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

{"title":"Author Reply to Letter to the Editor \"Comments on the Article 'Anterior Opening-Wedge High Tibial Osteotomy in the Setting of Genu Recurvatum'\".","authors":"Benjamin Kerzner, Zeeshan A Khan, Sachin Allahabadi, Jorge Chahla","doi":"10.1016/j.arthro.2024.11.055","DOIUrl":"https://doi.org/10.1016/j.arthro.2024.11.055","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644843","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":"Comments on the article \"Technical Note: Anterior opening-wedge high tibial osteotomy in the setting of genu recurvatum\" published in Arthroscopy Techniques 2023, 12(11): e1559 - e1566.","authors":"Christophe Trojani","doi":"10.1016/j.arthro.2024.11.054","DOIUrl":"https://doi.org/10.1016/j.arthro.2024.11.054","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644844","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 Regarding 'Adding Dexmedetomidine to Intra-articular Local Anesthetics Results in Prolonged Analgesia After Knee Arthroscopy: A Systematic Review and Meta-analysis '.","authors":"Musab Elhadi, Paul Stewart, Claire C Nestor","doi":"10.1016/j.arthro.2024.11.056","DOIUrl":"https://doi.org/10.1016/j.arthro.2024.11.056","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640391","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":"Arthroscopy Honors 2025 Award-Winning Authors Across Diverse Platforms.","authors":"Jefferson C Brand, Michael J Rossi, Elizabeth Matzkin, James H Lubowitz","doi":"10.1016/j.arthro.2024.11.052","DOIUrl":"10.1016/j.arthro.2024.11.052","url":null,"abstract":"<p><p>With sincere appreciation to the Arthroscopy Association of North America Education Foundation for their support, we present Arthroscopy's 2025 Annual Awards for the best Clinical Research, Basic Science Research, Resident/Fellow Research, Systematic Review, and Podcast published in 2024, as well as the Most Downloaded and Most Cited papers published 5 years ago in Arthroscopy, and the Most Downloaded Arthroscopy Techniques article. In addition, as of January 1, 2025, we have updated our Editor-in-chief, Assistant Editor, and Deputy and Associate Editors disclosures of potential conflicts of interest as well as our journal masthead.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640390","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":"Why Do You Focus on the Acetabular Labral Tear? You Can't See the Forest for the Trees.","authors":"Jaydeep Dhillon, Matthew J Kraeutler","doi":"10.1016/j.arthro.2024.10.052","DOIUrl":"10.1016/j.arthro.2024.10.052","url":null,"abstract":"<p><p>The advent of higher-quality imaging has brought increased attention to the understanding and implications of commonly observed hip morphology and pathology. Many patients and even physicians like to focus on the presence of an acetabular labral tear when one is present on magnetic resonance imaging, despite the limitations of magnetic resonance imaging in identifying labral tears. Furthermore, recent studies have shown normal variations of the acetabular labrum, as well as a high prevalence of labral tears in both symptomatic and asymptomatic individuals. For patients electing to undergo surgical treatment of a labral tear, addressing the underlying pathology is imperative. Ignoring the primary pathology (e.g., femoroacetabular impingement or hip dysplasia) risks the formation of a new labral tear after initial surgical management. This comprehensive approach ensures that the primary cause of the labral tear is treated, thereby reducing the likelihood of recurrence and improving patient outcomes. Although the labrum is highly innervated, making labral tears a direct cause of hip pain in affected patients, we should not be setting our focus on the labral tear itself. Focusing solely on the labral pathology may set up our patients for failure by overlooking the underlying anatomic issues that precipitate these tears. Addressing the root cause, such as correcting femoroacetabular impingement and/or hip dysplasia, is crucial for effective treatment. By correcting these anatomic factors, we can prevent future labral damage and provide more comprehensive and lasting relief for our patients. Ignoring the primary anatomic issues risks recurrent tears and ongoing pain, highlighting the need for a holistic approach to treatment.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632513","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":"Younger Age, Early Repair Surgery, and Proximal Avulsion Tear With Good Anterior Cruciate Ligament Stump Are Factors Positively Affecting Ligament Healing With Primary Anterior Cruciate Ligament Repair.","authors":"Angelo V Vasiliadis, Alexandros Maris, Theodorakys Marín Fermín","doi":"10.1016/j.arthro.2024.11.004","DOIUrl":"10.1016/j.arthro.2024.11.004","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632534","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":"Lower Surgical Volume Reduces the Odds of Performing Meniscus Repair for Tears During Primary Anterior Cruciate Ligament Reconstruction.","authors":"Dzan Rizvanovic, Markus Waldén, Magnus Forssblad, Anders Stålman","doi":"10.1016/j.arthro.2024.10.050","DOIUrl":"10.1016/j.arthro.2024.10.050","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the influence of surgical volume, and various patient-, injury-, and surgery-related factors, on meniscal treatment strategies in primary anterior cruciate ligament reconstruction (ACLR).</p><p><strong>Methods: </strong>This retrospective cohort study analyzed patients with concomitant meniscal injuries undergoing primary ACLR, from 2008 to 2022, using data from the Swedish National Knee Ligament Registry. Surgeons and clinics were stratified by total caseload (cutoff: 50 ACLRs/surgeon, 500 ACLRs/clinic) and annual volume (cutoff: 29 ACLRs/year/surgeon, 56 ACLRs/year/clinic). To assess factors influencing medial meniscus or lateral meniscus repair, adjusted multivariable logistic regression was conducted, with results presented as odds ratios (OR) and 95% confidence intervals (CI).</p><p><strong>Results: </strong>In total, 20,699 patients undergoing primary ACLR with concomitant meniscal injuries were included. Lower percentages of meniscus repair were seen among surgeons with low caseload and annual volume (LCLV) (13.3%-20.8%) compared with high caseload and annual volume (HCHV) surgeons (19.0%-29.8%), and at LCLV clinics (11.1%-18.3%) compared to HCHV clinics (21.5%-33.8%), all P < .001. Significantly decreased odds of medial meniscus repair were seen for patients operated on by LCLV surgeons (OR 0.82, 95% CI 0.70-0.96; P = .015) or at LCLV clinics (OR 0.56, 95% CI 0.50-0.64; P < .001. Similar results were seen for lateral meniscus repair with LCLV surgeons (OR 0.83, 95% CI 0.69-1.01; P = .067) and LCLV clinics (OR 0.62, 95% CI 0.53-0.72; P < .001). Additionally, younger age, female sex, shorter time from injury to surgery, and ACLRs performed more recently were associated with increased odds of repair.</p><p><strong>Conclusions: </strong>Lower surgical volume significantly decreased the rates and odds of performing meniscal repair during primary ACLR. In contrast, ACLRs performed during more recent years, younger age, female sex, shorter time from injury to surgery, absence of chondral injuries, and injuries sustained during nonpivoting activities, positively influenced meniscal preservation.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631632","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":"Slope-Reducing Proximal Tibial Osteotomy Improves Outcomes in Anterior Cruciate Ligament Reconstruction Patients With Elevated Posterior Tibial Slope, Especially Revisions and Posterior Tibial Slope ≥12.","authors":"Luke V Tollefson, Matthew T Rasmussen, Grace Guerin, Christopher M LaPrade, Robert F LaPrade","doi":"10.1016/j.arthro.2024.10.048","DOIUrl":"10.1016/j.arthro.2024.10.048","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the indications, outcomes, and complications related to slope-reducing osteotomies in the setting of anterior cruciate ligament (ACL) tears or graft failure. A secondary aim was to create an algorithm on the basis of the current literature and authors' opinions.</p><p><strong>Methods: </strong>This study was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Studies were included if they reported on outcomes related to slope-reducing osteotomies both for primary ACL tears and revision ACL graft tears. The studies were analyzed to determine the radiographic outcomes, patient-reported outcomes (PROs), physical examination findings, and complications. Statistical analysis could not be performed because of the heterogeneity between studies.</p><p><strong>Results: </strong>A total of 148 studies were screened for inclusion in this systematic review and after full-text review, a total of 16 studies were included in this systematic review. Fourteen of the studies reported on pre- versus postoperative posterior tibial slope (PTS) and all but one reported significant decrease in PTS. Seven studies reported on pre- versus postoperative PROs, and all studies reported significant improvements in postoperative scores. Anterior tibial translation was measured in 8 studies, and all reported a significant decrease in anterior tibial translation postoperatively. The most common complication was postoperative hyperextension and irritation from hardware. Irritation from hardware was only reported in studies that used plates to fixate the osteotomy.</p><p><strong>Conclusions: </strong>In conclusion, slope-reducing proximal tibial osteotomies performed concurrently or as a second-stage surgery with an anterior cruciate ligament reconstruction (ACLR) resulted in improved PROs and decreased ACLR failure rates. Slope-reducing proximal tibial osteotomies are an important treatment consideration for those patients with an increased PTS, especially for patients with a failed ACLR and a PTS ≥12°, to reduce the risk of ACLR failure.</p><p><strong>Level of evidence: </strong>Level IV, systematic review of Level IV studies.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632265","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":"Evolution of the Surgical Treatment of Ulnar Collateral Ligament Injuries","authors":"Joshua Pezzulo M.D.,&nbsp;William L. Johns M.D.,&nbsp;Brandon J. Erickson M.D.,&nbsp;Michael G. Ciccotti M.D.,&nbsp;Michael C. Ciccotti M.D.","doi":"10.1016/j.arthro.2024.09.001","DOIUrl":"10.1016/j.arthro.2024.09.001","url":null,"abstract":"<div><div>Since Dr. Frank Jobe performed the initial surgery on Tommy John in 1974, the ulnar collateral ligament (UCL) reconstruction (UCLR), colloquially “Tommy John Surgery,” described in 1986 has evolved as the gold standard treatment for UCL tears. The crux of technique modifications involve flexor pronator mass (FPM) management, ulnar nerve transposition (UNT), graft selection, or graft-fixation options. Jobe used a figure-of-8 graft fixation through the cubital tunnel, necessitating FPM elevation and UNT. Although 68% of patients returned to play (RTP), 25% of patients experienced ulnar neuritis, prompting change. Described by Thompson et al. in 2001, the modified Jobe technique implemented a muscle-splitting approach to the FPM, eliminating the need for FPM elevation, facilitating optional UNT. This technique uses larger tunnel sizes to facilitate graft passage in a figure-of-8 fashion. Graft selection is another consideration in UCLR. Most commonly, the palmaris longus autograft is used. In addition, there are no significant outcome differences between alternative graft types such as allografts, hamstring autografts, or extensor tendons. Notably, palmaris longus autograft is perhaps a high-risk choice, given the proximity to the median nerve. One case series reported 19 incidents of iatrogenic median nerve harvest. Lastly, the docking technique, from Altchek et al. in 2002, builds upon the modified Jobe. Using the FPM split, optional UNT enhanced graft passage and fixation with one humeral tunnel and smaller exit holes. This approach demonstrates a remarkable 90% RTP at 12 to 18 months, ultimately leading to satisfactory outcomes and potentially shorter operating room times. An alternative approach to UCLR, UCL repair with suture augmentation obviates the need for a graft, shortening RTP time to approximately 6 months. Historically, UCL repair indications were inconsistent; however, the current professional consensus suggests acute injuries, minimal ligamentous degeneration, or isolated proximal or distal avulsions may be optimal injury patterns for repair.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"40 12","pages":"Pages 2780-2782"},"PeriodicalIF":4.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cover Image & Video Link","authors":"","doi":"10.1016/S0749-8063(24)00810-7","DOIUrl":"10.1016/S0749-8063(24)00810-7","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"40 12","pages":"Page A14"},"PeriodicalIF":4.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142653444","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}