Arthroscopy-The Journal of Arthroscopic and Related Surgery最新文献

{"title":"Discoid Lateral Meniscus Evaluation and Treatment","authors":"Jennifer J. Beck M.D.,&nbsp;Nirav K. Pandya M.D.,&nbsp;Sachin Allahabadi M.D.","doi":"10.1016/j.arthro.2025.03.003","DOIUrl":"10.1016/j.arthro.2025.03.003","url":null,"abstract":"<div><div>Discoid lateral meniscus (DLM) is a variant of meniscal histomorphology that often presents in young, active pediatric populations. Patients may present with mechanical symptoms, joint line pain, swelling, and loss of motion especially with lack of terminal knee extension. DLM are prone to tearing, most frequently with horizontal patterns in children and complex patterns in adults. The PRiSM classification and assessment of DLM provide a comprehensive approach to evaluating DLMs arthroscopically, focusing on the following four factors: (1) meniscal width, (2) meniscal height, (3) stability, and (4) the presence of tearing. Meniscal width is defined as complete (Watanabe class I) or incomplete (Watanabe class II). Meniscal height is defined as normal or abnormal. DLMs may be stable, unstable posteriorly (Watanabe class III), unstable anteriorly, or unstable both anteriorly and posteriorly. After appropriate saucerization, the meniscus is carefully evaluated for the presence of a tear, and, if present, the tear type and location are noted. Multiple surgical tips may facilitate appropriate treatment of symptomatic DLMs. A more proximal and medial anteromedial portal should be created directed over the tibial spines into the lateral compartment for optimal working trajectory. Small joint and 70° scopes may also facilitate viewing in select cases. Switching portals frequently allows for a more complete assessment and treatment of DLMs. During the process of saucerization, the popliteal hiatus should be visualized, and this area is often thickened and enlarged which can contribute to meniscal instability. A variety of biters, shavers, and blades may be necessary for optimal saucerization. For unstable tears, traction sutures may facilitate controlling the DLM during saucerization. Once saucerization is complete, the presence of a tear should be thoroughly assessed. If possible, tears should be repaired, and surgeons should be prepared with a variety of repair techniques in addition to marrow stimulation or biologic augmentation to improve healing potential.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 6","pages":"Pages 1702-1704"},"PeriodicalIF":4.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cover Image & Video Link","authors":"","doi":"10.1016/S0749-8063(25)00327-5","DOIUrl":"10.1016/S0749-8063(25)00327-5","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 6","pages":"Page A19"},"PeriodicalIF":4.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lubowitz to Become Editor-in-Chief Emeritus: Assistant Editor Rossi Promoted to Editor-in-Chief","authors":"James H. Lubowitz M.D. (Editor-in-Chief, Emeritus)","doi":"10.1016/j.arthro.2025.03.020","DOIUrl":"10.1016/j.arthro.2025.03.020","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 6","pages":"Pages 1695-1696"},"PeriodicalIF":4.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Allografts and Autografts in Primary Hip Labral Reconstruction Result in Improved Postoperative Outcomes, With Autografts Demonstrating Lower Revision and Complication Rates: A Systematic Review.","authors":"Colton C Mowers, Justin T Childers, Benjamin T Lack, Ariel S Hus, Matthew T McKinley, Garrett R Jackson, Steven F DeFroda","doi":"10.1016/j.arthro.2025.05.023","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.05.023","url":null,"abstract":"<p><strong>Purpose: </strong>To compare patient-reported outcomes, complications and revision rates following the use of autograft versus allograft for primary arthroscopic hip labral reconstruction.</p><p><strong>Methods: </strong>The PubMed, Scopus, and Embase databases were queried following the 2020 PRISMA guidelines to identify human clinical studies reporting outcomes following primary arthroscopic hip labral reconstruction with a minimum follow-up of two years. Studies that did not report graft type or outcomes were excluded. Studies were separated into two cohorts based on graft type, allograft or autograft. The mean delta (change from preoperative to postoperative values) was calculated for each patient reported outcome score and compared between cohorts. The MINORS criteria was used to evaluate bias.</p><p><strong>Results: </strong>Seventeen studies (allograft=9 studies, autograft=11 studies) of 756 patients were included. Mean follow-up for the allograft cohort was 37 months (mean range, 25.5-66.1) compared to 38.3 months (mean range, 25.4-80.8) for the autograft cohort. At final follow-up, delta values for modified Harris Hip Score ranged from 18.2-34 (allograft) versus 9.4-31.7 (autograft), HOS-Sports scale ranged from 24.2-39.7 (allograft) versus 21.4-41.3 (autograft), Visual Analog Pain scale ranged from -5.7 to -1.7 (allograft) versus -5.7 to -2.4 (autograft), and delta values for the Non-Arthritic Hip score ranged from 19.7-31.3 (allograft) versus 16.6-35.4 (autograft). Postoperative complication rates ranged from 0.0% to 17.6% (allograft) versus 0.0% to 9.1% (autograft). The most common complication for the allograft cohort was numbness (n=2) versus heterotopic ossification (n=6) in the autograft cohort. Rates of arthroscopic revision surgery were 0.0% to 5.9% (allograft) versus 0.0% to 9.1% (autograft), while conversion to total hip arthroplasty ranged from 0.0% to 17.6% (allograft) versus 0.0% to 8.3% (autograft).</p><p><strong>Conclusion: </strong>The use of allografts and autografts in primary hip labral reconstruction results in improved postoperative outcomes. However, allografts were associated with higher rates of complications with worse graft survivorship.</p><p><strong>Level of evidence: </strong>IV, Systematic Review of Level of Evidence III-IV Studies.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transosseous Tunnel Suture Fixation Results in Similar Re-rupture Rates and Patient-Reported Outcome Measures Compared to Suture Anchors for Primary Quadriceps Tendon Repair: A Systematic Review.","authors":"Nicholas B VanDerwerker, Alec E Winzenried, Samuel J Mosiman, Brian F Grogan, Geoffrey S Baer, Eric J Cotter","doi":"10.1016/j.arthro.2025.04.059","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.04.059","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the clinical outcomes of transosseous tunnel (TO) techniques to suture anchor (SA) techniques for the primary repair of unilateral quadriceps tendon ruptures (QTRs).</p><p><strong>Methods: </strong>A systematic review of the PubMed database was performed for studies containing re-rupture and/or patient-reported outcome measure (PROM) outcome data of primary QTR repairs utilizing TO and/or SA techniques. Included studies were evaluated via the methodological index for nonrandomized studies (MINORS) scoring system.</p><p><strong>Results: </strong>Twelve studies including 600 patients met inclusion criteria for the systemic review. The level of evidence for these studies ranged from III-IV, with the majority (N=10; 83.3%) being retrospective case series. Within included studies, TO repairs accounted for 79.5% of patients (N=477) while 20.5% (N=123) underwent repair using SA. All publications using SAs reported placing 2-3 anchors for the primary QTR repair. Studies reporting using TO methods mostly placed three patellar drill holes during the surgery, although one study only used two drill holes,¹ two studies used 3-4 drill holes,²^,³ and three studies did not report this information.^4-6 QTR re-rupture rates varied between 0-16.7% for TO techniques and between 0-14.7% for SA techniques. PROM collection varied widely with limited data to clearly show superiority of TO or SA techniques. The methodological quality for non-comparative studies was moderate with a mean score 10.2 ± 1.3 (range 8-12) and was moderate for comparative studies was 15.7 ± 2.1 (range 14-18).</p><p><strong>Conclusions: </strong>Re-rupture rates were similar between TO and SA repair methods for primary QTR repairs. Some data indicates that SA techniques might demonstrate superior outcomes based on PROMs between SA or TO methods for the primary repair of QTRs, but high-quality evidence is lacking.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distal High Tibial Osteotomy Allows Improved Patellofemoral Joint Preservation but Results in Increased Posterior Tibial Slope Compared to Proximal High Tibial Osteotomy.","authors":"Yukio Akasaki, Yu Soejima, Satoshi Hamai, Shinya Kawahara, Taishi Sato, Yasuharu Nakashima","doi":"10.1016/j.arthro.2025.05.017","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.05.017","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the postoperative trajectory of posterior tibial slope (p-TS) after distal (DTO) versus proximal (PTO) biplanar open-wedge high tibial osteotomy (OW-HTO) performed with an identical, early weight-bearing protocol.</p><p><strong>Methods: </strong>All consecutive OW-HTOs performed May 2015-Dec 2020 were reviewed. Eligible knees had complete lateral radiographs (pre-op; 1 week, 1, 3, 6, 12 months) and ≥24-month follow-up. p-TS and Caton-Deschamps index were measured. ICRS cartilage grade at routine plate removal were recorded.</p><p><strong>Results: </strong>Thirty consecutive DTOs and thirty consecutive PTOs were retrospectively compared. The mean p-TS in the DTO group initially decreased after osteotomy but subsequently increased compared to the PTO group (p = 0.016). From 1 week to 12 months postoperatively, 9 of 30 knees (30%) that underwent DTO had a > 2° increase in p-TS, compared with 2 of 30 knees (7%) that underwent PTO (p = 0.045). Of the nine DTO knees with > 2° p-TS increase, 4 exhibited widening of descending gap (the descending cut in the tibial tuberosity) and nonunion in the retrotubercle. The p-TS correction loss primarily occurred between 1 and 3 months postoperatively (p < 0.001). Arthroscopic assessment revealed patellofemoral cartilage deterioration in 8 of 28 knees (29%) in the PTO group, compared to only 1 of 28 knees (4%) in the DTO group (p = 0.024). A greater change in CD index was associated with patellofemoral cartilage deterioration at 12 months (p = 0.021).</p><p><strong>Conclusion: </strong>The p-TS changes during the postoperative course occurred more frequently in DTO compared to PTO. In DTO, p-TS increased for up to 12 months postoperatively, with the most substantial changes occurring between 1 and 3 months. While DTO has the advantage of preserving patellofemoral joint, the increase in p-TS may require careful attention, as it could adversely impact bone union in the retrotubercle.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biceps Tenodesis/Tenotomy Disrupts Biomechanical Glenohumeral Stability in the Setting of Superior Labrum Anterior-Posterior Tear and Repair.","authors":"Hayk Stepanyan, Aaron T Hui, Victor T Hung, Michelle H McGarry, Charles Long, Gregory J Adamson, Thay Q Lee","doi":"10.1016/j.arthro.2025.05.022","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.05.022","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to compare the biomechanical stability of the glenohumeral joint both before and after a superior labrum anterior-posterior (SLAP) tear to: (1) posterior SLAP repair, (2) posterior+anterior SLAP repair, (3) biceps tenodesis with SLAP repair, and (4) biceps tenodesis without SLAP repair.</p><p><strong>Methods: </strong>8 cadaveric shoulders were tested using a custom testing system. Twenty-two N glenohumeral compressive force and 5N biceps load was applied. All testing was performed in 30° and 60° of glenohumeral abduction. Humeral rotational range of motion was measured with 2.2 Nm torque. Glenohumeral anterior-posterior (AP) and superior-inferior (SI) translation was measured in 45° and 90° external rotation (ER) with 10 and 15 N loads. Six conditions were tested: Intact; SLAP tear (10:00 to 2:00 o'clock); Posterior SLAP repair (two anchors at 10:30 and 11:30); Posterior+Anterior SLAP repair (an additional anchor at 1:30); Simulated Biceps tenodesis with SLAP repair; Simulated Biceps tenodesis without SLAP repair. Repeated measures ANOVA with Tukey post hoc test was used for statistical analysis.</p><p><strong>Results: </strong>There were no significant differences with SLAP tear or repair in AP/SI translation or range of motion compared to intact. Both simulated tenodesis conditions increased max ER compared to intact (P<0.006). Simulated tenodesis with SLAP repair significantly increased AP (6/8 positions) and SI translation (2/8 positions) compared to intact. Simulated tenodesis without SLAP repair significantly increased AP (all positions) and SI translation (3/8 positions) compared to intact.</p><p><strong>Conclusions: </strong>The long head of the biceps has a pertinent biomechanical role in glenohumeral stability regardless of the condition of the superior labrum. The addition of an anterior anchor for SLAP repair did not restrict external rotation in this cadaveric model.</p><p><strong>Clinical relevance: </strong>The potential contribution of the biceps to biomechanical stability should be a consideration when treating biceps pathology.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increased Meniscal Extrusion at 1 Year After Surgery Is Associated With a Lower Likelihood of Substantial Mid-Term Patient-Perceived Improvement After MMRT Repair.","authors":"Hyun-Soo Moon, Min Jung, Chong-Hyuk Choi, Kwangho Chung, Se-Han Jung, Junwoo Byun, Hyeongwon Ham, Sung-Hwan Kim","doi":"10.1016/j.arthro.2025.04.058","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.04.058","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze factors influencing achievement of mid-term substantial clinical improvement after surgical repair for medial meniscus root tears (MMRT).</p><p><strong>Methods: </strong>Patients who underwent arthroscopic pull-out repair for MMRT between 2010 and 2018 with ≥5 years of follow-up were reviewed. Patients were classified into groups based on achieving substantial clinical improvement at 5 years using published SCB values: group 1 (improvement beyond SCB thresholds in both IKDC and Lysholm scores), group 2 (not improved in one or both scores). Additionally, secondary grouping was performed using MCID values based on the same criteria as SCB grouping. Comparative analyses were performed for both groupings, followed by regression analyses to identify factors influencing achievement of clinical improvement. In particular, SCB-based regression analyses employed multiple models using adjusted SCB thresholds.</p><p><strong>Results: </strong>Of 64 patients, 22 (34.4%) achieved SCB-level improvement and 36 (56.3%) achieved MCID-level improvement at 5 years postoperatively. Patients in group 2 showed significantly higher age, postoperative medial meniscus extrusion (MME) at 1 year, and ΔMME than group 1 (P = .005, .013, and .047, respectively). Group 2 also exhibited higher Kellgren-Lawrence grades and their progression at 5 years postoperatively (P = .003 and .015, respectively). Subsequently, peri-operative variables showing differences in between-group comparisons were included in the SCB-based regression analyses, with postoperative MME consistently identified across all models as a factor influencing the achievement of mid-term clinical improvement after surgical repair of MMRT (P = .015, .034, and .014 in Models 1, 2, and 3, respectively). The analysis based on secondary grouping using MCID values showed consistent results.</p><p><strong>Conclusion: </strong>The number of patients who perceived substantial clinical improvement 5 years after surgical repair for MMRT was relatively small. Notably, increased MME at 1 year postoperatively was associated with a lower likelihood of achieving patient-perceived substantial clinical improvement at 5 years.</p><p><strong>Level of evidence: </strong>Retrospective prognostic case series, IV.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commercial Products Using Generative Artificial Intelligence Include Ambient Scribes, Automated Documentation and Scheduling, Revenue Cycle Management, Patient Engagement and Education, and Prior Authorization Platforms.","authors":"Kyle N Kunze, Jennifer Bepple, Asheesh Bedi, Prem N Ramkumar, Christian A Pean","doi":"10.1016/j.arthro.2025.05.021","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.05.021","url":null,"abstract":"<p><p>The integration of artificial intelligence (AI) into clinical practice is rapidly transforming healthcare workflows. At the forefront are large language models (LLMs), embedded within commercial and enterprise platforms to optimize documentation, streamline administration, and personalize patient engagement. The evolution of LLMs in healthcare has been driven by rapid advancements in natural language processing (NLP) and deep learning. Emerging commercial products include Ambient Scribes, Automated Documentation and Scheduling, Revenue Cycle Management, Patient Engagement and Education Assistants, and Prior Authorization Platforms. Ambient Scribes remain the leading commercial generative AI product, with approximately 90 platforms in existence to date. Emerging applications may improve provider efficiency and payer-provider alignment by automating the prior authorization process to reduce the manual labor burden placed on clinicians and staff. Current limitations include (1) lack of regulatory oversight, (2) existing biases, (3) inconsistent interoperability with EHRs, and (4) lack of physician and stakeholder buy-in due to lack of confidence in LLM outputs. Looking forward requires discussion of ethical, clinical, and operational considerations.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Osteochondral allograft outcomes are durable at longer follow-up and larger cohorts with robust study designs are necessary to help us improve outcomes.","authors":"Jelle P van der List, David C Flanigan","doi":"10.1016/j.arthro.2025.05.020","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.05.020","url":null,"abstract":"<p><p>Patients with chondral and osteochondral lesions often present with debilitating symptoms and several treatments are available, ranging from microfracture and autologous chondrocyte implantation to osteochondral autograft and osteochondral allograft transplantation (OCA). Over the last two decades, significant improvement in the indications, graft storage and surgical outcomes of OCA have been seen with excellent patient-reported outcome measures and reliable return to sports rates. Long-term studies identifying risk factors for graft failure or disappointing subjective outcomes are important to further understand the ideal candidate for OCA. Studies have identified coronal malalignment, ligament instability, meniscal insufficiency, higher body mass index, older age and longer duration of symptoms as risk factors for failure, and corresponding concomitant procedures are often performed with OCA to improve success rates. Future larger studies are needed to further identify predictors of success, preferably larger cohorts in which confounders and other factors can be accounted and corrected for. OCA remains an excellent treatment for osteochondral lesions with durable outcomes at long-term follow-up.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}