Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA最新文献

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Total knee arthroplasty: Have we made any strides over the last 50 years? 全膝关节置换术:在过去的50年里我们取得了什么进步吗?
IF 5
Augusto Ferrini, Mincong He, Kashif Anwar, Rocco Papalia, Ibrahim Tuncay, Javad Parvizi
{"title":"Total knee arthroplasty: Have we made any strides over the last 50 years?","authors":"Augusto Ferrini, Mincong He, Kashif Anwar, Rocco Papalia, Ibrahim Tuncay, Javad Parvizi","doi":"10.1002/ksa.70073","DOIUrl":"https://doi.org/10.1002/ksa.70073","url":null,"abstract":"<p><p>Total knee arthroplasty (TKA) is a successful surgical procedure for patients with disabling arthritis of the knee. However, persistent challenges such as patient dissatisfaction, discrepancies in functional recovery, and variability in long-term outcomes have necessitated ongoing innovations. This review explores the evolution of TKA, and advancements that this surgical procedure has witnessed over the past few decades. While no one can dispute the fact that TKA has undergone significant change from its rudimentary hinge style prosthesis made of ivory to a sophisticated and well-functioning prosthesis, some of these so-called advancements have been transient and others have adversely affected patient outcomes. We will critically evaluate some of these advancements and innovations to determine whether they have resulted in any improvements in patient outcomes and have stood the test of time.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188327","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}
引用次数: 0
Anticoagulant and anti-inflammatory effects of fondaparinux sodium during anterior cruciate ligament reconstruction in high risk VTE patients: A randomised controlled, triple blinded, prospective study. fondaparinux钠在高危静脉血栓栓塞患者前十字韧带重建中的抗凝和抗炎作用:一项随机对照、三盲、前瞻性研究
IF 5
Pai Zheng, Guangwei Che, Xueer Zhang, Haoming You, Jiayuan Peng, Yong Huang, Lihan Shi
{"title":"Anticoagulant and anti-inflammatory effects of fondaparinux sodium during anterior cruciate ligament reconstruction in high risk VTE patients: A randomised controlled, triple blinded, prospective study.","authors":"Pai Zheng, Guangwei Che, Xueer Zhang, Haoming You, Jiayuan Peng, Yong Huang, Lihan Shi","doi":"10.1002/ksa.70081","DOIUrl":"https://doi.org/10.1002/ksa.70081","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the anticoagulant and anti-inflammatory effects of fondaparinux sodium in patients at high risk of venous thromboembolism (VTE) undergoing anterior cruciate ligament (ACL) reconstruction.</p><p><strong>Methods: </strong>A single-centre, triple-blinded, randomised, controlled study enroled high-risk VTE patients (Caprini score ≥ 5) undergoing ACL reconstruction. Patients were randomised to receive either fondaparinux sodium (2.5 mg daily for 14 days) or enoxaparin sodium (4000 AxaIU daily for 14 days). Coagulation parameters, inflammatory markers, thromboelastography (TEG) and duplex ultrasound of the lower limbs were assessed at predefined time points.</p><p><strong>Results: </strong>A total of 72 patients were included. Baseline demographic characteristics, including age, gender and preoperative health status, were similar between the two groups. No cases of deep vein thrombosis (DVT) or pulmonary embolism (PE) were reported in either group. Group A showed significantly lower D-dimer levels on postoperative days 3, 7, and 13 and higher activated partial thromboplastin time (APTT) on Day 7 (p < 0.05). TEG showed that reaction time (R) was longer in Group A, and maximum amplitude (MA) increased postoperatively (p < 0.05). Inflammatory markers (ESR, CRP and IL-6) were significantly lower in Group A at multiple time points (p < 0.05). Knee circumference also decreased significantly in Group A on Days 3 and 7 (p < 0.05). No significant differences were found between the groups regarding pain, blood loss or postoperative complications (p > 0.05).</p><p><strong>Conclusion: </strong>In high-risk VTE patients undergoing ACL reconstruction, fondaparinux sodium exhibited superior anticoagulant and anti-inflammatory effects compared to enoxaparin sodium, with reduced knee swelling. No significant differences were observed in major postoperative VTE events or bleeding risks, suggesting fondaparinux sodium may be a preferable option for postoperative thromboprophylaxis.</p><p><strong>Level of evidence: </strong>Level I.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188251","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}
引用次数: 0
Technical tips and tricks for complex biplanar high tibial osteotomies. 复杂双平面胫骨高位截骨术的技术技巧。
IF 5
Tyler M Hauer, Romed P Vieider, David Wasserstein, Matthieu Ollivier, Volker Musahl
{"title":"Technical tips and tricks for complex biplanar high tibial osteotomies.","authors":"Tyler M Hauer, Romed P Vieider, David Wasserstein, Matthieu Ollivier, Volker Musahl","doi":"10.1002/ksa.70083","DOIUrl":"https://doi.org/10.1002/ksa.70083","url":null,"abstract":"<p><strong>Purpose: </strong>While traditional high tibial osteotomy (HTO) techniques primarily address malalignment in the coronal plane, the significance of sagittal plane alignment, particularly the posterior tibial slope (PTS), is not to be overlooked in the setting of cruciate ligament insufficiency. Combined deformities involving both the coronal plane and the sagittal plane are less common and present unique surgical challenges. This narrative review summarizes the literature and introduces tips and tricks for managing complex biplanar deformities through a case-based discussion of different techniques.</p><p><strong>Methods: </strong>This narrative review includes preoperative planning, surgical techniques, clinical outcomes and illustrative clinical cases detailing surgical rationale and technical nuances in the correction of biplanar proximal tibial deformities. Emphasis is placed on the importance of accurate assessment and correction of biplanar deformities to optimize patient outcomes. Four representative technique presentations are included: (1) Hybrid HTO with a posterior opening wedge (POW) and anterior closing wedge (ACW), (2) asymmetrical medial closing wedge (MCW) HTO, (3) medial opening wedge (MOW) HTO with an anterolateral hinge and (4) a double HTO with both an infratuberosity ACW and high MOW.</p><p><strong>Conclusion: </strong>Biplanar HTO is a knee-preserving surgical option for a small cohort of patients with complex knee deformities involving both the coronal and sagittal planes. Precise preoperative planning and meticulous surgical execution are essential to address these biplanar malalignments effectively. This narrative review serves as a guide for orthopaedic surgeons, highlighting key considerations when planning biplanar HTO and serves as a practical guide for complex cases.</p><p><strong>Level of evidence: </strong>Level V.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188292","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}
引用次数: 0
Multiligamentous injuries of the knee: Fast (and not furious) or later. 膝关节多韧带损伤:快速(而不是剧烈)或稍后。
IF 5
Nicolas Bouguennec, Etienne Cavaignac, Thomas Neri, Jérôme Murgier
{"title":"Multiligamentous injuries of the knee: Fast (and not furious) or later.","authors":"Nicolas Bouguennec, Etienne Cavaignac, Thomas Neri, Jérôme Murgier","doi":"10.1002/ksa.70082","DOIUrl":"https://doi.org/10.1002/ksa.70082","url":null,"abstract":"","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188296","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}
引用次数: 0
The effectiveness of knee bracing in non-operative soft tissue and degenerative knee injuries: A systematic review. 膝关节支具在非手术软组织和退行性膝关节损伤中的有效性:系统综述。
IF 5
Marc Daniel Bouchard, Justin Gilbert, Michelle Cruickshank, Colin Kruse, Prushoth Vivekanantha, James Yan, Vickas Khanna
{"title":"The effectiveness of knee bracing in non-operative soft tissue and degenerative knee injuries: A systematic review.","authors":"Marc Daniel Bouchard, Justin Gilbert, Michelle Cruickshank, Colin Kruse, Prushoth Vivekanantha, James Yan, Vickas Khanna","doi":"10.1002/ksa.70080","DOIUrl":"https://doi.org/10.1002/ksa.70080","url":null,"abstract":"<p><strong>Purpose: </strong>Soft tissue and degenerative knee injuries, including anterior/posterior cruciate ligament (ACL/PCL) injuries, medial knee osteoarthritis (MKOA), and patellofemoral osteoarthritis (PFOA), are common causes of pain and functional decline. Knee bracing is often used as part of non-operative treatment, but its clinical effectiveness remains uncertain. This systematic review aimed to evaluate the role of bracing in improving pain, function, and preventing surgical conversion in adults with non-operatively managed knee injuries.</p><p><strong>Methods: </strong>A systematic review was conducted following PRISMA guidelines. Embase, Ovid MEDLINE, and Ovid Emcare were searched from inception to March 2025. Studies were included if they reported clinical outcomes of knee bracing in adults with soft tissue or degenerative knee injuries treated non-operatively. Studies focused on biomechanics, prophylaxis, surgery, or paediatric populations were excluded. Data were synthesised narratively with weighted summary statistics.</p><p><strong>Results: </strong>Seventeen studies (706 patients) were included: six on ACL injuries, three PCL, three MKOA, and five PFOA. MKOA studies showed pooled improvements of +14.6 in KOOS Pain and -1.9 in VAS (SDs 1.0 and 0.5). ACL studies reported a pooled Lysholm gain of +11.8 (SD = 4.3), while PCL outcomes showed large single-study improvements (KOOS Pain +31.0, IKDC + 30.0). WOMAC scores improved in MKOA (-13.7) but declined in PFOA (-6.4). Failure (surgical conversion) was reported in 13 studies, with the highest rates in PCL (16.4%) and ACL (10.6%), and the lowest in MKOA (0%) and PFOA (4.0%). Complications were infrequently reported; skin irritation was the most common adverse event.</p><p><strong>Conclusion: </strong>Knee bracing demonstrated the most consistent pain and functional improvements in degenerative and PCL injuries. In contrast, outcomes in ACL injuries were more variable and associated with higher failure rates, underscoring the need for injury-specific bracing strategies. These findings emphasise the importance of patient selection, brace design, and early intervention, and support the need for higher-quality studies to guide non-operative management strategies.</p><p><strong>Level of evidence: </strong>Level IV.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188318","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}
引用次数: 0
High survival rates and patient satisfaction 12 years after medial open wedge HTO surgery: A prospective cohort study. 内侧开楔形HTO手术后12年的高生存率和患者满意度:一项前瞻性队列研究。
IF 5
Marc-Daniel Ahrend, Daniel Petzold, Tina Histing, Christoph Ihle, Steffen Schröter, Moritz Herbst
{"title":"High survival rates and patient satisfaction 12 years after medial open wedge HTO surgery: A prospective cohort study.","authors":"Marc-Daniel Ahrend, Daniel Petzold, Tina Histing, Christoph Ihle, Steffen Schröter, Moritz Herbst","doi":"10.1002/ksa.70071","DOIUrl":"https://doi.org/10.1002/ksa.70071","url":null,"abstract":"<p><strong>Purpose: </strong>Medial open wedge high tibial osteotomy (HTO) can delay knee arthroplasty (KA) in patients with medial compartment varus knee osteoarthritis (OA). However, prospectively collected long-term outcomes and survival rates are limited. The purpose of this study was to assess the survival rate and the outcome following HTO.</p><p><strong>Methods: </strong>In this prospective cohort study with initially 120 knees from 112 patients treated from 2008 to 2011 with an HTO, 95 knees from 88 patients (age: 47.0 ± 7.6 years; female: n = 28) were followed-up. The minimum follow-up was 12 years or an earlier conversion to KA. The 5-, 10- and 12-year survival rates were calculated. The Lysholm and IKDC scores were assessed preoperatively and 1.5, 6 and 12 years postoperatively.</p><p><strong>Results: </strong>At the last follow-up (12.9 ± 0.8 (12.0-15.1 years), 67.4% (n = 64) had no conversion to KA. 31 knees (32.6%; 2 unicompartmental KA, 29 total KA) were converted to a KA on average 7.3 ± 3.3 (1.5-13.0) years after the HTO. The 5-, 10- and 12-year survival rates were 88.2%, 76.3% and 69.7%. Knees without conversion to KA had significantly higher scores at the last follow-up compared to preoperatively: The Lysholm score increased from 60.4 ± 21.1 (14.0-91.0) preoperatively to 89.1 ± 12.5 (39.0-100.0), 86.5 ± 13.8 (39.0-100.0) and 82.6 ± 18.3 (30.0-100.0). The IKDC score also increased from 51.8 ± 16.6 (15.0-93.0) preoperatively to 77.7 ± 14.8 (21.0-100.0), 70.9 ± 15.3 (26.0-98.0) and 72.5 ± 18.1 (14.0-95.0) at the corresponding postoperative time points 1.5, 6 and 12-years.</p><p><strong>Conclusion: </strong>HTO to treat varus medial OA showed good long-term outcomes. Most patients can expect no conversion to KA for more than twelve years and a higher subjective knee function than preoperatively.</p><p><strong>Level of evidence: </strong>Level IV.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126211","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}
引用次数: 0
Effect of alignment strategy on lower limb kinematics during stair descent after robot-assisted total knee arthroplasty. 机器人辅助全膝关节置换术后下楼梯过程中下肢运动学的影响。
IF 5
Zhijun Li, Philip Winnock de Grave, Tamaya Van Criekinge, Thomas Luyckx, Kurt Claeys
{"title":"Effect of alignment strategy on lower limb kinematics during stair descent after robot-assisted total knee arthroplasty.","authors":"Zhijun Li, Philip Winnock de Grave, Tamaya Van Criekinge, Thomas Luyckx, Kurt Claeys","doi":"10.1002/ksa.70070","DOIUrl":"https://doi.org/10.1002/ksa.70070","url":null,"abstract":"<p><strong>Purpose: </strong>Total knee arthroplasty (TKA) effectively treats end-stage osteoarthritis; however, many patients still struggle with gait and functional movements such as stair descent. This study investigates how two surgical alignment techniques, inverse kinematic alignment (iKA) and adjusted mechanical alignment (aMA), affect lower limb kinematics during stair descent compared to healthy controls.</p><p><strong>Methods: </strong>Forty-five participants (15 per group: iKA, aMA, controls) performed low (165 mm) and high (280 mm) stair descent tasks. Sagittal hip, knee, and ankle movements were recorded with 3D motion capture and analysed using Statistical Parametric Mapping (SPM).</p><p><strong>Results: </strong>The aMA group exhibited significantly longer descent times for both low (p = 0.038) and high stairs (p = 0.003). Additionally, the aMA group demonstrated a reduction in trailing knee range of motion (ROM) during low stair descent (80.65°) compared to the control group (92.87°, p = 0.023). The mean joint angle of the trailing hip during low stair descent also differed significantly between the aMA group and healthy controls. Although no significant differences were observed in the trailing hip joint angle during low stair descent between the iKA and healthy control groups, substantial deviations were noted during high stair descent (p = 0.011). Furthermore, the ROM of the leading knee in the iKA group differed significantly from that of the healthy control group during both low and high stair descents.</p><p><strong>Conclusions: </strong>The iKA group exhibited movement patterns that were slightly more similar to those of healthy controls during low stair descent but showed deviations during the more demanding high stair descent. These findings underscore the need for further research into the mechanisms underlying these adaptations to optimise rehabilitation and surgical strategies aimed at restoring more natural movement patterns in TKA patients.</p><p><strong>Level of evidence: </strong>Level III.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145116024","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}
引用次数: 0
Smaller hamstrings autograft size after primary ACL reconstruction is associated with higher odds for graft failure: A meta-analysis on autografts sizes covering 46,268 patients. 原发性前交叉韧带重建后较小的腘绳肌腱自体移植物大小与较高的移植物失败几率相关:一项涵盖46,268例患者的自体移植物大小的荟萃分析。
IF 5
Rebecca Hamrin Senorski, Johan Högberg, Kevin Teow, Anna Nordenholm, Janina Kaarre, Thorkell Snaebjörnsson, Volker Musahl, Kristian Samuelsson, Eric Hamrin Senorski
{"title":"Smaller hamstrings autograft size after primary ACL reconstruction is associated with higher odds for graft failure: A meta-analysis on autografts sizes covering 46,268 patients.","authors":"Rebecca Hamrin Senorski, Johan Högberg, Kevin Teow, Anna Nordenholm, Janina Kaarre, Thorkell Snaebjörnsson, Volker Musahl, Kristian Samuelsson, Eric Hamrin Senorski","doi":"10.1002/ksa.70069","DOIUrl":"https://doi.org/10.1002/ksa.70069","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the association between autograft size and graft failure for hamstrings tendon (HT), patellar tendon (PT) and quadriceps tendon (QT) autografts.</p><p><strong>Methods: </strong>Medline, PubMed, Cochrane Library, Embase, Amed and Web of Science were searched at four separate time points, with the most recent search in February 2025. Eligible studies included patients with primary anterior cruciate ligament reconstruction (ACLR) with (graft failures) or without (survivals) graft failure who had specified autograft size for primary ACLR. Graft failure was defined as a re-rupture of the reconstructed ACL and/or positive pivot shift. Standardised mean differences were calculated for continuous variables, and odds ratios expressed with 95% confidence interval for dichotomous variables of autograft size for survivals versus graft failures. Risk of bias was assessed with RoBANS 2/RoB2 and certainty of evidence with GRADE.</p><p><strong>Results: </strong>In total, 46,268 patients, of which 43,660 HT autograft, 2410 PT autograft and 198 QT autograft were covered in 35 studies. An HT autograft size of < 7 mm had 81% greater odds for a graft failure compared to ≥ 7 mm (p = 0.01), <8 mm HT autograft size had 46% greater odds for a graft failure compared to ≥ 8 mm (p < 0.0001), <9 mm HT autograft size had 34% greater odds for a graft failure compared to ≥ 9 mm (p = 0.001). No significant odds for a graft failure were observed for patients with ≥ 10 mm HT autograft size compared to < 10 mm, or for patients with PT autograft. Only two of the included studies provided data on the QT autograft where none presented standard deviation, thus these studies could not be pooled and were presented qualitatively.</p><p><strong>Conclusion: </strong>Patients treated with a smaller HT autograft size have greater odds for a graft failure compared to patients with a greater autograft size. There was no association between autograft size for patients treated with PT autograft and graft failure. Surgeons should consider autograft size when performing ACLR as the size of HT autografts influences the risk of a graft failure.</p><p><strong>Level of evidence: </strong>Level IV.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145116078","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}
引用次数: 0
Anterior cruciate ligament injury incidence in male and female soccer players: A longitudinal study over six consecutive seasons. 男女足球运动员前交叉韧带损伤发生率:一项连续六个赛季的纵向研究。
IF 5
Alfred Ferré-Aniorte, Ignasi Bolibar, Ramón Cugat, Eduard Alentorn-Geli
{"title":"Anterior cruciate ligament injury incidence in male and female soccer players: A longitudinal study over six consecutive seasons.","authors":"Alfred Ferré-Aniorte, Ignasi Bolibar, Ramón Cugat, Eduard Alentorn-Geli","doi":"10.1002/ksa.70046","DOIUrl":"https://doi.org/10.1002/ksa.70046","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to describe the anterior cruciate ligament (ACL) injury incidence differences depending on sex and age-related categories in a large cohort of soccer players over six consecutive seasons.</p><p><strong>Methods: </strong>This study was designed as a retrospective descriptive epidemiological study. All soccer players in a specific geographical area who sustained an ACL injury across six consecutive seasons were included in this analysis. ACL injury incidence was calculated by sex and age-related category as a percentage of all registered soccer players in the region. Additionally, soccer participation evolution, ACL injury incidence evolution, and monthly ACL injury distribution were studied. Group, seasonal, and monthly differences were analysed using chi-square tests.</p><p><strong>Results: </strong>Between the 2016-2017 and the 2021-2022 seasons, 3381 ACL injuries were registered from a total of 782,856 player-seasons. ACL injury incidence was 0.43%. Female soccer players showed 2.79 times higher injury incidence than male players, with overall rates of 1.06% in females and 0.38% in males (p < 0.001). However, female players only showed higher ACL injury incidence than males in age groups older than 14 years. ACL injury incidence increased over the six seasons studied only in the male group. October and January were the months with the highest number of ACL injuries, with no significant differences in monthly distribution between sexes.</p><p><strong>Conclusions: </strong>Female soccer players showed higher ACL injury incidence than males, particularly in age groups older than 14 years. October and January were identified as the months with the highest injury incidences regardless of sex. Additionally, a rising injury incidence was observed in male players, a trend not seen in females.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145116026","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}
引用次数: 0
Artificial intelligence and machine learning is successful in predicting clinical outcomes after hip arthroscopy for femoroacetabular impingement syndrome. 人工智能和机器学习在预测股骨髋臼撞击综合征髋关节镜术后的临床结果方面取得了成功。
IF 5
Katherine L Esser, Bradley A Lezak, Griff G Gosnell, Heath P Gould, Anil Ranawat, Benedict U Nwachukwu, Michael Rizzo, Thomas Youm, Ayoosh Pareek
{"title":"Artificial intelligence and machine learning is successful in predicting clinical outcomes after hip arthroscopy for femoroacetabular impingement syndrome.","authors":"Katherine L Esser, Bradley A Lezak, Griff G Gosnell, Heath P Gould, Anil Ranawat, Benedict U Nwachukwu, Michael Rizzo, Thomas Youm, Ayoosh Pareek","doi":"10.1002/ksa.70029","DOIUrl":"https://doi.org/10.1002/ksa.70029","url":null,"abstract":"<p><strong>Purpose: </strong>To systematically review the current literature regarding the role of artificial intelligence and machine learning in predicting and optimising clinical outcomes following hip arthroscopy.</p><p><strong>Methods: </strong>A systematic review of the PubMed, Cochrane, and EMBASE databases was completed in December 2024. Studies were included if they assessed the application of AI/ML to clinical outcomes of hip arthroscopy. Exclusion criteria were imaging-only studies, non-English publications, conference abstracts, review articles and meta-analyses. Extracted data included study characteristics, input features, algorithm types, sample sizes, and model performance. Descriptive statistical analysis was performed due to data heterogeneity.</p><p><strong>Results: </strong>Sixteen studies met inclusion criteria, covering applications across prediction of intraoperative findings (n = 1), prediction of post-operative outcomes (n = 5), prediction of patient-reported outcomes (n = 7) and prediction of revision (n = 3). Input features commonly utilised included demographics, imaging data, preoperative patient-reported outcomes (PROs), and comorbidities. Supervised learning models were the most widely applied, including logistic regression, random forests, support vector machines (SVMs), and artificial neural networks (ANNs). Performance metrics demonstrated robust predictive ability, with AUC values ranging from 0.66 to 0.94 and accuracy rates exceeding 75% in most studies. Applications included predicting revision surgery risk, prolonged opioid use, postoperative satisfaction, and time to return to sport. Imaging-based algorithms, particularly leveraging MRI data, showed promise for surgical planning and diagnostic precision.</p><p><strong>Conclusions: </strong>AI and ML show significant promise in enhancing outcome prediction and patient stratification in hip arthroscopy. Future research should prioritise the standardisation of datasets, external validation, and interpretability to facilitate clinical translation.</p><p><strong>Level of evidence: </strong>Level V.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145116042","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}
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