Orthopaedics & Traumatology-Surgery & Research最新文献

{"title":"Robot-assisted surgery and knee arthroplasty in genu valgum: impact of the surgical approach.","authors":"Emeline Chapron, Rémy Coulomb, Aymeric Weiss, Philippe Marchand, Pascal Kouyoumdjian","doi":"10.1016/j.otsr.2025.104226","DOIUrl":"10.1016/j.otsr.2025.104226","url":null,"abstract":"<p><strong>Introduction: </strong>The placement of a total knee arthroplasty (TKA) in cases of valgus can be performed through an anteromedial or anterolateral approach. The hypothesis of this study was that the anterolateral approach during robotic TKA reduced residual medial laxity of the knee. The main objective of this study was to evaluate the impact of the surgical approach on ligament balancing in robotic TKA for valgus knees ≤192 °, as evidenced by the residual laxity after final implant placement. The secondary objectives were to compare post-operative radiological parameters, the need for tibial tuberosity osteotomy, and complications between the two approaches.</p><p><strong>Materials and methods: </strong>This was a single-center, multi-operator, comparative study based on a historical-prospective cohort. A total of 81 consecutive patients who underwent Mako® Stryker robotic TKA for valgus knee ≤192 ° were included. Two groups were formed based on the surgical approach: anteromedial (AM) or anterolateral (AL). To homogenize the groups, a 1:1 propensity score matching was performed based on age, gender, and deformity. Residual laxity, evaluated in millimeters, was measured at the end of the procedure with the definitive implants, using the Mako Total Knee SmartRobotics™ software measurements in four stress positions: extension (0-10 °) varus and valgus, then flexion (85-95 °) varus and valgus. Postoperatively, a radiological analysis of the coronal alignment of the TKA, patellar tilt and translation was performed, along with an analysis of complications.</p><p><strong>Results: </strong>After matching, 37 patients were included in each AL and AM group. The groups were comparable in terms of age, gender, coronal deformity, and ASA score; however, BMI was statistically higher in the AL group (29.0 versus 26.6; p = 0.002). Residual laxity in extension was not statistically different between AL versus AM groups, respectively in medial 1.6 mm versus 2.1 mm (p = 0.326) and in lateral 1.6 mm versus 1.6 mm (p = 0.384). Laxity asymmetry in extension was lower in the AL group versus AM group (0.05 mm versus 0.5 mm; p = 0.031). In flexion, there was no significant difference regarding residual laxity in medial (AL 1.5 mm versus AM 2.4 mm; p = 0.07) and in lateral (AL 2.9 mm versus AM 2.9 mm; p = 0.344). Laxity asymmetry in flexion was greater for the AL approach than for the AM approach (-1.4 mm versus -0.5 mm; p = 0.02). There was no difference regarding postoperative coronal alignment of the implants. Patellar tilt was greater with AM (1.7 ° versus -3.8 °; + in lateral tilt; p < 0.001). Patellar translation was not different between groups. At follow-up, there were 6 complications in the AM group and 4 in the AL group (p = 0.237). Anterior tibial tuberosity osteotomy was performed in 6 versus 1 case respectively for AL and AM (p = 0.107).</p><p><strong>Conclusion: </strong>In comparing residual laxity in robotic TKA for valgus knees ≤192 °, the ","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":" ","pages":"104226"},"PeriodicalIF":2.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do socio-professional categories influence the time to return to work after a primary hip replacement? Insights from a prospective study at a French center.","authors":"Vasileios Giovanoulis, Simon Marmor, Antoine Mouton, Thomas Aubert, Luc Lhotellier, Vincent Le Strat, Younes Kerroumi, Wilfrid Graff","doi":"10.1016/j.otsr.2025.104224","DOIUrl":"10.1016/j.otsr.2025.104224","url":null,"abstract":"<p><strong>Background: </strong>The factors influencing return to work (RTW) after primary total hip arthroplasty (THA) remain a topic of debate. Understanding these factors is essential for optimizing postoperative recovery and patient counseling. This study aims to determine whether socio-professional status and clinical factors significantly influence the timing of RTW following elective hip replacement. The study addresses the following questions: (1) Does socio-professional status impact the timing of RTW after THA? (2) What clinical factors are associated with delayed RTW? (3) What is the typical length of sick leave for professionally active patients after THA?</p><p><strong>Hypothesis: </strong>We hypothesize that socio-professional status and specific clinical factors, such as Body Mass Index (BMI) and postoperative complaints, significantly influence the timing of RTW after hip replacement.</p><p><strong>Methods: </strong>A prospective cohort study was conducted, including 171 professionally active patients aged 18-65 years who underwent primary THA at an arthroplasty center in France between February 2020 and March 2021. Preoperative data on socio-professional status, job position, and clinical characteristics were collected. Occupations were categorized into six socio-professional groups based on physical demands. RTW status was assessed at 3 and 4 months postoperatively. Statistical analysis involved univariate and multivariate logistic regression to identify factors influencing RTW.</p><p><strong>Results: </strong>Among the 171 patients (85 males, 86 females), the median age was 58 years (IQR: 53-61), and the median BMI was 25 kg/m² (IQR: 22-28) (24 (14%) patients had BMI >30 kg/m²). At the three-month follow-up, 136 patients (80%) had returned to work, with a median RTW time of 63 days (IQR: 58-76). The remaining 35 patients required an extended sick leave of 33 days (IQR: 8-42), with an overall median sick leave duration of 66 days (IQR: 60-90). Univariate analysis identified factors significantly associated with delayed RTW, including being an employee (OR = 2.386, 95% CI: 1.067-5.334 (p = 0.034)), higher BMI (OR = 1.114, 95% CI: 1.019-1.218 (p = 0.017)), and persistent postoperative complaints (OR = 4.476, 95% CI: 1.796-11.158 (p = 0.001)). Multivariate analysis confirmed that higher BMI (OR = 1.108, 95% CI: 1.004-1.223 (p = 0.041)) and persistent postoperative complaints (OR = 8.820, 95% CI: 3.172-24.529 (p < 0.001)) remained significant independent predictors of delayed RTW.</p><p><strong>Conclusion: </strong>Higher BMI and persistent postoperative complaints are the primary factors delaying return after total hip replacement, while socio-professional status shows a less significant impact when other factors are considered. These findings highlight the importance of addressing modifiable risk factors to facilitate a timely RTW and optimize patient outcomes.</p><p><strong>Level of evidence: </strong>IV; prospective study.</p>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":" ","pages":"104224"},"PeriodicalIF":2.3,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of enhanced recovery after surgery on psychological outcomes in total hip arthroplasty.","authors":"Guangwei Xing, Dong Wu, Jinneng Yin, Mingjie Xu, Xiaobo Jing","doi":"10.1016/j.otsr.2025.104222","DOIUrl":"10.1016/j.otsr.2025.104222","url":null,"abstract":"<p><strong>Background: </strong>The occurrence of pain catastrophizing, depression, and anxiety is prevalent among patients undergoing primary total hip arthroplasty (THA). The Enhanced Recovery After Surgery protocol (ERAS-P) has demonstrated its efficacy in alleviating peri-operative stress responses in such patients. This study endeavors to explore the influence of ERAS-P on patient satisfaction, as well as the levels of pain catastrophizing, surgery-related anxiety, and depression following primary THA.</p><p><strong>Hypothesis: </strong>ERAS-P exerts a beneficial influence on patient satisfaction, mitigating pain catastrophizing, and reducing surgery-related anxiety and depression following primary THA.</p><p><strong>Patients and methods: </strong>Data were retrospectively reviewed for patients who underwent primary THA between 2017 and 2020. Patients in the control group who received usual care were matched in a 1:1 ratio for baseline characteristics to patients in the ERAS-P group who followed ERAS-P. All patients were evaluated and analyzed for pain catastrophizing, depression and anxiety using the Pain Catastrophizing Scale (PCS) and Hospital Anxiety and Depression Scale (HADS) at postoperative 1 weeks, 6 weeks, 3 months, 6 months and 1 year.</p><p><strong>Results: </strong>182 patients in the ERAS-P group and 182 in the control group were analyzed using propensity score matching (PSM). Compared to the control group, ERAS-P patients showed significantly higher satisfaction levels (p = 0.002). They also experienced a notable reduction in pain catastrophizing at 1 week, 6 weeks, and 3 months postoperatively (p < 0.05 for all). Anxiety levels decreased markedly at 1 week and 6 weeks (p < 0.001 for both). Depression scores in the ERAS-P group declined significantly at these same time points up to 6 months (p < 0.05 for all). Remarkably, ERAS-P patients exhibited a greater decrease in peri-operative pain catastrophizing and anxiety, accompanied by a faster recovery. However, its effectiveness waned over time, with both groups reporting comparable outcomes within a few months.</p><p><strong>Discussion: </strong>Patients undergoing THA after adhering to the ERAS-P exhibit a more favorable outcome in improving peri-operative patient-reported depression, anxiety, and pain catastrophizing screenings compared to those following the traditional care scheme. Although these advantages gradually diminished over time, the outcomes for both groups converged to be similar within a few months. Nonetheless, ERAS-P retains its notable advantages for THA patients who grapple with psychological symptoms.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":" ","pages":"104222"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return to sport and satisfaction after arthroscopic anatomic reconstruction of the lateral ligaments of the ankle in athletes.","authors":"Anaïs Bernardeau, Thomas Bauer, Mohamad K Moussa, Eugénie Valentin, Ronny Lopes, Alexandre Hardy","doi":"10.1016/j.otsr.2025.104221","DOIUrl":"10.1016/j.otsr.2025.104221","url":null,"abstract":"<p><strong>Introduction: </strong>Ankle sprains, one of the most frequent accidental injuries in traumatology, can lead to chronic instability. Although arthroscopic anatomic ankle ligament reconstruction seems to provide good results, very few studies have specifically examined the outcomes of this procedure. The main goal of this study was to evaluate the rate of and delay to return to sport (RTS) at the preinjury level after anatomic ligament reconstruction and the predictive factors of a RTS in an athletic population. The secondary objectives were to report postoperative satisfaction and functional and psychological scores.</p><p><strong>Material and methods: </strong>This retrospective multicenter study included 92 athletes who underwent ankle ligament reconstruction between 2015 and 2022 at three different centers with a minimum follow-up of one year. The primary outcome measurement was the percentage, quality and time to RTS. Secondary outcome measurements included the ALR-RSI, FAAM functional scores, satisfaction, and complications rates at the final follow-up. The effect of different variables (age, sex, preoperative level of play, circumstances of the first accident) on RTS was assessed.</p><p><strong>Results: </strong>Forty-six men (50%) and 46 women (50%), mean age 36.6 years old (SD = 12), were included. Mean follow-up was 37.5 (SD = 23.9) months. At the final follow-up, 85.9% patients had RTS. The analysis did not reveal any factors significantly associated with a RTS at the preinjury level of play except for a trend towards a higher percentage of RTS at the preinjury level in patients with a higher preoperative level of sports activity (p = 0.052). The mean ALR-RSI score at the final follow-up was 67.7% (SD = 24.1), the FAAM sport score was 79.9% (SD = 26.2) and the FAAM adl score was 89.6% (SD = 16.9). Nine patients had postoperative complications, usually discomfort on the endobutton, requiring removal.</p><p><strong>Conclusion: </strong>This study shows that arthroscopic anatomic ankle ligament reconstruction is associated with high rate of RTS (85.9%) after a mean 7.5 (6.9) months as well as a high rate of satisfaction. Although this study did not identify any predictive factors for the RTS, the preoperative level of sports might play a role. In addition, this study once again confirms that functional and psychological scores are practical tools to assess a patient's postoperative readiness to RTS.</p><p><strong>Level of evidence: </strong>IV; retrospective study.</p>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":" ","pages":"104221"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the letter from Thibault Druel, Mara Atzori and Aram Gazarian.","authors":"Florence Aïm","doi":"10.1016/j.otsr.2025.104223","DOIUrl":"10.1016/j.otsr.2025.104223","url":null,"abstract":"","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":" ","pages":"104223"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on: \"Dupuytren's contracture: Is a history of percutaneous needle fasciotomy a risk factor for postoperative complications after secondary open fasciectomy? A retrospective study of 62 hands\" by Artuso M, Protais M, Ghabcha A, Marion B, Delambre J, Aïm F, published in Orthop Traumatol Surg Res 2024;104045. doi: 10.1016/j.otsr.2024.104045.","authors":"Thibault Druel, Mara Atzori, Aram Gazarian","doi":"10.1016/j.otsr.2025.104217","DOIUrl":"10.1016/j.otsr.2025.104217","url":null,"abstract":"","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":" ","pages":"104217"},"PeriodicalIF":2.3,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative management following degenerative cervical spine surgery: Results from a survey conducted by the French Society of Spine Surgery.","authors":"Henri-Arthur Leroy, Mourad Ould-Slimane, François Lucas, Jérôme Delambre, Martin Dupuy, Thais Dutra Vieira, Marc Szadkowski, Henri d'Astorg","doi":"10.1016/j.otsr.2025.104218","DOIUrl":"10.1016/j.otsr.2025.104218","url":null,"abstract":"<p><strong>Objective: </strong>To describe and evaluate postoperative care after degenerative cervical spine surgery among spine surgeons in France.</p><p><strong>Hypothesis: </strong>The postoperative management after degenerative cervical spine surgery varies considerably depending on the team caring for the patient. Based on a national survey, we aimed at providing trends and guidelines regarding the following points: 1/ clinical follow-up and postoperative imaging, 2/ the place and role of bracing after surgery, 3/ driving recommendation and 4/ return to sports activities after such surgery.</p><p><strong>Methods: </strong>Data were collected from spinal surgeons using a practice-based online questionnaire (SurveyMonkey Inc.). The survey comprised 15 questions on the current management following degenerative cervical spine surgery in France, especially single or multilevel anterior cervical discectomy fusion (ACDF). The surgeons were asked to answer several questions on 1) patient clinical follow-up, 2) postoperative imaging, 3) postoperative recommendation (e.g., bracing), and 4) time to return to work and sport practice.</p><p><strong>Results: </strong>A total of 239 surgeons participated in the survey, including 158 (66%) neurosurgeons and 81 (34%) orthopedic surgeons. A total of 218 (96.9%) investigators proposed a face-to-face follow-up consultation within 6 weeks after surgery. A total of 210 (92%) practitioners asked for systematic cervical imaging at the first clinical follow-up. In the latter situation, cervical radiography was requested by 195 (85.2%) surgeons, and cervical CT scans were requested by 15 (6.6%) surgeons. A minority of surgeons recommended bracing after monosegmental cervical surgery (n = 99, 43%), except among orthopedic surgeons (n = 51 (63%), p < 0.0001). 38 (16.6%) surgeons advocated for early postoperative physiotherapy, and 130 (56.8%) for delayed physiotherapy. A prolonged time off work (>1 month) was recommended by 133 (57.8%) practitioners. 139 (62.9%) surgeons agreed on returning to sports without load or constraint during the first postoperative month, although orthopedic surgeons were more conservative than neurosurgeons (p = 0.0019). Conversely, return to sport with load (n = 171, 75.3%) or rotation (n = 219, 98%) was delayed for at least 1 month.</p><p><strong>Conclusion: </strong>This nationwide study reflects the status of current postoperative management strategies after elective degenerative cervical spine surgery among the French spine community. Interestingly, the information provided to the patient may vary depending on the surgeon's specialty. Consensus-based recommendations are needed to homogenize practices.</p><p><strong>Level of evidence: </strong>V.</p>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":" ","pages":"104218"},"PeriodicalIF":2.3,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sagittal alignment of the spine and lumbar disc herniation in young adults: A historical, case-control study.","authors":"Mourad Ould-Slimane, François-Xavier Ferracci, André Gillibert, Marc Szadkowski, Caroline Lesage, Thais Dutra Vieira, Riccardo Sacco, Henri d'Astorg","doi":"10.1016/j.otsr.2025.104219","DOIUrl":"10.1016/j.otsr.2025.104219","url":null,"abstract":"<p><strong>Objectives: </strong>This study hypothesizes that the spinopelvic sagittal alignment can influence the development of lumbar disc herniation (LDH). To investigate this relationship, the spinopelvic data of surgical LDH patients was compared to that of a healthy historical control group.</p><p><strong>Methods: </strong>The spinopelvic data of LDH patients aged 15-45 years, undergoing herniated disc surgery (L4-L5/L5-S1) from 2015 to 2019, was compared to that from healthy controls reported by Roussouly et al. Sacral slope (SS), pelvic incidence (PI), pelvic tilt (PT), and Roussouly classification (spinal curves type 1-4) were assessed with full body radiographs in a standing weight-bearing position (EOS® system) using KEOPS software. The prevalence of spine types (1-4) were evaluated in both groups, with subgroup analysis based on herniation level. Proportions were compared using Fisher's exact tests, means by Student's t-tests, and confidence intervals for odds ratios (OR) using the exact conditional tail interval (ECTI) method.</p><p><strong>Results: </strong>Spinopelvic data from 350 patients (190 LDH/160 healthy controls) showed that LDH patients had a significantly higher prevalence of Roussouly type 2 spines (\"flat spine\") (27.9% vs. 11.2%, OR 3.04, p = 0.001). The LDH group also exhibited lower mean PI (-3.0°, p = 0.009), significantly lower mean SS (-6.9°, p < 0.001), lower lumbar lordosis angle (-10.6°, p < 0.001), and higher thoracic kyphosis angle (+3.6°, p < 0.001). The ratio of OR (2.73, p = 0.01) indicated that type 2 spines pose a stronger risk for LDH surgery at L5-S1 compared to L4-L5.</p><p><strong>Conclusions: </strong>Patients <45 years old undergoing surgery at L4-L5/L5-S1 showed a threefold higher prevalence of type 2 Roussouly spines, compared to a healthy control group, suggesting a potential role of \"flat spine\" and lower PI in the development of LDH.</p><p><strong>Level of evidence: </strong>III; case-control study.</p>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":" ","pages":"104219"},"PeriodicalIF":2.3,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of endoscopic and open Achilles SpeedBridge techniques in the treatment of insertional Achilles tendinopathy: A prospective multicenter study of 89 patients by the Francophone Arthroscopy Society.","authors":"Ronny Lopes, David Ancelin, Olivier Boniface, Ali Ghorbani, Thomas Amouyel, Michael Andrieu, Alexis Thiounn","doi":"10.1016/j.otsr.2025.104220","DOIUrl":"https://doi.org/10.1016/j.otsr.2025.104220","url":null,"abstract":"<p><strong>Introduction: </strong>Insertional Achilles tendinopathy (IAT) is common, affecting 2% of the general population and up to 10% of runners. Despite this, medical and surgical treatments remain debated. When medical treatment fails, a procedure including open debridement, decompression, and reinsertion of the Achilles tendon is the recommended technique. However, this approach involves risks such as infection, shoe discomfort, or failure. In this context, endoscopic techniques have been developed. The primary objective of our study was to compare the outcomes of open and endoscopic surgical treatments for IAT. Our hypothesis was that endoscopic surgery would allow faster recovery (resumption of walking and sports activities) than would open surgery.</p><p><strong>Methods: </strong>A prospective multicenter study was conducted at 10 French centers specializing in foot and ankle surgery from May 2021 to May 2023. Patients over 18 years of age with IATs resistant to medical treatment for more than 6 months and who underwent decompression/reinsertion surgery were included. Two groups were formed based on surgical approach: open or endoscopic. Demographic data were collected, and functional evaluations were performed preoperatively and at 3, 6, and 12 months postoperatively using the EFAS (European Foot & Ankle Society) and VISA-A (Victorian Institute of Sport Assessment - Achilles tendinopathy questionnaire) scores. Postoperative complications were assessed at 1 month.</p><p><strong>Results: </strong>Of the 89 patients included, 53 (59.5%) underwent endoscopic surgery, and 36 (40.5%) underwent open surgery. The two groups were comparable preoperatively, except for higher functional scores in the endoscopic group. At 3 months, the VISA-A (p < 0.001), EFAS daily life (p < 0.001), and EFAS sports activity (p < 0.022) scores were significantly better in the endoscopic group. At longer follow-up, all functional scores improved in both groups, with no statistically significant difference. Shoe discomfort at 6 months was reported in 2/53 (3.7%) endoscopic patients and 5/36 (13.8%) open surgery patients (p = 0.099).</p><p><strong>Conclusion: </strong>Our prospective study reported good functional outcomes for IAT surgery. Endoscopic surgery appeared to allow faster recovery and less shoe discomfort.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":" ","pages":"104220"},"PeriodicalIF":2.3,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Redefining the gold standard in degenerative meniscus tear management—The rise of perimeniscal injections","authors":"Etienne Cavaignac ,&nbsp;Matthieu Ollivier ,&nbsp;Sophie Putman ,&nbsp;Jérôme Murgier","doi":"10.1016/j.otsr.2025.104214","DOIUrl":"10.1016/j.otsr.2025.104214","url":null,"abstract":"","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"111 2","pages":"Article 104214"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}