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

{"title":"Hip Arthroscopy Patients with Concomitant Low Back Pain Show Clinical Improvement and Time-Dependent Survivorship Comparable to Those Without Low Back Pain: A Propensity Matched Study at Long-Term Follow-Up.","authors":"Jesus E Cervantes, Eric Hu, Nicholas Lemme, Shane J Nho","doi":"10.1016/j.arthro.2025.01.046","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.01.046","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate patient-reported outcomes (PROs), achievement of clinically significant outcomes (CSOs), and reoperation-free survivorship at long-term follow-up following primary hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS) in patients with and without preoperative lower back pain (LBP).</p><p><strong>Methods: </strong>A repository was reviewed to identify patients who underwent primary HA for FAIS between 1/2012-5/2014 with 10-year follow-up. Exclusion criteria included prior ipsilateral hip surgery, concomitant procedures, congenital hip disorders, non-FAIS hip pathologies, Tönnis grade >1, history of platelet-rich plasma injections, and missing 10-year follow-up. Patients that self-reported preoperative, concomitant LBP were propensity-matched 1:1 to non-LBP patients by age, sex, and body-mass-index (BMI). PROs collected included Hip Outcome Score-Activities of Daily Living and Sports Subscale (HOS-ADL/HOS-SS), 12-item International Hip Outcome Tool (iHOT-12), modified Harris Hip Score (mHHS), and Visual Analog Scale (VAS) for Pain and Satisfaction. Minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) were compared. Subgroup analysis was conducted comparing females and males with LBP. Reoperation-free survivorship was compared with Kaplan-Meier analysis. An a priori power analysis determined sample size.</p><p><strong>Results: </strong>Overall, 69 hips in 67 LBP patients were matched to 69 hips in 67 non-LBP patients. Demographics were similar between groups, including age (39.22±10.3 vs. 38.99±10.7 years, P=0.90), sex (55.1% vs. 55.1% female, P=1.0), and BMI (26.15±4.6 vs. 26.36±5.1 kg/m<sup>2</sup>, P=0.80). Average follow-up duration was 10.43±0.4 years. The most common cause of LBP was degenerative lumbar or sacral conditions, including degenerative disc disease (DDD), degenerative joint disease (DJD), or spondylosis, accounting for 38.8% (26/69) of the cohort. Mean preoperative HOS-ADL (62.38±18.7 vs. 64.45±21.1, P=0.57), HOS-SS (37.83±22.6 vs. 45.67±24.7, P=0.09), mHHS (53.63±14.6 vs. 57.01±14.6, P=0.22), iHOT-12 (33.29±19.0 vs. 39.49±15.8, P=0.27), and VAS Pain (71.88±18.3 vs. 71.87±19.1, P=1.0) were similar between LBP and non-LBP patients. Additionally, the mean 10-year follow-up HOS-ADL (81.48±21.2 vs. 79.57±22.0, P=0.66), HOS-SS (66.87±31.3 vs. 67.36±30.4, P=0.94), mHHS (74.15±18.8 vs. 73.19±17.7, P=0.79), iHOT-12 (77.77±23.3 vs. 69.63±29.3, P=0.13), VAS Pain (23.98±25.0 vs. 32.19±28.4, P=0.11), and VAS Satisfaction (83.47±25.3 vs. 81.43±29.7, P=0.73) were similar between LBP and non-LBP patients. LBP and non-LBP patients had comparable MCID achievement for HOS-ADL (72% vs. 56%, P=0.13), HOS-SS (74% vs. 50%, P=0.06), mHHS (74% vs. 65%, P=0.47), iHOT-12 (83% vs. 72%, P=0.67), VAS Pain (89% vs. 75%, P=0.10), and any PRO (98% vs. 93%, P=0.32). Similarly, LBP and non-LBP patients had comparable PASS achievement for HOS-","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383990","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":"Arthroscopic Suprapectoral Biceps Tenodesis Using an Onlay Technique- letter to editor.","authors":"Chih-Chien Wang, Zhi-Hong Zheng","doi":"10.1016/j.arthro.2025.01.052","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.01.052","url":null,"abstract":"<p><p>We have carefully reviewed the article entitled \"Arthroscopic Suprapectoral Biceps Tenodesis Using an Onlay Technique\" by Cutbush, Kenneth et al. and found it very interesting. While we appreciate the authors' efforts, we have some questions about certain aspects of the study methodology that we hope they can address.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375090","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":"Letter to Editor: Postoperative Immobilization Strategies Following Arthroscopic Rotator Cuff Repair: A Clinical and Sociological Perspective.","authors":"Chao Zhang, Qian Wu","doi":"10.1016/j.arthro.2025.01.053","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.01.053","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374009","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":"Biologics for Knee Cartilage Regeneration Show Modest Symptom-Reducing Efficacy.","authors":"Mina Entessari, Nicholas A Trasolini","doi":"10.1016/j.arthro.2025.01.058","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.01.058","url":null,"abstract":"<p><p>Biologic solutions for articular cartilage degeneration and focal chondral defects show modest symptom-reducing efficacy using bone marrow aspirate concentrate, adipose-derived stem cells, and platelet-rich plasma. However, regrowth of healthy hyaline cartilage within diseased areas remains elusive. Recent research proposes allogenic human umbilical cord blood-derived mesenchymal stem cells (hUCB MSCs) as another cell-based biologics approach. A benefit of this technique would be the availability of viable \"off the shelf\" undifferentiated cells obviating the need for bone marrow aspiration or adipose cell harvest. Findings included improved Magnetic Resonance Observation Cartilage Repair Tissue (MOCART) which correlated negatively with defect size and improved patient reported outcomes in terms of symptom reduction. HTO, which is known to result in improved outcomes in patients with cartilage degeneration (and malalignnment) is a confounder. This illustrates the importance of evaluating and treating the whole knee, and the whole patient, including extremity alignment, meniscal status, stability, body mass, and the synovial fluid environment. Cell-based treatments may be a piece of that puzzle. In addition to indeterminate outcomes and indications, barriers to adoption include cost and access.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375096","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":"Arthroscopic Suprapectoral Biceps Tenodesis Using an Onlay Technique - Response to Letter to the Editor.","authors":"Kenneth Cutbush, Kathir Azhagan Stalin, Helen Ingoe, Roberto Pareyón, Brandon Ziegenfuss, Ashish Gupta","doi":"10.1016/j.arthro.2025.01.056","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.01.056","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375057","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":"Response to \"Patient-Reported Outcomes Following Periacetabular Osteotomy versus Hip Arthroscopy for Borderline Acetabular Dysplasia Are Comparable: A Systematic Review\".","authors":"Jaydeep Dhillon, Karter Morris, Matthew J Kraeutler","doi":"10.1016/j.arthro.2025.01.057","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.01.057","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374411","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":"Regarding \"Primary All-Soft Tissue Quadriceps Tendon Autograft Anterior Cruciate Ligament Reconstruction With Suture Tape Augmentation Resulted in Satisfactory Patient Outcomes and a Low Graft Failure Rate in High School and Collegiate Athletes\".","authors":"Jie Pang","doi":"10.1016/j.arthro.2025.01.054","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.01.054","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374212","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":"Author Reply to \"Regarding 'Primary All-Soft Tissue Quadriceps Tendon Autograft Anterior Cruciate Ligament Reconstruction With Suture Tape Augmentation Resulted in Satisfactory Patient Outcomes and a Low Graft Failure Rate in High School and Collegiate Athletes'\" by Dr. Jie Pang.","authors":"Adam V Daniel, Patrick A Smith","doi":"10.1016/j.arthro.2025.01.055","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.01.055","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375092","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":"Bone Marrow Stimulation Yielded Similar Clinical Outcomes with Improved Tendon Healing and Abduction Strength Compared to Decortication for Arthroscopic Rotator Cuff Repair in Shoulder Active Patients.","authors":"Zipeng Ye, Chang'an Chen, Huiang Chen, Kai Huang, Yi Qiao, Chenliang Wu, Xiulin Wu, Wei Su, Shikui Dong, Junjie Xu, Caiqi Xu, Jinzhong Zhao","doi":"10.1016/j.arthro.2025.01.038","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.01.038","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the clinical outcomes and tendon healing between bone marrow stimulation (BMS) and decortication as footprint preparation techniques for arthroscopic rotator cuff repair (ARCR) in shoulder active patients.</p><p><strong>Methods: </strong>This double-blinded randomized clinical trial recruited 120 patients aged over 45 years, at active levels, and diagnosed with chronic unilateral rotator cuff tears. Participants were 1:1 randomized to undergo ARCR using the double-row suture-bridge technique with BMS (BMS group) or with decortication (DEC group) for footprint preparation. The primary outcome was the American Shoulder and Elbow Surgeons (ASES) score (range, 0-100, with higher scores indicating better shoulder function and fewer symptoms) at 24 months. Secondary outcomes included patient-reported outcomes, physical examinations, and rotator cuff integrity (evaluated on magnetic resonance imaging using a 5-graded system).</p><p><strong>Results: </strong>Of the 120 participants (age, 58.7 ± 8.1 years; 83 females [69.2%]) enrolled and randomized between May 2017 and November 2021, 109 (90.8%) were analyzed with the completion of follow-up visits. The ASES scores at 24 months were not statistically significantly different between the BMS and DEC groups (89.2 ± 12.2 vs. 87.8 ± 13.9; adjusted difference, 1.7 [95% CI, -3.3 to 6.7]; P = .498). The BMS group showed superior rotator cuff integrity (incomplete healing, 33.9% vs. 54.7%; P = .029) and abduction muscle strength (8.7 ± 3.2 vs. 7.4 ± 3.3 kg; P = .031) at 24 months as compared with the DEC group; the superiority was more significant in the subgroup of participants with higher shoulder activity levels. The rates of adverse events were comparable between groups.</p><p><strong>Conclusions: </strong>Among shoulder active patients undergoing ARCR, BMS did not result in superior patient-reported outcomes at 24 months postoperatively compared with decortication. Nevertheless, BMS resulted in higher rates of tendon healing and clinically significant improvement in abduction strength, thus can be recommended in patients requiring high levels of manual labor or sports activities.</p><p><strong>Level of evidence: </strong>Level I, randomized clinical trial.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366507","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":"Arthroscopic reconstruction of the anterior talofibular ligament and calcaneofibular ligament using allograft for chronic lateral ankle instability allows patients to successfully return to their pre-injury sports activities with Excellent clinical outcome at minimum two year follow-up.","authors":"Jesús Vilá-Rico, Ahmed Mortada-Mahmoud, Enrique Fernández-Rojas, José Luis Jiménez-Blázquez, David Campillo-Recio","doi":"10.1016/j.arthro.2025.01.037","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.01.037","url":null,"abstract":"<p><strong>Purpose: </strong>To report and evaluate the time of return to work and sports of patients who underwent an anatomic arthroscopic reconstruction using allograft for chronic lateral ankle instability (CLAI) through 2 portals, and to analyze the functional results as well as the postoperative complications of the reconstruction surgery.</p><p><strong>Methods: </strong>We retrospectively reviewed patients who underwent allograft arthroscopic reconstruction of anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) in the period from January 2018 to January 2022. The inclusion criteria encompassed patients with CLAI who (1) are more than 18 years old, (2) underwent arthroscopic ATFL & CF ligament reconstruction using allograft and (3) have been followed up for at least 2 years. The operation was performed with two arthroscopic portals, a percutaneous incision for CFL reconstruction and 2 knotless anchors. Time of return to work and sports was recorded. In addition, Karlsson Ankle Functional Score (KAFS), Tegner Activity Scale (TAS), visual analogue pain scale (VAS), visual analogue scale for patient satisfaction (VASPS) were evaluated preoperatively and postoperatively, and all complications were documented at a minimum follow up of two years.</p><p><strong>Results: </strong>In total, 44 patients (mean age, 35.6±9.7 years) were included, and the average follow-up duration was 29.6±3.7 months (range, 24-42 months). The mean time of return to work was 3.29 ± 0.93 months, while the mean time of return to sports was 6.45 ± 1.55 months. KAFS increased from 53.91 ± 9.31 to 91.14 ± 6.03 (p<0.001), mean TAS increased from 2.22 ±1.05 to 7.34 ±1.51 (p<0.001), VAS decreased from 3.95 ± 1.71 to 0.43± 0.66 (p<0.001) and VASPS increased from 1.11 ±1.43 to 9.59 ± 0.76 (p<0.001). All patients (100%) achieved the minimal clinically important difference in KAFS, VAS, TAS and VASPS. Subgroup analysis indicated no statistically significant differences in functional outcomes regarding the presence/absence of Associated Intra-articular Lesions (AILs) and Body Mass Index (BMI) (greater or less than 25 kg/m²). Minor complications were observed in only 4 patients (9.1%).</p><p><strong>Conclusion: </strong>CLAI patients who underwent arthroscopic allograft reconstruction of ATFL and CFL through two portals and an additional incision successfully returned to their pre-injury occupations within 5 months. They also returned to their pre-injury level of sports without restrictions, adaptations, or protective measures within 9 months. They demonstrated excellent clinical outcomes as all patients (100%) achieved the MCID in KAFS, VAS, TAS and VASPS at minimum of 24 months' follow-up. However, 9.1% of patients had minor neurological complications.</p><p><strong>Level of evidence iv: </strong>A retrospective therapeutic case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366354","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}