Operative Techniques in Sports Medicine最新文献

Future Technologies and Hip Arthroscopy: Recent Innovations in the Management of Hip Preservation Surgery 未来技术与髋关节镜：髋关节保留手术管理的最新创新

IF 0.7 4区医学

Operative Techniques in Sports Medicine Pub Date : 2025-05-01 Epub Date: 2025-08-30 DOI: 10.1016/j.otsm.2025.151189

Lauren Heylmun BS , Brianna Rowe MS , Kelly Mardaus PA , James Genuario MS, MD , Michael Ellman MD

{"title":"Future Technologies and Hip Arthroscopy: Recent Innovations in the Management of Hip Preservation Surgery","authors":"Lauren Heylmun BS , Brianna Rowe MS , Kelly Mardaus PA , James Genuario MS, MD , Michael Ellman MD","doi":"10.1016/j.otsm.2025.151189","DOIUrl":"10.1016/j.otsm.2025.151189","url":null,"abstract":"<div><div>The field of hip preservation has undergone rapid technological transformation, driven by innovations that enhance diagnostic accuracy, surgical precision, and personalized care. This review explores recent advancements and future directions in hip preservation surgery. The topics covered in this review include preoperative and intraoperative tools at the forefront of innovation, including three-dimensional (3D) modeling and templating, machine learning (ML), artificial intelligence (AI), virtual reality (VR), and robotic-, computer- and AI- assisted surgery. 3D modeling techniques, both static and dynamic, allow for comprehensive visualization of hip morphology and simulation of joint kinematics. These advancements enable precise identification of impingement and instability patterns. Patient-specific 3D printed models and surgical templates are currently used to enhance preoperative planning, patient and trainee education, and surgical efficiency. ML and AI applications have demonstrated utility for automating several processes including radiographic analysis, risk stratification, and outcome assessment. VR simulation tools facilitate immersive, patient-specific surgical planning and skill development. These tools allow surgeons to rehearse procedures in a risk-free environment. Computer-assisted navigation and AI-driven platforms augment this technology by providing real-time feedback and enhanced accuracy. Further, robotic systems are a promising tool for precise boney resection and instrumentation placement. These technologies are shaping the future of hip preservation by enabling more accurate diagnosis, personalized treatment, and improved surgical outcomes. Ongoing research in these areas is essential for validating clinical utility, improving accessibility, and ensuring safe and effective integration into clinical and surgical workflows.</div></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"33 2","pages":"Article 151189"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145645692","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

Innovations in Cartilage Restoration and Joint Preservation of the Knee 膝关节软骨修复和关节保护的创新

IF 0.7 4区医学

Operative Techniques in Sports Medicine Pub Date : 2025-05-01 Epub Date: 2025-08-22 DOI: 10.1016/j.otsm.2025.151185

Connor M. Delman , Claudia Ghisa , Nathan White , Evan E. Vellios

引用次数: 0

Management of Articular Cartilage Defects of the Foot and Ankle 足、踝关节软骨缺损的治疗

IF 0.7 4区医学

Operative Techniques in Sports Medicine Pub Date : 2025-05-01 Epub Date: 2025-09-05 DOI: 10.1016/j.otsm.2025.151186

Eric I. Ferkel MD, Richard D. Ferkel MD, Connor M. Delman MD

{"title":"Management of Articular Cartilage Defects of the Foot and Ankle","authors":"Eric I. Ferkel MD, Richard D. Ferkel MD, Connor M. Delman MD","doi":"10.1016/j.otsm.2025.151186","DOIUrl":"10.1016/j.otsm.2025.151186","url":null,"abstract":"<div><div>Osteochondral lesions of the foot and ankle—most commonly involving the talus—pose significant diagnostic and therapeutic challenges in athletes due to high functional demands and the limited intrinsic healing capacity of articular cartilage. This review summarizes the epidemiology, pathophysiology, clinical evaluation, imaging modalities, and classification systems relevant to these injuries, with a focus on the talus, tibial plafond, and first metatarsophalangeal joint. Management strategies range from nonoperative care for stable lesions to surgical approaches aimed at restoring the structure and function of the joint surface. Surgical decision-making is guided by lesion size, morphology, location, chronicity, and associated pathology, with an emphasis on restoring joint congruity, preserving cartilage, and optimizing long-term outcomes. Special consideration is given to the athletic population, where timely return to pre-injury performance levels and career longevity are critical. Available evidence on return-to-sport rates, prognostic factors, and long-term durability is reviewed, providing an updated framework for treatment selection and patient counseling.</div></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"33 2","pages":"Article 151186"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145645691","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

Innovations in Rotator Cuff Repair 肩袖修复的创新

IF 0.7 4区医学

Operative Techniques in Sports Medicine Pub Date : 2025-05-01 Epub Date: 2025-08-22 DOI: 10.1016/j.otsm.2025.151188

Andrew Tran MD , William J. Hill MD, MPH , Steve K. Kwak MD , SangDo Park MD , Theodore B. Shybut MD

{"title":"Innovations in Rotator Cuff Repair","authors":"Andrew Tran MD , William J. Hill MD, MPH , Steve K. Kwak MD , SangDo Park MD , Theodore B. Shybut MD","doi":"10.1016/j.otsm.2025.151188","DOIUrl":"10.1016/j.otsm.2025.151188","url":null,"abstract":"<div><div>Recent literature has identified biological and patient features that contribute to rotator cuff failure to heal, placing increased emphasis on optimizing the biology of healing, which is increasingly understood to correlate with functional outcomes following arthroscopic rotator cuff repair. Biomaterials for sutures and anchors are increasingly tailored to supporting biological tendon to bone healing and incorporation. Biologic augments such as platelet rich plasma (PRP), cell-based therapies, and bursal tissue autograft, and bioinductive implants are increasingly utilized, as are structural augments such as human dermal allografts and long head biceps tendon autografts. Increased attention has also come to the role of medical and nutritional optimization. A number of early stage or preclinical interventions have shown promise, suggesting future pharmaceutical interventions are on the horizon to further aid rotator cuff healing, but much work remains to be done to optimize their clinical applicability and implementation. Beyond the scope of this article are additional nonrepair reconstructive and salvage options such as tendon transfers, balloon arthroplasty, tuberoplasty, and reverse shoulder arthroplasty. The multifactorial nature of rotator cuff repair outcomes, including surgical, social/environmental, host factors, microenvironment of shoulder, systemic environment of host, rehabilitations, nutrition and patient optimization, will require shoulder surgeons to closely follow evolving literature, practice guidelines, and treatment strategies for rotator cuff tear patients.</div></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"33 2","pages":"Article 151188"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145645694","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

Editorial Board (pick up from previous issue) 编辑委员会（选自上一期）

IF 0.7 4区医学

Operative Techniques in Sports Medicine Pub Date : 2025-05-01 Epub Date: 2025-12-01 DOI: 10.1053/S1060-1872(25)00041-3

引用次数: 0

Advances and Future Directions and Technologies in Orthobiologics 骨科的进展和未来方向与技术

IF 0.7 4区医学

Operative Techniques in Sports Medicine Pub Date : 2025-05-01 Epub Date: 2025-08-22 DOI: 10.1016/j.otsm.2025.151190

Thomas Moran MD , Alyssa Althoff MD , Badr Squali BS , Jared P. Sachs MS , Daanish Sheikh BS , Sam Alfonsi MD , Yusuf N. Mufti BS , Brian J. Cole MD, MBA

{"title":"Advances and Future Directions and Technologies in Orthobiologics","authors":"Thomas Moran MD , Alyssa Althoff MD , Badr Squali BS , Jared P. Sachs MS , Daanish Sheikh BS , Sam Alfonsi MD , Yusuf N. Mufti BS , Brian J. Cole MD, MBA","doi":"10.1016/j.otsm.2025.151190","DOIUrl":"10.1016/j.otsm.2025.151190","url":null,"abstract":"<div><div>Orthobiologics are a diverse class of biologically-derived materials utilized in the treatment of a wide range of musculoskeletal pathologies. Within sports medicine, these materials are becoming more frequently used both in clinical settings and in the operating room. Commonly included treatments include platelet rich plasma (PRP), concentrated bone marrow aspirate (cBMA), adipose-tissue derived therapy, and perinatal derived therapy. These materials promote tissue healing and regeneration through a variety of cellular mechanisms. Several emerging approaches for orthobiologic delivery and application, such as exosomes, induced pluripotent stem cells, and injectable cytokines and peptides, have also demonstrated promise. The efficacy of orthobiologics is heavily condition-dependent, with good evidence for substantial outcomes in some pathologies and limited effects in others. Current challenges within orthobiologics include a lack of standardized preparation, dosing, formulation, and nomenclature within the field. This is further complicated by a dynamic regulatory landscape. The future of orthobiologics will likely focus on standardizing research trials and data collection. More research is needed to firmly establish the uses, side effects, cost-effectiveness, and long-term outcomes of orthobiologics.</div></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"33 2","pages":"Article 151190"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145645695","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

Introduction: Innovations in Orthopaedic Sports Medicine—Operative Techniques in Sports Medicine 导言：骨科运动医学的创新-运动医学的手术技术

IF 0.7 4区医学

Operative Techniques in Sports Medicine Pub Date : 2025-05-01 Epub Date: 2025-08-28 DOI: 10.1016/j.otsm.2025.151187

Eric Ferkel MD, Theodore Shybut MD

引用次数: 0

Table of Contents (pick up from previous issue w/updates) 目录（选自上一期的内容和更新）

IF 0.7 4区医学

Operative Techniques in Sports Medicine Pub Date : 2025-05-01 Epub Date: 2025-12-01 DOI: 10.1053/S1060-1872(25)00040-1

引用次数: 0

Table of Contents (pick up from previous issue w/updates) 目录（选自上一期的内容和更新）

IF 0.4 4区医学

Operative Techniques in Sports Medicine Pub Date : 2025-03-01 Epub Date: 2025-04-21 DOI: 10.1053/S1060-1872(25)00013-9

引用次数: 0

The Role of Growth Modulation in Young Patients With Coronal Malalignment and Associated Knee Pathology 生长调节在年轻冠状位失调和相关膝关节病理患者中的作用

IF 0.4 4区医学

Operative Techniques in Sports Medicine Pub Date : 2025-03-01 Epub Date: 2025-03-25 DOI: 10.1016/j.otsm.2025.151164

Emilie Lijesen , Joshua T. Bram , Ruth H. Jones , Shae K. Simpson , Daniel W. Green

引用次数: 0