Sports Medicine and Arthroscopy Review最新文献_第4页

The Use of Allografts in Anterior Cruciate Ligament Reconstruction: An Overview. 异体移植在前交叉韧带重建中的应用综述。

IF 1.8 4区医学

Sports Medicine and Arthroscopy Review Pub Date : 2025-12-01 Epub Date: 2025-02-11 DOI: 10.1097/JSA.0000000000000427

Michael Iosifidis, Myrto-Aikaterini Iosifidou, Alexandros Tzaveas, Theofylaktos Kyriakidis

{"title":"The Use of Allografts in Anterior Cruciate Ligament Reconstruction: An Overview.","authors":"Michael Iosifidis, Myrto-Aikaterini Iosifidou, Alexandros Tzaveas, Theofylaktos Kyriakidis","doi":"10.1097/JSA.0000000000000427","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000427","url":null,"abstract":"The choice of graft for primary anterior cruciate ligament reconstruction (ACLR) is still controversial. Traditionally, allografts were reserved for revision cases. However, their use is constantly increasing in standard primary ACLRs. The main benefits of allografts include no donor-site morbidity, larger graft sizes, shorter operative times, and reduced postoperative pain. Recent literature has demonstrated that allografts are effective and safe, but studies have reported inferior or similar clinical outcomes. Compared with irradiated allografts, a low failure rate was observed when using nonirradiated allografts. Allograft ACLR showed comparable failure rates between sexes but displayed suboptimal graft failure outcomes in younger and active patients. Donor age does not seem to influence the biomechanical properties of allografts negatively. In addition, within the first year of recovery after ACLR, patients who receive allografts and autografts may have significantly different perceived abilities to perform activities or return to sports. Finally, the cost is higher with allografts, so if autografts are available, allografts are not cost-effective.","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"33 4","pages":"134-139"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cell Transplantation Techniques for Cartilage Restoration. 软骨细胞移植修复技术。

IF 1.8 4区医学

Sports Medicine and Arthroscopy Review Pub Date : 2025-12-01 Epub Date: 2025-04-30 DOI: 10.1097/JSA.0000000000000434

Fabio Valerio Sciarretta

{"title":"Cell Transplantation Techniques for Cartilage Restoration.","authors":"Fabio Valerio Sciarretta","doi":"10.1097/JSA.0000000000000434","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000434","url":null,"abstract":"Focal articular chondral lesions are a common finding among patients presenting with knee pain, which have been reported with an incidence of up to 60% to 65% during knee arthroscopies. When symptomatic and not responding to conservative treatment measures, cell transplantation techniques can offer a valid treatment solution to regenerate cartilage, due to articular cartilage's very limited self-repair capability. Autologous chondrocyte implantation (ACI) has been used clinically for more than 20 years, with short, medium, and long-term clinical outcomes diffusely reported in the literature. To overcome ACI limitations, other cell transplantation techniques have been considered as treatment modalities for cartilage defect repair. Mesenchymal stem cells induced pluripotent stem cells (iPSC); Scaffold-based cell transplantation techniques such as AMIC and LIPO-AMIC procedures, and allogeneic cell transplantation and allograft cell transplantation have, in recent years, become a successful alternative treatment. This article analyzes clinical data and literature findings on the various cell transplantation cartilage repair techniques from bench and bedside, including all the various options for patients with full-thickness cartilage defects, aiming to outline the past, present, and future of cell therapies for articular cartilage defect repair.","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"33 4","pages":"140-147"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Update on Osteochondral Allograft Transplantation. 同种异体骨软骨移植研究进展。

IF 1.8 4区医学

Sports Medicine and Arthroscopy Review Pub Date : 2025-12-01 Epub Date: 2025-06-05 DOI: 10.1097/JSA.0000000000000437

Brian J Cole, Yusuf Mufti, Jared Sachs, Chloe Franzia, Andrew S Bi, Jorge Chahla, Susan Chubinskaya, Rachel M Frank, Ron Gilat, Adam B Yanke

引用次数: 0

Meniscus Allograft Transplantation. 半月板同种异体移植。

IF 1.8 4区医学

Sports Medicine and Arthroscopy Review Pub Date : 2025-09-01 Epub Date: 2025-03-10 DOI: 10.1097/JSA.0000000000000430

Guillermo Araujo-Espinoza, Rachel J Patel, Nicholas Bertha, Evan H Richman, Daniel J Stokes, Rachel M Frank

引用次数: 0

Use of Allografts in Sports Medicine - Part I. 同种异体移植物在运动医学中的应用-第一部分。

IF 1.8 4区医学

Sports Medicine and Arthroscopy Review Pub Date : 2025-09-01 Epub Date: 2025-03-27 DOI: 10.1097/JSA.0000000000000432

René Verdonk, Theofylaktos Kyriakidis

引用次数: 0

Allograft Use in Peripheral Knee Ligament Injuries (MCL and LCL): A Systematic Review. 同种异体移植在膝外周韧带损伤（MCL和LCL）中的应用：系统综述。

IF 1.8 4区医学

Sports Medicine and Arthroscopy Review Pub Date : 2025-09-01 Epub Date: 2025-03-10 DOI: 10.1097/JSA.0000000000000429

Vasileios S Akrivos, Nifon Gkekas, Ilias Chantes, George A Komnos, Antonios A Koutalos, Nikolaos Stefanou, Michael Hantes

{"title":"Allograft Use in Peripheral Knee Ligament Injuries (MCL and LCL): A Systematic Review.","authors":"Vasileios S Akrivos, Nifon Gkekas, Ilias Chantes, George A Komnos, Antonios A Koutalos, Nikolaos Stefanou, Michael Hantes","doi":"10.1097/JSA.0000000000000429","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000429","url":null,"abstract":"Comprehensive studies on the exclusive use of allografts for medial collateral ligament (MCL) and posterolateral corner (PLC) reconstruction are limited. This review assessed clinical and functional outcomes of allograft use for MCL and PLC reconstruction. The PRISMA guidelines were followed. A systematic search of the literature was performed in PubMed, MEDLINE, Web of Science, Cochrane (CENTRAL), and Scopus databases to identify published articles on clinical studies relevant to MCL and LCL reconstruction with the use of allografts. The results of the eligible studies were analyzed in terms of stability and functional outcomes, Lysholm score, objective and subjective International Knee Documentation Committee (IKDC) scores, Tegner activity scale, Cincinnati Knee Rating System, Marx score, complications, and graft failure. Nineteen studies with 547 patients undergoing LCL reconstructions using allografts were analyzed. The most common allograft used was the Achilles tendon. Mean lateral opening improved from 6.21 mm preoperatively to 1.88 mm postoperatively, with IKDC and Lysholm scores increasing significantly (44.02 to 74.78 and 53.44 to 85.68, respectively). The failure rate for LCL/PLC reconstructions was 11.13%, and complications occurred in 19.75%. For MCL reconstructions, 5 studies with 135 patients showed a reduction in medial opening from 9.7 mm to 2.33 mm, with increases in IKDC and Lysholm scores (49.8 to 75.92 and 69.3 to 85.46, respectively). The failure rate was 4.19%, with a 10.93% complication rate. The use of allografts for LCL and PLC reconstruction demonstrated satisfactory outcomes, with stable and functional knees, though there was a relatively high graft failure rate. Similarly, positive results were observed in MCL reconstruction with allografts. Level of Evidence: Level-IV.","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"33 3","pages":"93-104"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Magnetic Resonance-Based Artificial Intelligence- Supported Osteochondral Allograft Transplantation for Massive Osteochondral Defects of the Knee. 基于磁共振人工智能的同种异体骨软骨移植治疗膝关节大面积骨软骨缺损。

IF 1.8 4区医学

Sports Medicine and Arthroscopy Review Pub Date : 2025-09-01 Epub Date: 2025-02-05 DOI: 10.1097/JSA.0000000000000426

György Hangody, Péter Szoldán, Zsófia Egyed, Endre Szabó, László Rudolf Hangody, László Hangody

引用次数: 0

The Use of Allografts in Posterior Cruciate Ligament Reconstructions: A Review of the Current Literature. 同种异体移植在后交叉韧带重建中的应用：当前文献综述。

IF 1.8 4区医学

Sports Medicine and Arthroscopy Review Pub Date : 2025-09-01 Epub Date: 2025-01-15 DOI: 10.1097/JSA.0000000000000423

Edmund Patrick Mullin, Luke V Tollefson, Robert F LaPrade

引用次数: 0

State of the Art for Meniscal Scaffolds. 半月板支架的最新技术。

IF 1.8 4区医学

Sports Medicine and Arthroscopy Review Pub Date : 2025-09-01 Epub Date: 2025-02-03 DOI: 10.1097/JSA.0000000000000425

Theofylaktos Kyriakidis, Peter Verdonk, Matthias Schurhoff, René Verdonk

{"title":"State of the Art for Meniscal Scaffolds.","authors":"Theofylaktos Kyriakidis, Peter Verdonk, Matthias Schurhoff, René Verdonk","doi":"10.1097/JSA.0000000000000425","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000425","url":null,"abstract":"Meniscal damage increases contact stress to the underlying chondral surface, leading to cartilage degeneration. However, meniscal repair is not always feasible, and partial meniscectomy is still the current standard of care for irreparable symptomatic lesions, including failure of primary repair. This approach can lead to the development of early osteoarthritis and irreversible knee damage in the long term. The main goals for treating the post-meniscectomy deficient knee are to allow pain-free daily activities, prevent swelling, and avoid further joint degeneration. The concept of meniscal regeneration has become very appealing. This process requires a scaffold for successful migration and colonization with precursor cells and vessels, leading to the formation of organized new meniscal tissue. Two meniscal scaffolds are available: one is composed of aliphatic polyurethane named Actifit, and the other is based on collagen type I fibers called Collagen Meniscal Implant. Both provide an effective and safe solution for treating symptomatic patients with segmental mid-substance meniscus defects. Recent literature has demonstrated that scaffolds are effective both in mid- and long-term outcomes and significantly improve patient satisfaction and clinical evaluation; therefore, they are suggested for meniscus preservation and long-term knee health.","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"33 3","pages":"125-132"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Utilization of Static and Dynamic Models for the Biomechanical Testing of Rotator Cuff Pathology: A Systematic Review. 应用静态和动态模型进行肩袖病理生物力学测试：系统综述。

IF 2.5 4区医学

Sports Medicine and Arthroscopy Review Pub Date : 2025-06-01 Epub Date: 2025-04-23 DOI: 10.1097/JSA.0000000000000433

Daniel P Berthold, Brian T Ford, Matthew Shuman, Lukas N Muench, Benjamin C Hawthorne, Elifho Obopilwe, Augustus D Mazzocca, Thay Q Lee, Bassem T Elhassan, Ian J Wellington

{"title":"The Utilization of Static and Dynamic Models for the Biomechanical Testing of Rotator Cuff Pathology: A Systematic Review.","authors":"Daniel P Berthold, Brian T Ford, Matthew Shuman, Lukas N Muench, Benjamin C Hawthorne, Elifho Obopilwe, Augustus D Mazzocca, Thay Q Lee, Bassem T Elhassan, Ian J Wellington","doi":"10.1097/JSA.0000000000000433","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000433","url":null,"abstract":"Objective: The goal of this systematic review is to determine the prevalence of these testing systems in the current rotator cuff literature, determine the most common outcome measurements evaluated with each of these systems, and discuss the benefits and limitations of each of these modalities.Materials and methods: A PubMed search was conducted to identify studies utilizing either dynamic or static whole shoulder models to assess rotator cuff pathology with or without subsequent repair. For each study, the repair method, the outcomes measured, and the loading forces used were collected. These were then compared between studies using either a dynamic or static model.Results: A total of 44 studies (34 static, 10 dynamic) were included for analysis. The most common repairs evaluated were superior capsular reconstruction (SCR; static: 35%; dynamic: 40%), no repair (static: 24%; dynamic: 30%), and suture anchor repair (static: 15%; dynamic: 30%). The most common outcome measures for static studies were superior humeral head migration (65%) and glenohumeral contact force (21%), while the most common outcomes in dynamic studies were maximum abduction (50%) and deltoid force at maximum abduction (40%).Conclusion: Currently, a majority of this research utilizes static models. Understanding the benefits and limitations of these systems is important for researchers hoping to employ these models in their future work.","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"33 2","pages":"69-74"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0