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

{"title":"Preoperative coronal phenotype is associated with the initial balance state but only weakly with final balance in robot-assisted TKA.","authors":"Yugo Morita, Nikolaos Mylonakis, Jonggu Shin, Mohammed El-Hassan, Ittai Shichman, Eustathios Kenanidis, Eleftherios Tsiridis, Peter K Sculco","doi":"10.1002/ksa.70648","DOIUrl":"https://doi.org/10.1002/ksa.70648","url":null,"abstract":"<p><strong>Purpose: </strong>To determine how preoperative coronal phenotype and structural remodelling relate to initial and final intraoperative balance in robot-assisted total knee arthroplasty.</p><p><strong>Methods: </strong>Initial analyses included 429 knees; final/change analyses included 389. Preoperative phenotype was characterised by hip-knee-ankle angle (HKA), arithmetic HKA (aHKA), functional knee phenotype (FKP), and categorical aHKA-joint-line obliquity (JLO) components. Structural factors included medial and lateral osteophyte burden and coronal tibiofemoral subluxation. Medial and lateral gaps and coronal laxity ranges were recorded in extension and flexion before and after balancing. Signed mediolateral gap difference was defined as lateral minus medial, and change as final minus initial. Initial extension signed gap difference was the primary outcome; corresponding initial flexion, final, and change outcomes were secondary. Compartment-specific gaps, laxity ranges, and varus-valgus analyses were exploratory. Multivariable linear regression adjusted for age, sex, and body mass index, with patient-level cluster-robust standard errors and Benjamini-Hochberg false discovery rate correction.</p><p><strong>Results: </strong>The FKP model incorporating all structural factors yielded adjusted R² values of 0.201 for the primary outcome and 0.125 for initial flexion, leaving approximately 80% of primary-outcome variability unexplained. In the overall cohort, the maximum adjusted R² across final outcomes was 0.064. For extension and flexion changes, FKP alone and HKA alone yielded adjusted R² values of 0.234 and 0.122, respectively. In exploratory comparisons, valgus knees had greater initial extension and flexion signed gap differences than varus knees (adjusted mean differences, 3.10 mm [95% confidence interval, 2.39-3.81] and 2.98 mm [2.23-3.74], respectively; both false discovery rate-adjusted p values were < 0.001).</p><p><strong>Conclusions: </strong>Preoperative coronal phenotype and structural remodelling explained only modest variability in the initial intraoperative balance state and changes between assessments, and little variability in final balance, particularly in flexion. These findings support direct intraoperative assessment.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187601","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":"Quadriceps malalignment: The driver of patellofemoral joint imbalance.","authors":"Simon Talbot, Rachel Zordan","doi":"10.1002/ksa.70634","DOIUrl":"https://doi.org/10.1002/ksa.70634","url":null,"abstract":"","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149130209","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":"Preoperative varus ≥10° does not compromise outcome after medial unicompartmental knee arthroplasty, whereas postoperative joint-line convergence angle and insert thickness influence functional results: A matched-pair analysis.","authors":"Johannes Weishorn, Stella Bonnmann, Raphael Trefzer, Mustafa Hariri, Paul Mick, André Lunz, Tilman Walker, Kevin-Arno Koch","doi":"10.1002/ksa.70636","DOIUrl":"https://doi.org/10.1002/ksa.70636","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate functional outcomes and implant survival following medial unicompartmental knee arthroplasty (UKA) in patients with anteromedial osteoarthritis and preoperative varus deformity ≥10° and to identify postoperative alignment thresholds that optimize outcomes.</p><p><strong>Methods: </strong>Patients with preoperative varus ≥10° who underwent medial mobile-bearing UKA were retrospectively analysed and matched 1:1 to knees with preoperative varus <10°, yielding 132 pairs (264 knees) with similar baseline characteristics. Primary outcomes were revision rates and the Oxford Knee Score (OKS). Full-length standing radiographs were used to measure the hip-knee-ankle angle (HKA), joint-line convergence angle (JLCA), extra-articular deformity (EAD), mechanical medial proximal tibial angle (mMPTA), mechanical lateral distal femoral angle (mLDFA) and joint-line obliquity (JLO) and determine functional knee phenotypes. Univariate curve-adjusted regression assessed the influence of alignment on OKS, and receiver operating characteristic (ROC) analysis defined the alignment range within which the Patient-Acceptable Symptomatic State (PASS) was achieved.</p><p><strong>Results: </strong>At a mean follow-up of 10.1 ± 3.3 years, OKS did not differ between groups (40.6 ± 8.0 vs. 38.8 ± 5.7, n.s.), nor did revision-free survival (92.3% vs. 90.2% at 10 years, p = 0.618). In knees with preoperative varus ≥10°, postoperative JLCA correlated with OKS (R²= 0.43, p < 0.001), whereas HKA, EAD, mMPTA, mLDFA and JLO showed no association (p > 0.05). JLCA outside 0°-5° varus yielded inferior OKS (35.6 ± 11.0 vs. 42.4 ± 6.2, p = 0.022) and lower PASS achievement (33% vs. 70%, p = 0.011). Insert thickness ≥7 mm was associated with lower OKS (32.1 ± 12.1 vs. 41.2 ± 5.9, p = 0.004) and reduced PASS (30% vs. 81%, p = 0.046).</p><p><strong>Conclusions: </strong>Medial UKA in knees with preoperative varus deformity ≥10° achieved functional outcomes and implant survival comparable to matched knees with varus <10°, provided postoperative JLCA is restored to 0°-5° varus and excessive insert thickness is avoided. Intraoperative insert upsizing should prompt reassessment for ligamentous insufficiency or compartment overstuffing.</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":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149130189","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":"Persistent alterations in muscle activation patterns during landing tasks after anterior cruciate ligament reconstruction in return-to-sport cohorts: A systematic review and meta-analysis of electromyography studies.","authors":"Yuchen Han, Yushi Chen, Zikun Wang, Tsz Yuen Frank Wang, Yuhua Zhang, Yang Sun, Xiao'ao Xue, Yinghui Hua","doi":"10.1002/ksa.70637","DOIUrl":"https://doi.org/10.1002/ksa.70637","url":null,"abstract":"<p><strong>Purpose: </strong>To categorize landing tasks in electromyography (EMG) studies and compare muscle activity during landing between patients with anterior cruciate ligament reconstruction (ACLR) reported as having returned to sport and healthy controls.</p><p><strong>Methods: </strong>We systematically searched seven databases (PubMed, Embase, Web of Science, Cochrane Library, Scopus, CINAHL, SPORTDiscus) from inception to 10 December 2025. Studies using EMG to assess muscle activity during landing tasks were included when they compared the reconstructed limb of ACLR patients reported as having returned to sport with limbs from healthy controls. Random-effects meta-analyses evaluated between-group differences using standardized mean differences (SMDs) with 95% confidence intervals (CIs), with findings categorized using an internal evidence classification.</p><p><strong>Results: </strong>Thirty-two studies were included, comprising 556 individuals with ACLR from return-to-sport cohorts and 501 healthy controls. Thirteen landing tasks were analysed, involving fifteen lower-limb muscles and four EMG outcome measures. Each pooled comparison included 2-5 studies. Three findings were classified as moderate evidence: greater activation of the medial hamstrings during the reactive phase of single-leg drop landing (based on five studies, SMD = 0.35, 95% CI [0.01, 0.69], I² = 0%), greater gluteus maximus activation during the reactive phase of single-leg drop vertical jump (based on three studies, SMD = 0.63, 95% CI [0.22, 1.03], I² = 0%) and earlier rectus femoris onset in single-leg hop for distance (based on three studies, SMD = -0.64, 95% CI [-1.13, -0.14], I² = 19%). Most other findings showed no between-group differences or were classified as limited or very limited evidence.</p><p><strong>Conclusion: </strong>ACLR patients reported as having returned to sport may exhibit task-specific alterations in muscle activation patterns compared with healthy controls, and these alterations may be more readily detected during certain single-leg landing tasks. Further prospective and interventional studies are needed to clarify their clinical relevance.</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":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122837","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":"To be certified or not: The value of the ESSKA European Certification Programme.","authors":"Michael Hantes, Baris Kocaoglu, Etienne Cavaignac, Roland Becker, Jacques Menetrey, David Dejour, Romain Seil, Martin Lind, Daniel Haverkamp, Laura de Girolamo, Joan Carles Monllau","doi":"10.1002/ksa.70638","DOIUrl":"https://doi.org/10.1002/ksa.70638","url":null,"abstract":"<p><p>Certification programmes in surgery provide verified proof of clinical skill, safety standards and professional standing. These programmes prove that a doctor or medical professional has the advanced skills, knowledge and judgement to practice safe, high-quality surgical care. The mission of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) since its founding in 1982 is to improve musculoskeletal function and provide high-quality care to our patients, and this prioritization continues today. Continuing in this direction, ESSKA developed and introduced the European Certification Programme four years ago, which is based on the ESSKA Specialist Core Curriculum. It is modular in structure, with individual specialists being encouraged to study one or more 'Modules' directly relevant to their current or future clinical practice. The assessment structure is composed of three steps (theory component, surgical skills assessment and clinical application). It is worthwhile to mention that there is no equivalent certification programme in orthopaedics in terms of structure. Being certified by ESSKA, a world-renowned scientific society, ensures that a surgeon meets strict scientific standards for patient safety and technical quality.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122804","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":"Commentary on \"Targeting ligament boundaries rather than alignment boundaries in augmented-reality-assisted total knee arthroplasty ensures comparable gait patterns between operated and contralateral limbs\".","authors":"Julien Bardou Jacquet","doi":"10.1002/ksa.70611","DOIUrl":"https://doi.org/10.1002/ksa.70611","url":null,"abstract":"","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122861","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":"When legal reasoning contradicts sports orthopaedic evidence.","authors":"John G Kennedy, Samuel Adams, Jorge Batista, Steve Bayer, Thomas Clanton, Pieter D'Hooghe, Jari Dahmen, Christopher DiGiovanni, Mark Drakos, Robin R Elliot, Richard Ferkel, Paloma Gauthier, Arianna Gianakos, Eric Giza, Mark Glazebrook, Laszlo Hangody, Daniel Haverkamp, MaCalus Hogan, Jonathan Houghton, Jon Karlsson, Stephen Kearns, Gino Kerkhoffs, Sameh Labib, Jin Woo Lee, Alberto Marangon, Graham McCollum, Christopher Murawski, Stefan Nehrer, James Nunley, Martin O'Malley, Jochen Paul, Helder Pereira, Marcelo Prado, Jared Rubin, Ian Savage-Elliott, Lew Schon, Pietro Spennacchio, James Stone, Alexander Tham, Hajo Thermann, David Thordarson, Victor Valderrabano, Niek van Dijk, Francesca Vannini, Markus Walther, Youichi Yasui, Alastair Younger","doi":"10.1002/ksa.70633","DOIUrl":"https://doi.org/10.1002/ksa.70633","url":null,"abstract":"<p><p>This manuscript presents the perspective of the International Society of Cartilage Repair of the Ankle (ICCRA) regarding a recent English High Court ruling that challenges established principles of evidence-based sports orthopaedic care. Following a legal case involving a professional footballer and the surgical management of an ankle fracture with concomitant arthroscopy, the authors highlight significant discrepancies between the legal conclusions and the current scientific literature. The ruling suggests that arthroscopic intervention contributed to the development of ankle arthritis and premature termination of the athlete's career. However, substantial evidence demonstrates that posttraumatic ankle arthritis is a well-recognised sequela of ankle fractures, particularly in the presence of prior injury and syndesmotic instability. Arthroscopy at the time of fracture fixation is widely regarded as the standard of care for identifying and managing intraarticular pathology. The judgement is critiqued for disregarding expert orthopaedic testimony, misinterpreting scientific evidence and endorsing unsupported theoretical mechanisms linking routine arthroscopic procedures to accelerated joint degeneration. The authors emphasise that such conclusions contradict accepted surgical practice and risk establishing harmful precedents that may deter appropriate management of similar injuries. This ICCRA statement highlights the need for alignment between medico-legal reasoning and scientific evidence to safeguard patient care and uphold the integrity of orthopaedic decision-making. LEVEL OF EVIDENCE: NA.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122938","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":"Navicular fractures in elite athletes: Clarifying the evidence base of the 2025 International Foot and Ankle Sports Consensus.","authors":"Filip Jonah Zimmermann, Michael Amling, Alexander Simon","doi":"10.1002/ksa.70632","DOIUrl":"https://doi.org/10.1002/ksa.70632","url":null,"abstract":"<p><p>The recent international foot and ankle sports consensus and systematic review on navicular fractures in elite athletes addresses a highly relevant and challenging topic in sports medicine and provides valuable guidance in an area where standardized treatment and return to sport (RTS) recommendations remain limited. However, several methodological and reporting issues within the systematic review warrant clarification, given their potential influence on RTS decision-making. The reported mean RTS time of 8.2 weeks after operative treatment of navicular stress fractures appears to result from an error in the extraction of time units. Recalculation based on the included studies, after converting all values to weeks, yields a mean RTS of approximately 19.7 weeks (4.5 months), consistent with the expert consensus recommendation of 4-6 months after surgery. Further discrepancies concern the application of the stated eligibility criteria: 5 of the 14 included studies were published outside the specified 15-year window, and at least four involved cohorts with a mean age below 18 years despite paediatric studies being listed as an exclusion criterion. Further inconsistencies in study classification and reporting add to these concerns. We believe that clarification of these concerns is essential to ensure the reliability of the evidence base informing the consensus recommendations and to support accurate guidance for RTS decision-making in elite athletes with navicular fractures. LEVEL OF EVIDENCE: N/A.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122858","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":"Artificial intelligence in orthopaedics should be built with surgeons, not just for them!","authors":"Felix C Oettl, Balint Zsidai, Jacob F Oeding, Ting Cong, Elmar Herbst, Gergely Pánics, Philipp W Winkler, Volker Musahl, Eric Hamrin Senorski, Romain Seil, Christophe Ley, Yinan Yu, Thomas Tischer, Stefano Zaffagnini, Umile Giuseppe Longo, Michael T Hirschmann, Michael Hantes, Kristian Samuelsson","doi":"10.1002/ksa.70628","DOIUrl":"10.1002/ksa.70628","url":null,"abstract":"<p><p>Surgical artificial intelligence (AI) is typically validated on one patient population and then deployed unchanged into another, without surgeon input into its design. AI in orthopaedics should be built with surgeons, not simply for them: Surgeons should hold shared authority over the clinical question, data curation, validation, implementation, monitoring and retirement of any tool they use. Specialty-tuned models outperform general-purpose systems on some tasks, but the margin is modest and likely to narrow as generalist models improve. The more durable distinction is who controls the update loop-who can retrain a model on local outcomes, audit its failures and withdraw it when it drifts. Trial evidence shows that a clinician kept in that loop by design, not as an afterthought, outperforms working alone. What determines whether orthopaedic AI fulfils its promise is not model architecture, but who stays accountable to the surgeon at the bedside when the model needs to change.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083375","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":"Two-year follow-up of postcommercialisation cohort of 100 bridge-enhanced anterior cruciate ligament restorations shows low retear rate and good patient-reported outcomes.","authors":"Jocelyn Wittstein, Sabrina Strickland, Andreas Gomoll, Seth Sherman, Brian Lau, Dean Taylor, Dennis Kramer, Sean Keyes, Alexander K Meininger, Marc Pietropaoli, Sean McMillan, Jacqueline Brady","doi":"10.1002/ksa.70606","DOIUrl":"https://doi.org/10.1002/ksa.70606","url":null,"abstract":"<p><strong>Purpose: </strong>To review adverse events and outcomes 2 years postoperatively from the Bridge Enhanced anterior cruciate ligament (ACL) Restoration (BEAR) procedure in the first 100 subjects of the Bridge registry, a postcommercialisation prospective cohort.</p><p><strong>Methods: </strong>Technique modifications (repair and bridging suture type, femoral and tibial fixation), adverse events and reoperations were recorded. Physical examinations were reported at 0, 6, 9 and 12 months and patient-reported outcomes (International Knee Documentation Committee, knee injury and osteoarthritis outcome score, Marx, return to sport index) were reported at 0, 6, 9, 12 and 24 months. Adverse events were compared between the original and modified technique groups using Fisher's Exact test. Paired t-tests were used to compare patient-reported outcomes at 1 and 2 years.</p><p><strong>Results: </strong>Mean follow-up was 22.3 ± 5.5 months, range 3-32.7 months, with five subjects exiting early. Mean age was 31.8 ± 14.3 years (range 7.7-69.6). Sixty-seven per cent were female. Fifty-five underwent a BEAR procedure using the original technique, while 45 had a modified surgical technique. The overall rates of adverse events with reoperations at 2 years included: two ACL retears with meniscus injury, two ACL retears without meniscus injury, two contralateral tears, five meniscus injuries without ACL retear (one medial, three lateral, one both medial and lateral), two manipulations under anaesthesia, one lysis of adhesions/cyclops removal and four removals of retained suture. Overall reoperation rate was 18.9% (17/90) at 2 years (28.0% with original technique, 7.5% with modified technique; p = 0.02) with 5.6% (5/90) ipsilateral ACL retear rate. There were no significant differences in ACL retear rates between the original technique and modified technique groups. From 1 to 2 years, there were statistically significant improvements in IKDC and three of the five KOOS scales.</p><p><strong>Conclusion: </strong>The rates of ACL retear status post BEAR with and without modification are low at 2 years, with five retears occurring between 14 and 28 months. Excellent stability and range of motion are attained at 1 year, with good patient reported outcomes measures at 2 years.</p><p><strong>Level of evidence: </strong>Level II, cohort study.</p>","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122853","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}