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

{"title":"Preoperative computer tomography scans can accurately evaluate tibial bone mineral density for selecting bone fixation in total knee arthroplasty","authors":"Yoshinori Mikashima ,&nbsp;Hitoshi Imamura ,&nbsp;Koichiro Yano ,&nbsp;Katsunori Ikari ,&nbsp;Hiroshi Takagi ,&nbsp;Ken Okazaki","doi":"10.1016/j.jisako.2025.100894","DOIUrl":"10.1016/j.jisako.2025.100894","url":null,"abstract":"<div><h3>Introduction/objective</h3><div>The mechanical quality of bone at the proximal tibia is an important factor for the success of cementless total knee arthroplasty (TKA). The purpose of this study was to evaluate the relationship between preoperative bone mineral density (BMD) at the tibial resection level (tibial BMD) using computed tomography (CT) and intraoperative cancellous bone durability (ICBD) in TKA.</div></div><div><h3>Methods</h3><div>All consecutive cemented and cementless TKAs performed by a single surgeon between April 2024 and October 2024 were evaluated. All patients were examined preoperatively for tibial BMD via CT, hip BMD via dual-energy X-ray absorptiometry. A block of cancellous bone with a diameter of 10 ​mm and a height of 10 ​mm was harvested at the center of the tibia. The fixation method was selected intraoperatively according to the macroscopically evaluated bone quality. Using a pusher tension gauge and a metal measure, the force required to compress the harvested bone from 10 ​mm to 5 ​mm was measured and defined as ICBD. Pearson product-moment correlations were calculated to assess the relationships between tibial and hip BMD and ICBD.</div></div><div><h3>Results</h3><div>A consecutive series of 74 TKAs were included. There were 50 cementless fixations and 24 cemented fixations. Tibial BMD, hip BMD and mean ICBD were significantly greater in the cementless group than in the cemented group (tibial BMD: 70.3 ± 26.2 vs 37.5 ± 14.4, and hip BMD: 87.3 ± 11.8 vs 65.6 ± 10.5, ICBD: 85.6 ± 35.6 vs 49.8 ± 18.1, respectively, <em>P</em> &lt; 0.01). The cut-off value of tibial BMD indicating a cementless prosthesis was 46.4 HA/cm³. There was a very strong correlation between tibial BMD and ICBD (r = 0.88, <em>P</em> &lt; 0.01) and a strong correlation between hip BMD and ICBD(r = 0.62, <em>P</em> &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>This study is the first report to focus on the relationships between CT-based tibial BMD and the actual bone quality of the proximal tibia . Assessment of bone quality via CT is accurate, relatively simple, and potentially useful for determining whether cementless fixation in TKA is indicated. For cementless fixation, 46.4 HA/cm3 and 55.7 N were found as tibial BMD and ICBD cut-off values.</div></div><div><h3>Level of evidence</h3><div>Retrospective cohort study, Level Ⅳ.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"12 ","pages":"Article 100894"},"PeriodicalIF":2.7,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049933","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":"Pretibial abscess associated with instrumentation-specific infection after anterior cruciate ligament reconstruction: A case report","authors":"Xian Zhang ,&nbsp;Cong Qiao ,&nbsp;Jiang Zheng ,&nbsp;Bo Ren","doi":"10.1016/j.jisako.2025.100893","DOIUrl":"10.1016/j.jisako.2025.100893","url":null,"abstract":"<div><div>Pretibial abscess is a rare but serious complication after anterior cruciate ligament (ACL) reconstruction. We report six cases of pretibial abscesses from 364 ACL reconstructions at our center between January 2022 and June 2023. Patients presented with poor wound healing, sinus tract formation, and magnetic resonance imaging showed fluid accumulation and bone marrow edema in the tibial tunnel but no deep infection. Bacterial cultures identified <em>Pseudomonas aeruginosa</em> and <em>Burkholderia cepacia</em>. Further investigation found contamination in the hexagonal reamers used for screw implantation, which was likely the infection source. This report highlights the importance of investigating instrument-specific infections when infection rates unexpectedly rise.</div></div><div><h3>Level of evidence</h3><div>Level V.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"12 ","pages":"Article 100893"},"PeriodicalIF":2.7,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040091","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 ChatGPT a more academic source than google searches for patient questions about hip arthroscopy? An analysis of the most frequently asked questions","authors":"Necati Bahadir Eravsar MD ,&nbsp;Mahmud Aydin MD ,&nbsp;Atahan Eryilmaz MD ,&nbsp;Cihangir Turemis MD ,&nbsp;Serkan Surucu MD ,&nbsp;Andrew E. Jimenez MD","doi":"10.1016/j.jisako.2025.100892","DOIUrl":"10.1016/j.jisako.2025.100892","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to compare the reliability and accuracy of responses provided to patients about hip arthroscopy (HA) by Chat Generative Pre-Trained Transformer (ChatGPT), an artificial intelligence (AI) and large language model (LLM) online program, with those obtained through a contemporary Google Search for frequently asked questions (FAQs) regarding HA.</div></div><div><h3>Methods</h3><div>“HA” was entered into Google Search and ChatGPT, and the 15 most common FAQs and the answers were determined. In Google Search, the FAQs were obtained from the “People also ask” section. ChatGPT was queried to provide the 15 most common FAQs and subsequent answers. The Rothwell system groups the questions under 10 subheadings. Responses of ChatGPT and Google Search engines were compared.</div></div><div><h3>Results</h3><div>Timeline of recovery (23.3%) and technical details (20%) were the most common categories of questions. ChatGPT produced significantly more data in the technical details category (33.3% vs. 6.6%; <em>p</em>-value ​= ​0.0455) than in the other categories. The most FAQs were academic in nature for both Google web search (46.6%) and ChatGPT (93.3%). ChatGPT provided significantly more academic references than Google web searches (93.3% vs. 46.6%). Conversely, Google web search cited more medical practice references (20% vs. 0%), single surgeon websites (26% vs. 0%), and government websites (6% vs. 0%) more frequently than ChatGPT.</div></div><div><h3>Conclusion</h3><div>ChatGPT performed similarly to Google searches for information about HA. Compared to Google, ChatGPT provided significantly more academic sources for its answers to patient questions.</div></div><div><h3>Level of evidence</h3><div>Level IV.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"12 ","pages":"Article 100892"},"PeriodicalIF":2.7,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989594","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":"Statistical Shape Modeling to Compare Anatomical Differences in Individuals with Bilateral Symptomatic FAI","authors":"","doi":"10.1016/j.jisako.2025.100454","DOIUrl":"10.1016/j.jisako.2025.100454","url":null,"abstract":"","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"12 ","pages":"Article 100454"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143941651","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 Impact of Pain Tolerance and Grit on Patients with FAI Syndrome: A Prospective Study","authors":"","doi":"10.1016/j.jisako.2025.100487","DOIUrl":"10.1016/j.jisako.2025.100487","url":null,"abstract":"","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"12 ","pages":"Article 100487"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143941078","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":"Deep Learning-Based Ultrasonographic Imaging Diagnosis of Chronic Lateral Ankle Instability","authors":"","doi":"10.1016/j.jisako.2025.100411","DOIUrl":"10.1016/j.jisako.2025.100411","url":null,"abstract":"","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"12 ","pages":"Article 100411"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143941333","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":"Does Combined Polydeoxyribonucleotide Improve the Outcome of Extensor Muscle Strengthening Exercise with Extracorporeal Shockwave Therapy for Lateral Epicondylitis of Elbow?: A Randomized Controlled Trial","authors":"","doi":"10.1016/j.jisako.2025.100439","DOIUrl":"10.1016/j.jisako.2025.100439","url":null,"abstract":"","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"12 ","pages":"Article 100439"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143941563","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":"Injection of Micro-Filtered Adipose Tissue Versus Placebo for Bilateral Knee Osteoarthritis: Results of a Randomized Controlled Trial","authors":"","doi":"10.1016/j.jisako.2025.100428","DOIUrl":"10.1016/j.jisako.2025.100428","url":null,"abstract":"","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"12 ","pages":"Article 100428"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143943333","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":"10 Year Outcomes of Hip Arthroscopy for Femoroacetabular Impingement in Obese Patients","authors":"","doi":"10.1016/j.jisako.2025.100479","DOIUrl":"10.1016/j.jisako.2025.100479","url":null,"abstract":"","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"12 ","pages":"Article 100479"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143943375","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":"A Novel and Simplified Arthroscopy Assisted Carpal Tunnel Release: A Technical Note and Case Series","authors":"","doi":"10.1016/j.jisako.2025.100450","DOIUrl":"10.1016/j.jisako.2025.100450","url":null,"abstract":"","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"12 ","pages":"Article 100450"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143943598","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}