Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine最新文献

{"title":"The Potential of Tendon Autograft as Meniscus substitution: Current concepts.","authors":"Youngji Kim, Eriksson Karl, Muneaki Ishijima, Sylvain Guy, Christophe Jacquet, Matthieu Ollivier","doi":"10.1016/j.jisako.2024.100353","DOIUrl":"https://doi.org/10.1016/j.jisako.2024.100353","url":null,"abstract":"<p><p>Meniscectomy is known to alter the mechanics, stability, and kinematics of the tibiofemoral joint, leading to early knee osteoarthritis (KOA). While several meniscal substitutions exist, such as meniscus allograft transplantation, collagen meniscus implants, and artificial substitutes, they often come with technical challenges, high costs, and risks, including allograft failure, infections, and disease transmission. Tendon autografts emerge as a promising option, offering safety, availability, biocompatibility, and a reduced risk of pathophoresis. This review delves into basic, in vivo, in vitro, and biomechanical studies alongside clinical outcomes and future prospects of tendon autografts as meniscus substitutes. A thorough understanding of this option is vital for integrating these evolving techniques into clinical practice and mitigating early KOA progression.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Thai version of the injury-psychological readiness to return to sport scale (I-PRRS): Translation and evaluation of measurement properties.","authors":"Wacharapol Tepa, Chanopak Juntharamussakarn, Panisa Khaminta, Pisit Lertwanich","doi":"10.1016/j.jisako.2024.100352","DOIUrl":"10.1016/j.jisako.2024.100352","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to translate and culturally adapt the Injury-Psychological Readiness to Return to Sport scale (I-PRRS) into Thai and evaluate the measurement properties of the Thai version (TH-I-PRRS).</p><p><strong>Methods: </strong>The I-PRRS was translated according to international guidelines. Athletes who had undergone anterior cruciate ligament reconstruction during the previous 6 months to 5 years were recruited to complete two sets of questionnaires. At baseline, participants filled out the TH-I-PRRS questionnaire and other relevant measures. After 2 weeks, they completed the TH-I-PRRS again, along with the Global Rating of Change scale.</p><p><strong>Results: </strong>The TH-I-PRRS was successfully translated from English. A total of 142 patients (mean age: 30.7 ​± ​8.9 years; 83.1% male) participated. Eight of nine predefined hypotheses (88.9%) regarding correlations between the TH-I-PRRS and other measures were confirmed, indicating good construct validity. The TH-I-PRRS exhibited excellent internal consistency (Cronbach's alpha ​= ​0.92; 95% CI: 0.90-0.94) and high test-retest reliability (intraclass correlation coefficient ​= ​0.83; 95% CI: 0.66-0.90). No floor or ceiling effects were observed.</p><p><strong>Conclusion: </strong>The TH-I-PRRS is a valid and reliable tool for evaluating the psychological readiness of athletes to return to sport after anterior cruciate ligament reconstruction.</p><p><strong>Level of evidence: </strong>II.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Demystifying Unicompartmental Knee Arthroplasty.","authors":"Daniel C Wascher","doi":"10.1016/j.jisako.2024.100351","DOIUrl":"https://doi.org/10.1016/j.jisako.2024.100351","url":null,"abstract":"","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Outpatient Experience in Unicompartmental Knee Arthroplasty - How to Perform Safely in the Ambulatory Surgery Center.","authors":"Kevin D Plancher, Geoffrey E Braun, Stephanie C Petterson","doi":"10.1016/j.jisako.2024.100350","DOIUrl":"https://doi.org/10.1016/j.jisako.2024.100350","url":null,"abstract":"<p><p>The number of outpatient unicompartmental knee arthroplasty (UKA) procedures has increased substantially over the last decade. The ambulatory surgery center (ASC) and hospital outpatient department provide a safe, cost-effective alternative with a significant cost savings to the healthcare system. Advancements in technology and perioperative management strategies have expanded the number of eligible patients to optimize outcomes with a focus on safety. Therefore, this review will describe the safety, efficacy, economics, and perioperative protocols for performing UKA in an outpatient setting. Patient selection, risk factors, patient education and expectations, anesthesia, pain management strategies, and outcomes will be discussed.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Satisfaction Following Unicompartmental Knee Arthroplasty: Current Concepts.","authors":"Roderick J M Vossen, Gaby V Ten Noever de Brauw, Tarik Bayoumi, Hendrik A Zuiderbaan, Andrew D Pearle","doi":"10.1016/j.jisako.2024.100349","DOIUrl":"https://doi.org/10.1016/j.jisako.2024.100349","url":null,"abstract":"<p><p>Unicompartmental knee arthroplasty (UKA) has gained progressive popularity in recent decades, currently comprising approximately 10% of knee arthroplasties in the United States. Nonetheless, UKA has not yet solidified its position as the superior treatment for isolated compartment osteoarthritis, as initial reported implant survivorship was subpar, leading to hesitation in its utilization and stricter patient indications compared to total knee arthroplasty. Patient satisfaction following knee arthroplasty has emerged as a critical metric to gauge patient acceptance and contentment with surgical interventions. Currently, a variety of UKA types exist, differing in bearing design, fixation techniques such as cementless or cemented fixation, and robotic-assisted systems, each with its own merits and drawbacks. Multiple studies have demonstrated the contributions of these innovations to improve clinical outcomes and implant survivorship. However, the abundance of studies has made it challenging to establish a clear overview. This paper provides an overview of the current concepts of UKA, evaluating various aspects of UKA referencing to patient satisfaction and providing a recap of its historical development. Available research demonstrated no significantly universal superior variant of UKA.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is patella facet arthritis a contraindication to unicompartmental knee arthroplasty: Current concepts.","authors":"Todd E Bertrand, Patricia R Melvin, Adolph V Lombardi, Keith R Berend","doi":"10.1016/j.jisako.2024.100343","DOIUrl":"10.1016/j.jisako.2024.100343","url":null,"abstract":"<p><p>Medial unicompartmental knee arthroplasty (UKA) has increased in popularity for the ​treatment of end-stage anteromedial osteoarthritis in part secondary to its quicker recovery, improved function, and decreased risk of medical complications over total knee arthroplasty (TKA). However, despite the success of medial UKA, dilemma still exists over certain patient characteristics as to suitability for undergoing the procedure. In addition to patient age, body mass index (BMI), and the presence, or lack thereof, of an anterior cruciate ligament (ACL), one of the most contentious issues surrounding suitability for medial UKA is the preoperative status of the patellofemoral joint (PFJ). This review aims to look at the historical factors leading to the current dilemma as well as recent evidence surrounding anterior knee pain and preoperative PFJ arthritis on the survivability and outcomes of medial UKA. This article will also evaluate other PFJ factors possibly affecting the outcome of medial UKA such as lateral patellar subluxation and lateral facet grooving, future perspectives that may influence the utilization of medial UKA such as cementless implants, and the choice of mobile versus fixed bearing articulations.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Selection in UKA: How to Make the Diagnosis for Success in the Clinic.","authors":"Jobe Shatrov, Philippe Neyret","doi":"10.1016/j.jisako.2024.100348","DOIUrl":"https://doi.org/10.1016/j.jisako.2024.100348","url":null,"abstract":"<p><p>The success of unicompartmental knee arthroplasty (UKA) for monocompartmental knee arthritis is reliant on appropriate patient selection. This article addresses the clinical challenges that may arise when attempting to identify patients likely to have favorable outcomes following UKA. Despite advancements of implant design and accuracy of surgical tools, considerable challenges persist in predicting patient specific success and satisfaction following UKA. Variation in patient characteristics, healthcare practices, and outcomes in the literature make the establishment of a strict set of universal guidelines difficult. This article will provide a comprehensive overview of the current landscape of patient selection for UKA, acknowledging the existing clinical dilemmas and challenges faced by clinicians and proposing avenues for future research including the integration of patient predictive models, advanced imaging, and artificial intelligence to enhance predictive accuracy.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New technology: Custom made implants, patient-specific alignment, and navigation - How to convince my hospital it's worth it: Current concepts.","authors":"David Figueroa, Francisco Figueroa, Rodrigo Guiloff, Esteban Stocker","doi":"10.1016/j.jisako.2024.100339","DOIUrl":"10.1016/j.jisako.2024.100339","url":null,"abstract":"<p><p>Unicompartmental knee arthroplasty (UKA) faces significant challenges, including lower survival rates and higher revision rates than total knee arthroplasty (TKA). To address these issues, technological advancements like custom-made implants (CMI), patient-specific alignment (PSA), and computer-assisted systems (CAS) are being explored. These innovations aim to tailor procedures to individual joint morphology, soft tissue balance, and limb alignment, moving away from the traditional \"one size fits all\" approach. Early studies suggest that CMI may improve survival rates and patient-reported outcomes, though conclusive evidence is lacking. PSA shows potential for restoring pre-surgical alignment; however, its long-term benefits are uncertain. CAS improves implant placement precision and ligament balance; nevertheless, long-term survival data remain inconclusive. Moreover, economic and implementation challenges, such as cost and the need for specialized training, remain underexplored. While promising, further research is needed to fully understand the long-term efficacy and practical application of these technologies in UKA.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"UNICOMPARTMENTAL KNEE ARTHROPLASTY: WHAT IS THE OPTIMAL ALIGNMENT CORRECTION TO ACHIEVE SUCCESS? THE ROLE OF KINEMATIC ALIGNMENT. STATE OFF THE ART REVIEW.","authors":"Peter James McEwen, Abbas Omar, Takafumi Hiranaka","doi":"10.1016/j.jisako.2024.100334","DOIUrl":"https://doi.org/10.1016/j.jisako.2024.100334","url":null,"abstract":"<p><p>Unicompartmental knee arthroplasty (UKA) is in many ways the ultimate kinematic operation as the express aim is to resurface the diseased side of the joint and restore pre-arthritic alignment and balance while maintaining integrity of both cruciate ligaments. An increasing body of knowledge relates the outcomes of UKA to pre-arthritic anatomy rather than an arbitrarily defined neutral. The Coronal Plane Alignment of the Knee (CPAK) classification provides a validated technique for calculating pre-arthritic limb alignment (the Arithmetic Hip-Knee-Ankle Ankle (aHKA)) and Joint Line Obliquity (JLO) and will enable a greater understanding of the interactions between pre-arthritic anatomy, choice of prosthetic position and outcomes. When pre-arthritic alignment is not taken into consideration a post-operative limb alignment of mild to moderate varus for medial UKA and moderate valgus for lateral UKA appears produces the best outcomes. When pre-arthritic anatomy is taken into account superior results have been reported with restoration of pre-arthritic limb alignment and joint line obliquity. Restriction boundaries have yet to be clearly defined for tibial component coronal and Hip-Knee-Ankle (HKA) angles when applying this new paradigm, but existing evidence would suggest a 6⁰ varus limit for the tibial coronal angle may be a reasonable starting point. Lateral UKA has inherent differences in terms of tibial component positioning and ligament balance targets. Mobile bearing UKA demands a three-dimensional understanding of the effect of implant position on bearing stability. Modification of technique is necessary to produce anatomic tibia component angles with equipment designed for mechanical alignment. Robotic technology allows accurate understanding of pre-arthritic anatomy, precise reproduction of patient specific virtual planning, equally precise manipulation of soft tissue balance and future research using these platforms likely to further clarify in terms of ideal patient specific component and limb alignment targets.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perfect indications and how to avoid complications in lateral unicompartmental knee arthroplasty.","authors":"Gabriel Baron, Sebastián Ruidíaz, Rodrigo Torres","doi":"10.1016/j.jisako.2024.100342","DOIUrl":"10.1016/j.jisako.2024.100342","url":null,"abstract":"<p><p>Lateral unicompartmental knee arthroplasty (LUKA) is a favorable alternative to distal femoral osteotomy and total knee arthroplasty in patients with isolated lateral compartment knee osteoarthritis; however, it only accounts for less than 1 ​% of the total number of knee replacements documented in national joint registries. The anatomy and biomechanics of the lateral knee compartment differ from the medial side, with a greater intrinsic laxity of the lateral collateral ligament complex compared with medial structures. Indications and surgical techniques must be tailored to each unicompartmental replacement to optimize outcomes and mitigate complications. This article will discuss the clinical indications, preoperative evaluation and workup, surgical technique, and outcomes for LUKA.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}