Outcome Score-Activities of Daily Living, Hip Outcome Score-Sport Specific Subscale, Visual Analog Scale, International Hip Outcome Tool-12), complications, and concomitant procedures were extracted. Bias was assessed via Risk of Bias in Non-randomized Studies and Revised Cochrane Risk-of-Bias Tool for Randomized Trials.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 10 studies met all the inclusion criteria, including 2 studies that directly compared knotless with knot-tying suture anchors. All studies had a minimum of 12-month follow-up. Both knotless and knot-tying suture anchors showed significant improvement across all measured patient-reported outcomes (mean modified Harris Hip Score preop-postop: knotless vs knot-tying =61.0-84.8 vs 68.6-85.9; mean Hip Outcome Score-Activities of Daily Living preop-postop: knotless vs knot-tying = 52.3-79.1 vs 51.4-77.7; mean Hip Outcome Score-Sport Specific Subscale preop-postop: knotless vs knot-tying = 44.9-76.1 vs 49.3-77.9; mean Visual Analog Scale preop-postop: knotless vs knot-tying = 5.6-1.9 vs 5.6-1.9; mean International Hip Outcome Tool-12 preop-postop: knotless vs knot-tying = 35.4-77.2 vs 37.4-76.7). Across studies reporting patient-level thresholds, high proportions of patients achieved clinically meaningful improvement, with minimal clinically important difference achievement ranging from approximately 74% to 100% and patient acceptable symptom state achievement ranging from 46% to 100% across outcome measures, with no consistent differences between knotless and knot-tying anchor constructs. Complication, revision, and total hip arthroplasty conversion rates were low in both groups (revision rate range: knotless = 1.9%-6.8%, knot-tying = 0%-12.8%; total hip arthroplasty conversion rate range: knotless = 2.6%-5.7%, knot-tying =0.0%-4.7%). One study reported that postoperative synovitis was found in more patients in the knot-tying group than in the knotless group (17 vs 5). In the included studies, there was risk of bias, including confounding bias (6/8 studies) and selection bias (7/8 studies).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Knotless and knot-tying suture anchors are both safe and effective options for hip labral repairs with anticipated improvement in patient-reported outcomes regardless of the anchor type used. Across studies reporting patient-level thresholds, a high proportion of patients achieved minimal clinically important difference and patient acceptable symptom state, supporting the clinical relevance of postoperative improvement in both constructs. There were no significant d","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70092"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081323","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":"Endoscopic Calcaneoplasty Achieves Excellent Functional Outcomes in Haglund's Deformity.","authors":"Samuel Sing Li Ong, Raj Kumar Socklingam, Ing How Moo, Charles Kam King Kon","doi":"10.1002/ars2.70108","DOIUrl":"10.1002/ars2.70108","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the functional outcomes of endoscopic calcaneoplasty for patients with Haglund's deformity who are recalcitrant to conservative management and to assess complication rates and the proportion of patients achieving minimal clinically important difference in functional outcome scores.</p><p><strong>Methods: </strong>Patients with Haglund's deformity who were treated at our tertiary hospital between July 2020 and October 2024 were evaluated for inclusion. Endoscopic calcaneoplasty was performed with the patient positioned supine. Functional outcomes were assessed using the visual analog scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, and Foot Function Index (FFI) score preoperatively and postoperatively at final follow-up, with a minimum follow-up of 15 months.</p><p><strong>Results: </strong>The mean follow-up period was 32.3 months (range, 15-66 months). A total of 68 cases (59 patients, 69 feet) were analyzed for this study. The overall mean age was 54.7 ± 13.8 years. 47.1% were men, whereas 52.9% were women. Preoperatively, patients reported that their mean VAS score was 7.8 ± 1.6, which markedly diminished to 1.2 ± 2.0 postoperatively. The baseline mean AOFAS score was 56.0 ± 13.1, and this improved to 92.1 ± 11.7 after surgery. The mean FFI score also significantly improved from 55.0 ± 23.2 preoperatively to 10.8 ± 18.2 postoperatively. All 3 outcome measures showed statistically significant differences (<i>P</i> < .001). Sex-stratified analysis showed no statistically significant differences across all 3 outcome scores (all <i>P</i> > .05). Most patients achieved the minimal clinically important difference, with 98.5% for VAS, 97.1% for AOFAS, and 89.7% for FFI.</p><p><strong>Conclusions: </strong>In patients with Haglund's deformity, treatment with endoscopic calcaneoplasty in a supine position showed consistent and significant postoperative improvements in VAS, AOFAS ankle-hindfoot score, and FFI score, with a low complication rate at a minimum 15-month follow-up.</p><p><strong>Level of evidence: </strong>Level IV, therapeutic case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70108"},"PeriodicalIF":0.0,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149064805","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":"Suture Slippage Is Influenced by Suture Type and Bone Density in a Knotless Lateral Row Rotator Cuff Repair: A Biomechanical Analysis.","authors":"Kushalappa Subbiah, Matthew Donaldson, Cameron Stephen, Allan Young, Benjamin Cass, Elizabeth C Clarke, Margaret M Smith","doi":"10.1002/ars2.70083","DOIUrl":"10.1002/ars2.70083","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the influence of suture material and bone density on suture slippage in knotless lateral row anchors used in rotator cuff repair.</p><p><strong>Methods: </strong>Analysis of 3 different suture materials loaded into a single lateral row anchor and tested in 2 different densities (osteoporotic and normal) of Sawbone models was conducted. Testing was carried out using perpendicular traction of loaded sutures in a load cell with assessment of maximum force (N) and displacement (mm). After testing completion, the blocks were visually analyzed, and cut-through length (mm) was measured.</p><p><strong>Results: </strong>Suture type (<i>P </i>< .001) and bone density (<i>P </i>< .001) have a significant effect on maximum force tolerance by the construct. FiberTape can withstand a much higher maximum force irrespective of bone densities. Displacement data collected from the load cell shows that suture type (<i>P </i>< .001), but not bone density (<i>P</i> = .228), plays a significant role, with FiberTape having a comparatively lower displacement. Evaluation of cut-through data shows that bone density (<i>P</i> = .006), but not suture type (<i>P</i> = .94), has a significant effect on cut-through.</p><p><strong>Conclusions: </strong>Suture slippage in knotless lateral row fixation is significantly influenced by the suture material and the underlying bone density. Constructs using high-strength suture tape showed higher load-to-failure and lower displacement compared with conventional sutures.</p><p><strong>Clinical relevance: </strong>Our study shows that the weakest link in a knotless repair is the lateral row, and this can be influenced by the type of suture used in the construct along with the density of bone.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70083"},"PeriodicalIF":0.0,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149064857","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":"Characteristics of the Top 50 Most-Cited Arthroscopic Remplissage Articles Reveal Growing Recognition But Persistent Knowledge Gaps.","authors":"Brian S Tao, Ross Clarke, Kevin A Hao, Antonio Cusano, John D Kelly, Robert L Parisien, Richard Ma, Xinning Li","doi":"10.1002/ars2.70001","DOIUrl":"10.1002/ars2.70001","url":null,"abstract":"<p><strong>Purpose: </strong>To identify and examine the article, author, and journal characteristics of the top 50 most-cited articles on the arthroscopic remplissage procedure for the treatment of anterior shoulder instability in the field of orthopaedic sports medicine.</p><p><strong>Methods: </strong>A bibliometric analysis was performed for the most-cited arthroscopic remplissage articles using the Web of Science databases with the search term \"remplissage\" OR \"posterior capsulotenodesis\" OR \"infraspinatus tenodesis.\" Articles were included if their primary focus was on the arthroscopic remplissage technique and with or without associated clinical outcomes. Articles addressing shoulder instability, shoulder dislocation, and surgical decision making without explicit reference to the arthroscopic remplissage technique were excluded.</p><p><strong>Results: </strong>The top 50 articles on arthroscopic remplissage received a total of 2727 citations with an average of 55 citations per year. Citations have increased from 2008 to 2024. The most frequently cited article with the highest citations-per-year was Purchase et al. (2008), which introduced the arthroscopic remplissage technique. The top three articles were cited >100 times. The top-cited articles were predominantly published in <i>Arthroscopy</i>, authored most frequently (first or co-author) by Grant Garcia (10%), with the majority originating from the USA (38%), especially from University of Pennsylvania (8%). No relationship was found between level of evidence and number of citations (<i>P</i> = .69). Adjusted for study design and level of evidence, there was a 1.3 increase in citations per year for every 1 unit increase in journal impact factor (95% CI: 0.28-2.38, <i>P</i> = .02).</p><p><strong>Conclusions: </strong>No relationship was found between the level of evidence and number of citations of arthroscopic Remplissage articles; however, journal impact factor was associated with citation frequency when adjusted for study design and level of evidence.</p><p><strong>Clinical relevance: </strong>Articles with the most citations often correlate with greater influence by shaping clinical decision-making and guiding future research. By identifying and characterizing the recurrent themes of the top-cited articles, we provide a comprehensive overview of the evolution, current understanding, and impact of the arthroscopic remplissage technique in the treatment of anterior shoulder instability.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70001"},"PeriodicalIF":0.0,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149064822","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":"Compression Suture Staple Repair of Simulated Gluteus Medius Partial Tendon Tears Provides Increased Contact Pressure Compared With Stepwise Bridged Repair.","authors":"J Houston Dove, David P Beason, Glenn S Fleisig, Benton A Emblom","doi":"10.1002/ars2.70079","DOIUrl":"10.1002/ars2.70079","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the contact mechanics of 2 different suture anchor configuration constructs for gluteus medius repair in partial-thickness tears and to define an optimal distance for anchor placement in a biomechanical model.</p><p><strong>Methods: </strong>Trochanteric bone was simulated using polyurethane foam blocks, and a polyurethane rubber was used as a surrogate for the gluteus medius tendon tissue. As the rubber remained partially attached to the foam, this design simulated a partial-thickness tear without any retraction of the tendon tissue. A pressure sensor was used to collect contact data. Repairs were performed with knotless suture anchors. Three different 2-anchor repair interval distances (10, 15, and 20 mm) were first tested to define the optimal distance for anchor placement. We then performed 2 different 3-anchor repairs (stepwise bridged and compression suture staple) using the optimal distance. Pressure data were collected and compared between 3-anchor groups.</p><p><strong>Results: </strong>Results from the 2-anchor interval distance testing showed an overall significant effect for contact force (<i>P</i> < .001), area (<i>P</i> < .001), and pressure (<i>P</i> = .01), with 15 mm being the optimal distance to exert the most pressure. Results from the 3-anchor testing at 15 mm between anchors showed that contact pressure on the surrogate tendon was significantly (<i>P</i> = .04) greater for the compression suture staple technique (208.5 ± 61.6 kPa) compared with the stepwise bridged technique (143.4 ± 41.4 kPa).</p><p><strong>Conclusions: </strong>In this biomechanical study, the compression suture staple technique exerted more pressure than the stepwise bridged repair technique at time 0 with no cyclic loading. Additionally, 15 mm had the greatest contact pressure of those examined for anchor placement using knotless suture anchors for these repairs.</p><p><strong>Clinical relevance: </strong>By studying the contact mechanics of different suture anchor configurations, we determined which setup may provide better compression of the tendon onto the bone.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70079"},"PeriodicalIF":0.0,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13596692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026085","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":"Indices of Systemic Inflammation Are Elevated in Women With Evidence of Metabolic Syndrome After Anterior Cruciate Ligament Reconstruction.","authors":"Marina Abdelshahid, Sonu Bae, Hayden Price, Hawraa Al Janabi, Catherine Rock, Anthony Mantor, Nicholas Apseloff, Christopher C Kaeding, Robert A Magnussen, David C Flanigan, Tyler Barker","doi":"10.1002/ars2.70091","DOIUrl":"10.1002/ars2.70091","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the association between metabolic syndrome (MetSy) and systemic indices of the immune system and inflammation after anterior cruciate ligament reconstruction (ACLR).</p><p><strong>Methods: </strong>This retrospective study included adult patients (≥18 years) who underwent ACLR at a single academic institution between 2009 and 2022. Patients with documented complete blood cell count ≥90 days postoperatively and complete MetSy component data were included. From complete blood cell data, the pan-immune-inflammation value (PIV), systemic inflammation response index (SIRI), systemic immune-inflammatory index (SII), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio, and monocyte-to-lymphocyte ratio were calculated. Evidence of MetSy was defined by ≥3 of the following: body mass index ≥30, triglycerides ≥150 mg/dL, high-density lipoprotein < 40 mg/dL (men) or <50 mg/dL (women), estimated fasting glucose ≥ 100 mg/dL, and systolic blood pressure ≥130 mmHg or diastolic blood pressure ≥85 mmHg. Patients (n = 130) were grouped based on MetSy status at ACLR: MetSy or non-MetSy.</p><p><strong>Results: </strong>A total of 130 patients were included: 50 MetSy and 80 non-MetSy. The NLR, monocyte-to-lymphocyte ratio, platelet-to-lymphocyte ratio, SIRI, SII, and PIV did not differ significantly between MetSy groups. However, NLR, platelet-to-lymphocyte ratio, SII, and PIV were significantly elevated (<i>P</i> < .01, <i>P</i> = .04, <i>P</i> < .001, and <i>P</i> < .01, respectively) in women compared with men with MetSy. Patients with higher body mass index and fasting glucose displayed elevated PIV (<i>P</i> = .01 and <i>P</i> = .03), whereas low high-density lipoprotein was associated with an elevation in NLR, SIRI, SII, and PIV (<i>P</i> = .04, <i>P</i> = .02, <i>P</i> = .04, and <i>P</i> = .02, respectively). The monocyte-to-lymphocyte ratio, SIRI, SII, and PIV were elevated with postoperative complications (<i>P</i> = .03, <i>P</i> < .01, <i>P</i> = .03, and <i>P</i> < .01, respectively).</p><p><strong>Conclusions: </strong>Indices of systemic inflammation after ACLR were elevated in women with evidence of MetSy. Patients with postoperative complications also exhibited an elevation in systemic indices of inflammation after ACLR.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70091"},"PeriodicalIF":0.0,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13596751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026115","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}