Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Female Sex, Higher Outerbridge Grade, and Preoperative Tibial Edema Are Associated With Failure After Arthroscopic Posterior Medial Meniscus Root Repair.","authors":"Morgan C Wynveen, Antonella M Henson-Vendrell, Mark A Glover, Alexis Restrepo, Andrew J Recker, Nicholas A Trasolini, Brian R Waterman, Jelle P van der List","doi":"10.1002/ars2.70065","DOIUrl":"10.1002/ars2.70065","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize the prevalence of arthroscopic surgical revisions, postsurgical conversion to arthroplasty, and patient-reported outcomes of medical meniscus posterior root tear repairs at 1- and 2-year follow-up timepoints, with a focus on identifying predictors of treatment failure.</p><p><strong>Methods: </strong>A retrospective case series study of patients who underwent primary arthroscopic medical meniscus posterior root tear repair performed at a tertiary referral center between 2017 and 2023, with a minimum of 1-year follow-up. Demographics, radiographic findings, intraoperative variables, and surgical outcomes were analyzed, and patients were contacted to further assess outcomes. Failure was defined as meniscal retear and/or conversion to knee arthroplasty, as confirmed by clinical examination and radiographic imaging by an orthopaedic surgeon. Univariate analyses used χ² or Fisher's exact tests for categorical variables and t-tests for continuous variables.</p><p><strong>Results: </strong>Fifty-three patients were included (mean age 54 ± 12 years, mean body mass index 33 ± 8 kg/m², 69.8% women). Twelve patients (22.6%) met criteria for failure with a minimum of 1-year follow-up. Failure was associated with female sex (92% vs 63%, <i>P</i> = .033), preoperative tibial bone edema (58% vs 12%, <i>P</i> = .001), and higher medial compartment Outerbridge grade (2.8 ± 0.9 vs 1.9 ± 1.1, respectively, <i>P</i> = 0.015). Age, body mass index, fixation method, and preoperative extrusion were not associated with failure. Patients with successful outcomes showed significant improvement in pain and function, with mean visual analog scale score decreasing from 4.9 ± 3.1 to 2.1 ± 2.2 and Single Assessment Numeric Evaluation increasing from preoperative 51.7 ± 28.1 to 80.8 ± 18.2 at 2-year follow-up (<i>P</i> < .001 for both).</p><p><strong>Conclusions: </strong>In this small cohort, predictors of failure included female sex, preoperative tibial bone marrow edema, and higher Outerbridge classification, whereas age, body mass index, and preoperative extrusion were not associated with failure. Overall, arthroscopic medical meniscus posterior root tear repair provided meaningful symptomatic and functional improvements in most patients at 2-year follow-up.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70065"},"PeriodicalIF":0.0,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13555588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921211","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":"Arthroscopic Capsular Plication Shows Low Failure Rates and Meaningful Functional Improvement in Multidirectional Shoulder Instability With and Without Hypermobile Ehlers-Danlos Syndrome.","authors":"Chandler M Catanzaro, Caleb W Rogers, Joseph A Q Karam, Mitchell H Negus, Brandon L Rogalski, Richard J Friedman, Josef K Eichinger","doi":"10.1002/ars2.70077","DOIUrl":"10.1002/ars2.70077","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate clinical outcomes and failure rates after arthroscopic capsular plication for multidirectional shoulder instability in patients with and without hypermobile Ehlers-Danlos syndrome.</p><p><strong>Methods: </strong>A retrospective case series with prospectively collected outcomes was conducted between 2015 and 2023 in patients undergoing arthroscopic capsular plication for multidirectional shoulder instability with and without hypermobile Ehlers-Danlos syndrome, with a minimum of 2 years of follow-up. Outcomes included American Shoulder and Elbow Surgeons, Single Assessment Numeric Evaluation, and Visual Analog Score pain scores. Failure was defined as recurrent instability or revision surgery.</p><p><strong>Results: </strong>Patients showed significant improvement in functional outcome scores and pain after surgery. Failure occurred in 6.7% of patients at a mean of 17 months postoperatively. Clinically meaningful improvement exceeding the minimal clinically important difference was achieved by 100% of patients for American Shoulder and Elbow Surgeons, 65.2% for Single Assessment Numeric Evaluation, and 64.5% for Visual Analog Score pain.</p><p><strong>Conclusions: </strong>Arthroscopic capsular plication was associated with meaningful functional improvement and a low failure rate in patients with multidirectional shoulder instability with and without hypermobile Ehlers-Danlos syndrome.</p><p><strong>Level of evidence: </strong>Level IV, therapeutic-retrospective case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70077"},"PeriodicalIF":0.0,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13557279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921248","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":"Non-Weightbearing in Hinged-Knee Braces Locked in High Degrees of Flexion Shows High Hamstring Muscle Activation in Healthy Volunteers.","authors":"Christian E Athanasian, Brendan Schwartz, Natalia Czerwonka, David P Trofa, Richard C Mather, Robert A Christian","doi":"10.1002/ars2.70081","DOIUrl":"10.1002/ars2.70081","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the effect of various postoperative ambulation and bracing protocols on hamstring muscle group activation in healthy volunteers.</p><p><strong>Methods: </strong>Hamstring muscle group activation was assessed via Myontec Mbody 3 Shorts. Volunteers ambulated 10 yards in conditions including walking unassisted, flat-foot weightbearing (FFWB), FFWB with a Newport abduction hip brace restricting motion past 90° of flexion, FFWB with an unlocked hinged-knee brace, and non-weightbearing (NWB) in hinged-knee braces locked in 90°, 60°, and 30° of flexion. Data was standardized with the unassisted walking condition as the reference. Each condition was tested on both extremities. Primary outcomes were normalized cumulative hamstring activation and normalized peak hamstring activation on the protected extremity. Analysis of variance and post hoc Tukey tests were performed.</p><p><strong>Results: </strong>Fifteen healthy volunteers with no history of hip or knee surgery were recruited over a 1-year period from June 2023 to June 2024. Analysis of variance testing showed statistically significant differences in both cumulative ipsilateral hamstring muscle activation (<i>P</i> = .002) and peak ipsilateral hamstring muscle activation (<i>P</i> = .004). Post hoc Tukey testing showed significant differences in cumulative ipsilateral hamstring muscle activation between NWB hinged-knee braces locked at 90° compared with 30° (3.38 (standard deviation [SD]: 4.03) vs 1.49 (SD: 2.13), <i>P</i> = .01) and NWB hinged-knee braces locked at 90° compared with FFWB with unlocked hinged-knee braces (3.38 (SD: 4.03) vs 1.54 (SD: 1.15), <i>P</i> = .01). For normalized peak muscle activation, significant differences were noted from NWB hinged-knee braces locked at 60° compared with FFWB (1.12 (SD: 1.21) vs 0.58 (SD: 0.50), <i>P</i> = .02), and NWB hinged-knee braces locked at 60° compared with FFWB with hinged-knee braces unlocked (1.12 (SD: 1.21) vs 0.61 (SD: 0.57), <i>P</i> = .03).</p><p><strong>Conclusions: </strong>Healthy volunteers showed lower levels of cumulative hamstring muscle activation during FFWB with an unlocked hinged-knee brace compared with NWB with hinged-knee braces locked at 90° and NWB with hinged-knee braces locked at 30° compared with NWB with hinged-knee braces locked at 90°. Lower levels of peak hamstring muscle activation were noted during FFWB compared with NWB hinged-knee braces locked at 60° and FFWB with an unlocked hinged-knee brace compared with NWB hinged-knee braces locked at 60°.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70081"},"PeriodicalIF":0.0,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13557280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921220","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":"Assessment of the GNRB Arthrometer: High Inter-Rater Reliability Alone Does Not Support Replacement of the KT1000 in Anterior Cruciate Ligament Reconstruction Patients.","authors":"Sofia Lindqvist Bueneman, Jüri-Toomas Kartus, Ninni Sernert","doi":"10.1002/ars2.70056","DOIUrl":"10.1002/ars2.70056","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the inter-rater reliability and sensitivity of the GNRB arthrometer compared with the KT1000 and clinical examination with the Lachman test for patients with an anterior cruciate ligament (ACL) injury.</p><p><strong>Methods: </strong>Patients with ACL injury were examined preoperatively and postoperatively by 2 examiners. One examiner also performed a clinical examination and an examination with the KT1000. Side-to-side difference of ≥3 mm was classified as an ACL injury for both the GNRB and the KT1000. The interclass correlation was used to evaluate inter-reliability, and a paired t-test was used to identify differences between examiners. The sensitivity was calculated preoperatively.</p><p><strong>Results: </strong>A total of 20 patients underwent preoperative assessment with the GNRB, whereas 17 were available postoperatively. The GNRB diagnosed 12/20 and 13/20 for the 2 examiners, respectively, as having ACL injuries preoperatively, whereas the KT1000 diagnosed 19/20. Postoperatively, 5/17 and 4/17, respectively, had a side-to-side difference of ≥3 mm with the GNRB versus 7/17 for the KT1000, hence indicating an ACL injury or insufficient reconstruction. Clinical examination concluded that 15/17 had a manual Lachman of ≤+1. The interclass correlations between examiners were 0.80 for the involved side preoperatively and 0.84 postoperatively, considered moderate to good. Sensitivity for the GNRB was 60% and 65% for examiners 1 and 2, respectively. For the KT1000, it was 95%.</p><p><strong>Conclusions: </strong>In this study, the GNRB had a high inter-rater reliability, even with limited experience with the device. However, it was inferior to the KT1000 in correctly identifying ACL deficiency preoperatively in patients with ACL injury.</p><p><strong>Level of evidence: </strong>Level III, prospective comparative study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70056"},"PeriodicalIF":0.0,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913690","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":"Preoperative Risk Factors for Opioid Use Predict Self-Reported Health and Function Up to 6 Months After Anterior Cruciate Ligament Reconstruction.","authors":"Eric V Neufeld, William DeGouveia, Camille Pinpin, Matthew Zinner, Michael J Sayegh, Michael J Meade, Steven E Rokito","doi":"10.1002/ars2.70066","DOIUrl":"10.1002/ars2.70066","url":null,"abstract":"<p><strong>Purpose: </strong>To identify risk factors that predict the need for rescue opioid use and patient-reported outcomes following an opioid-limiting postoperative analgesia protocol after anterior cruciate ligament reconstruction.</p><p><strong>Methods: </strong>This prospective cohort study recruited 44 patients undergoing primary arthroscopic-assisted anterior cruciate ligament reconstruction. Preoperatively, patients completed questionnaires including demographics, medical history, Visual Analog Scale (VAS), Brief Resilience Scale, Six-Item State-Trait Anxiety Inventory, Patient Health Questionnaire-2, Single Assessment Numeric Evaluation score, and patient-reported outcome measures (PROMs) including Patient-Reported Outcomes Measurement Information System physical component. Postoperatively, patients received acetaminophen, meloxicam, tramadol, gabapentin, and oxycodone. Morphine milligram equivalents (MMEs) and VAS were assessed at multiple timepoints through 6 months. PROMs were completed at 3 and 6 months. Patients were analyzed as a single group and partitioned by Brief Resilience Scale and Six-Item State-Trait Anxiety Inventory scores into low-normal (1.00-4.30) and high (4.31-5.00) resilience, and low (20-37) and moderate-high (38-80) anxiety groups, respectively.</p><p><strong>Results: </strong>Prior opioid use positively predicted VAS and MME at 48 to 72 hours and MME at 6 weeks. Body mass index positively predicted MME at 2 weeks. Surgical history negatively predicted VAS at 48 to 72 hours, but positively predicted change in Single Assessment Numeric Evaluation score at 3 and 6 months and Patient-Reported Outcomes Measurement Information System physical component score at 6 months.</p><p><strong>Conclusions: </strong>Only 4.8% of patients required opioid medications more than 2 weeks postoperatively. Patients with prior opioid use exhibited greater postoperative pain and narcotic consumption. Higher body mass index linked to increased opioid use at 2 weeks, whereas individuals with prior surgical history reported less pain and improved PROMs postoperatively. Measurements of patient resilience and anxiety show little effect on postoperative pain, opioid consumption, and PROMs requiring further study.</p><p><strong>Level of evidence: </strong>Level III, retrospective prognostic case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70066"},"PeriodicalIF":0.0,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907405","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":"Commercial Payors More Likely to Reimburse Unlisted Hip Arthroscopy Procedures Compared With Managed Care but With Similar Overall Dollar Amount.","authors":"Eric V Neufeld, Matthew Zinner, Michael J Meade, Randy M Cohn, Andrew D Goodwillie","doi":"10.1002/ars2.70069","DOIUrl":"10.1002/ars2.70069","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the reimbursement practices of public managed care (MC) insurance versus private commercial insurance (COM) for hip arthroscopy using the current procedural terminology (CPT) code 29999.</p><p><strong>Methods: </strong>The CPT codes and corresponding reimbursements of hip arthroscopies that employed code 29999 performed from January 2020 to December 2024 in a multihospital health system were analyzed. Patients' insurance carriers were identified and grouped into either MC or COM. MC consisted of Medicaid and Medicare. The outcomes analyzed were as follows: whether any reimbursement was obtained, total dollar amount paid, percentage of the billing that was reimbursed, and the percentage of CPT 29999 charge that was reimbursed.</p><p><strong>Results: </strong>One hundred thirty-seven hip arthroscopies met the inclusion criteria. COM fulfilled at least part of the reimbursement (i.e., not completely deny the entire claim) in 100% of cases, whereas MC provided at least some payment in 94.1% of claims (<i>P</i> = .02). However, there was no significant difference in the total dollar amount ($3191.18 vs $3563.02; <i>P</i> = .109) or percentage of the total charge (20.0% vs 21.7%; <i>P</i> = .220) reimbursed by MC relative to COM, respectively. Similarly, there was no significant difference in the percentage of CPT code 29999 reimbursed between MC and COM (25.0 vs 21.2%; <i>P</i> = .185).</p><p><strong>Conclusions: </strong>COM was less likely to completely deny a claim relative to MC and reimbursed approximately 10% higher than MC. However, there was no significant difference between payors in the percentage of the billing that was reimbursed or the percentage of reimbursement specifically for CPT code 29999. Regardless of insurance type, there is a low percentage of reimbursement for unlisted hip arthroscopy procedures.</p><p><strong>Clinical relevance: </strong>As hip arthroscopy becomes more common, it is important to understand reimbursement patterns to ensure patients receive appropriate care and surgeons are compensated. This study provides insights that help surgeons navigate these dynamics and deliver high-quality care, regardless of a patient's insurance provider.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70069"},"PeriodicalIF":0.0,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907231","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 Iliotibial Band Lengthening and Bursectomy Effectively Improve Pain and Function in Patients With Greater Trochanteric Pain Syndrome.","authors":"Ashlyn A Callan, Brandon Boyd, Harrison Volaski, Yungtai Lo, Ethan Krell, Noel Akioyamen, Ferdinand J Chan","doi":"10.1002/ars2.70070","DOIUrl":"10.1002/ars2.70070","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate patient-reported outcomes after endoscopic bursectomy and iliotibial band lengthening for the treatment of greater trochanteric pain syndrome.</p><p><strong>Methods: </strong>Patients >18 years who underwent endoscopic bursectomy and iliotibial band lengthening for treatment of greater trochanteric pain syndrome were included. Patient-reported outcomes were collected preoperatively and postoperatively at 1-year follow-up. Outcome measures included Hip Outcome Score Activity of Daily Living score and Sports subscales, modified Harris Hip Score, and University of California, Los Angeles activity score. Data was analyzed using Wilcoxon rank-sum tests and Fisher's exact tests.</p><p><strong>Results: </strong>The study included 25 individual patients (17 preoperative and 13 postoperative data points; and 5 patients provided both). The cohort had a mean age of 53.6 years (range, 27-86), and 73% were women. Significant improvements in functional scores were observed across all outcome measures. The median (interquartile range) total Hip Outcome Score Activity of Daily Living improved from 43.8 (27.9, 60.3) preoperatively to 91.2 (72.1, 95.6) postoperatively (<i>P</i> < .001). Hip Outcome Score-Sports improved from 25.0 (5.0, 50.0) preoperatively to 80.0 (57.5, 97.5) postoperatively (<i>P</i> = .001). Level of function during usual activities improved from 45.0 (10.0, 50.0) to 80.0 (75.0, 95.0) (<i>P</i> = .001). Total function score improved from 34.5 (26.0, 56.8) to 90.2 (72.1, 92.3) (<i>P</i> = .001). The modified Harris Hip Score improved from 33.0 (24.0, 51.0) to 77.0 (53.0, 85.0) (<i>P</i> < .001). University of California, Los Angeles activity score improved from 3.0 (2.0, 4.0) preoperatively to 6.0 (3.0, 9.0) postoperatively (<i>P</i> = .028).</p><p><strong>Conclusions: </strong>Endoscopic bursectomy and iliotibial band lengthening were associated with improvements in patient-reported pain and function in patients with chronic greater trochanteric pain syndrome. Although these results are compelling, they should be interpreted with caution because of the relatively small sample size.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70070"},"PeriodicalIF":0.0,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907305","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":"Patients 40 Years of Age or Older Have Comparable Return to Sport Rates, Reinjury Rates, and 2-Year Patient-Reported Outcomes After Medial or Lateral Meniscus Repair Compared With Patients Younger Than 40 Years of Age.","authors":"Alexander E White, Tyler J Uppstrom, Akshay K Raghuram, Thun Itthipanichpong, Samarth V Menta, Robert B Baldwin, Shu-Han Wang, Anil S Ranawat","doi":"10.1002/ars2.70071","DOIUrl":"10.1002/ars2.70071","url":null,"abstract":"<p><strong>Purpose: </strong>To compare patient-reported outcomes, return to sport (RTS), and reinjury rates after meniscus repair in patients over and under the age of 40 years old.</p><p><strong>Methods: </strong>Meniscus repair cases performed at a single tertiary care center between December 2010 and August 2021 with a minimum 2-year follow-up data were reviewed. Patient-reported outcome measures, RTS, and reinjury data were obtained from an institutional knee registry and prospective surveys. Patients were classified as (1) <40 years old with isolated meniscus repair, (2) ≥40 years old with isolated meniscus repair, (3) <40 years old with meniscus repair and anterior cruciate ligament reconstruction, and (4) ≥40 years old with meniscus repair and anterior cruciate ligament reconstruction.</p><p><strong>Results: </strong>One hundred thirty patients were included, 91 were <40 years old and 39 were ≥40 years old (56% men). Of the tears, 66.2% (n = 86) were medial, 26.9% (n = 35) were lateral, and 6.9% (n = 9) were both medial and lateral. In patients with concomitant anterior cruciate ligament reconstruction, there were no statistically significant differences in 2-year International Knee Documentation Committee scores (<i>P</i> = .58), RTS (<i>P</i> = .80), or meniscus repair failure rates (<i>P</i> > .99) between different age groups. In isolated meniscus repairs, there were no statistically significant differences in 2-year International Knee Documentation Committee scores (<i>P</i> = .72), RTS (<i>P</i> = .24), or meniscus repair failure rates (<i>P</i> = .54) between age groups. At 2-year follow-up, over 80% of patients in both age groups achieved the minimum clinically important difference across all patient-reported outcomes, with no significant differences in minimum clinically important difference achievement between patients younger than 40 years and those aged 40 years or older.</p><p><strong>Conclusions: </strong>In this study, we found that patients 40 years or older who undergo meniscus repair experience similar 2-year patient-reported outcome measures, RTS, and failure rates compared with patients younger than 40.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70071"},"PeriodicalIF":0.0,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907346","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":"Three-Anchor Knotless Compression Bridges Improve Contact Mechanics in a Biomechanical Model of Large, Single-Row Tendon Repairs.","authors":"Nisha M Kotta, Benjamin L Smith, Roger Quesada-Jimenez, Anthony N Khoury, Benjamin G Domb","doi":"10.1002/ars2.70082","DOIUrl":"10.1002/ars2.70082","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the influence of anchor density on tendon footprint contact mechanics in knotless all-suture anchor compression bridge constructs.</p><p><strong>Methods: </strong>Unicortical polyurethane solid foam blocks with a cancellous density of 20 lb/ft³ and a cortical density of 40 lb/ft³ simulated bone. Tendons were replicated with 4.76-mm-thick 40A durometer polyurethane rubber sized to 27 × 12 mm. Test groups consisted of two 2.6-mm all-suture anchor single-row knotless compression bridge constructs evaluated at interanchor distances of 10, 15, 20, and 25 mm. A 3-anchor construct was also evaluated for the 25-mm (large tear) condition. The repair sutures of each construct were individually hooked onto a zeroed, handheld force gauge and manually tensioned to create a minor (<5 N) compressive preload through the tendon. Constructs were incrementally tensioned by +25 N on each suture until failure. Contact area (mm²), compressive force (N), and contact pressure (kPa) were recorded from the loaded sensing elements in the bridge region.</p><p><strong>Results: </strong>The 25-mm, 3-anchor construct resulted in significantly greater compressive force than any of the 2-anchor groups (107 ± 9 N, <i>P</i> < .001). Adding a third anchor to the 25-mm bridge resulted in 37% more compressive force when compared with its 2-anchor equivalent. Contact area increased linearly with increasing bridge length. The largest contact area measured at 195 ± 11 mm², observed in the 25-mm bridge distance with both the 2- and 3-anchor constructs. The largest contact pressure was achieved in the 10 mm group (1020 ± 58 kPa). Contact pressure significantly decreased with increasing bridge distance and was restored with the addition of a third anchor (683 ± 96 kPa) (<i>P</i> < .001).</p><p><strong>Conclusions: </strong>An inverse relation was identified wherein increasing knotless suture bridge length decreased tendon footprint contact pressure in single-row repairs. The addition of an in-line third anchor in a simulated large-tear model (25 mm) improved contact pressure and compressive force.</p><p><strong>Clinical relevance: </strong>The addition of a third knotless all-suture anchor to large single-row suture bridge repairs shows a noticeable improvement in tendon footprint restoration at time zero.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70082"},"PeriodicalIF":0.0,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907385","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 Radiofrequency Microtenotomy and Physical Therapy Provide Significant Improvements in Patients With Chronic Midportion Achilles Tendinopathy at a Minimum 5-Year Follow-Up.","authors":"Hayat Jirde Ali, Khaled Meknas, Jüri-Toomas Kartus, Dana Meknas","doi":"10.1002/ars2.70061","DOIUrl":"10.1002/ars2.70061","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate a minimum 5-year follow-up of patients who were treated with either bipolar radiofrequency microtenotomy (RFM) or physical therapy (PT) for midportion Achilles tendinopathy between 2016 and 2018.</p><p><strong>Methods: </strong>All subjects who participated in a previous randomized controlled trial (n = 38) between 2016 and 2018 were invited to fill out a questionnaire between January and July 2025 to evaluate the outcomes at a minimum of 5-year follow-up. Patients who had undergone further surgical treatment were excluded. Visual analog scale (VAS) for pain and Foot and Ankle Outcome Score (FAOS) were used to assess clinical outcomes.</p><p><strong>Results: </strong>A total of 25 out of the 38 (66%) invited subjects were included: 13 (65%) in the RFM group and 12 (67%) in the PT group. Both treatment groups had significantly improved VAS at the minimum 5-year follow-up compared with preintervention. The RFM group improved from 7.3 ± 1.2 to 0.3 ± 0.8 (<i>P</i> = .002), whereas the PT group improved from 5.7 ± 0.3 to 2.2 ± 2.6 (<i>P</i> = .010). The RFM group had significantly better VAS than the PT group at the minimum 5-year follow-up (<i>P</i> = .019). All parameters in the FAOS were significantly improved for patients in both the RFM group and the PT group. Quality of life was the only variable of the FAOS with significantly better results for RFM in comparison with PT (<i>P</i> = .047).</p><p><strong>Conclusions: </strong>In this study, patients with chronic midportion Achilles tendinopathy reported significant improvements in VAS and FAOS 6 to 9 years after intervention with either RFM or PT. The RFM group reported significantly better outcomes in VAS and quality of life. However, because of loss to follow-up, the study is underpowered, and the results should be interpreted with caution.</p><p><strong>Level of evidence: </strong>Level II, therapeutic, poor-quality randomized controlled trial (<80% f/u).</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70061"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13538079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888684","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}