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

{"title":"Editorial Commentary: Hip Arthroscopy After 40 Years of Age: The Joint Matters More Than the Birth Certificate.","authors":"David R Maldonado","doi":"10.1002/arj.70431","DOIUrl":"10.1002/arj.70431","url":null,"abstract":"<p><p>Hip arthroscopy after 40 years of age remains controversial in hip preservation surgery. Carefully selected patients can still achieve meaningful clinical improvement; however, survivorship remains inferior compared with younger populations. Chronological age alone should not dictate surgical indications, as the biologic status of the joint likely matters far more than the birth certificate itself. Cartilage integrity, degeneration, and joint preservation remain critical determinants of outcomes. Although modern techniques have improved hip preservation surgery considerably, technical evolution cannot fully overcome advanced degeneration. Ultimately, symptom improvement does not necessarily equal long-term survivorship, and careful patient selection remains everything.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2832-2833"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724153","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: Are Intercondylar Notch Osteophytes Predictors of Anterior Cruciate Ligament Injuries?","authors":"Matthias Brockmeyer","doi":"10.1002/arj.70486","DOIUrl":"10.1002/arj.70486","url":null,"abstract":"<p><p>The cause of anterior cruciate ligament (ACL) tears is multifactorial. Intrinsic and extrinsic factors are known. Particularly, intrinsic factors can be analyzed and used to assess the potential risk of ACL injuries. Anatomical, hormonal, neuromuscular, and biomechanical determinants are described in this context. Previous studies show sex-related differences, with women having a higher risk of ACL tears than men. With regard to intrinsic anatomical factors, intercondylar notch stenosis has been described as a potential risk factor for ACL injury. Therefore, the quantitative assessment of morphometric parameters (including osteophytes) of the intercondylar notch using 3-dimensional computed tomography reconstruction and the analysis of their correlation with ACL injuries are very important and valuable for preoperative evaluation of an individualized ACL reconstruction approach including widening and reshaping of the intercondylar notch as well as resection of intercondylar notch osteophytes like a notchplasty, if necessary. This may lead to a decrease of ACL rerupture rates by protecting the graft structure and to an improvement of postoperative clinical outcomes, especially with regard to knee extension deficits. Additionally, it might improve patient counseling, risk assessment for ACL injuries, and the further development of ACL injury prevention strategies.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2659-2660"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801804","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":"Equivalent Patient-Reported Outcomes for Suture Staple Technique Versus Control Side-To-Side Endoscopic Gluteus Medius Repair.","authors":"Vasileios Giovanoulis, Christos Koutserimpas, Fabricio Luciano Vassallo, Nikolaos Lepidas, Derrick Guo, Mathieu Thaunat","doi":"10.1002/arj.70434","DOIUrl":"10.1002/arj.70434","url":null,"abstract":"<p><strong>Purpose: </strong>To compare outcomes of endoscopic gluteus medius repair using the suture staple technique versus a control side-to-side repair at ≥24-month follow-up.</p><p><strong>Methods: </strong>A retrospective, single-center study from January 2015 to December 2021 was conducted with data collected during a transitional period where evolving surgical practices led to the adoption of the suture staple technique. Included were all patients with ≥2 years of follow-up and ≥6 months of well-structured nonoperative treatment. Outcomes were assessed using the modified Harris Hip Score, Victorian Institute of Sport Assessment - Gluteal, and visual analog scale. Statistical analyses included Student's t-test and Wilcoxon test for comparing group differences, with significance set at P < .05.</p><p><strong>Results: </strong>Sixty-one patients were analyzed (control n = 31; suture staple n = 30). The overall mean age was 65.7 (standard deviation [SD] = 10.4 years); control (65.2 SD = 10.7 years), and suture stable group (66.1, SD 10.3 years). The cohort was predominantly female (78.7%), including 80.6% women in the control group and 76.7% in the suture stable group. Follow-up averaged 72.7 months (SD 34.4; range 24-142). Follow-up was significantly longer in the control side-to-side group than in the suture staple group (mean 82.8 SD 31.6 vs 62.3 SD 34.6 months; P = .0180). The modified Harris Hip Score increased from 32.7 (SD 19.1) preoperatively to 71.0 (SD 18.2) postoperatively, with no significant difference between groups (P = .5322). Victorian Institute of Sport Assessment - Gluteal improved by 40.2 units (SD 22.6), with 85.2% achieving the minimal clinically important difference of 11.3 (P = .4635). Visual analog scale scores decreased from 7.7 (SD 2.1) to 2.7 (SD 2.0), with 90.2% achieving the minimal clinically important difference of 1.3 with no significant difference (P = .1058). Sex-disaggregated analyses revealed no significant between-technique differences in men or women for modified Harris Hip Score, Victorian Institute of Sport Assessment - Gluteal, or visual analog scale (men: P = .9318, .4400, and .4276; women: P = .4288, .7501, and .2101, respectively). Both techniques provided comparable functional and pain relief outcomes.</p><p><strong>Conclusion: </strong>The suture staple technique and side-to-side technique are effective for endoscopic gluteus medius tendon repair, achieving significant functional and pain score improvements over a mean follow-up of 6 years.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative cohort.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2520-2527"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413841","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":"Artificial Intelligence Accurately Assists in Billing for Orthopaedic Lower Extremity Surgery: Performance of the Mistral NeMo Language Model.","authors":"Michael Li, Sri Guttikonda, Yash Lahoti, Miriam Sheetz, Ula Isleem, Samuel K Cho, Jun S Kim","doi":"10.1002/arj.70480","DOIUrl":"10.1002/arj.70480","url":null,"abstract":"<p><strong>Purpose: </strong>To elucidate Mistral NeMo's proficiency as a novel artificial intelligence assistant to verify coding accuracy and improve efficiency in manual medical coding practices in orthopaedic surgery.</p><p><strong>Methods: </strong>This study tested Mistral NeMo on 1000 operative notes labeled with the Current Procedural Terminology (CPT) codes from 177 providers. In total, there were 46 unique CPT codes; the most common were 29881 (knee arthroscopy with meniscectomy for both medial and lateral menisci), 29880 (knee arthroscopy with meniscectomy for 1 meniscus), and 29888 (ACL repair/reconstruction). Each model prompt included an operative note with either the true CPT code associated with the note or a randomly selected incorrect CPT code to serve as positive or negative controls. Trials asked the model for either a binary \"Yes/No\" response or a confidence score (0-100).</p><p><strong>Results: </strong>The results from the binary-response trials showed that the Mistral NeMo model correctly identified 90% (n = 1000) of the correct CPT codes for each operative note and rejected 99.80% (n = 1000) of incorrect codes (P < .001). The model achieved a precision of 99.80% and a recall of 90% under the testing framework. The model's performance was subanalyzed for the most common CPT codes, 29881, 29880, and 29888, accounting for 747 of the total operative notes. The model labeled the notes with these CPT codes with accuracy of 95.60% (n = 430), 95.50% (n = 160), and 82.50% (n = 157), respectively (P < .001). Among the confidence score trials, Mistral NeMo showed an area under the operating curve of 0.96 and 0.97, indicating high classification ability.</p><p><strong>Conclusions: </strong>The Mistral NeMo language model showed high accuracy in classifying CPT codes for femur- and knee-related surgical operative notes when CPT billing descriptions were provided. In contrast, model performance was insignificant in the absence of billing descriptions, indicating dependence on contextual information for accurate classification.</p><p><strong>Clinical relevance: </strong>This study assesses the performance of artificial intelligence, specifically the Mistral NeMo language model, in the role of assisting in automating the billing process. Incidental coding error, along with the overall demands of billing, place a significant burden on both clinicians and administrative staff that divert their attention away from patient care. Investigation of artificial intelligence-based techniques enables automated validation of billing codes. Reducing coding errors has the potential to enhance clinical workflow and decrease the administrative burden on surgical practices.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2734-2745"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898499","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: Playing With the Odds: Long-Term Joint Preservation Strategies Are Critical Following Postoperative Infection After Anterior Cruciate Ligament Reconstruction.","authors":"Alexandros Lykos, Nikolaos K Paschos","doi":"10.1002/arj.70494","DOIUrl":"10.1002/arj.70494","url":null,"abstract":"<p><p>Even though rare, infection after anterior cruciate ligament reconstruction can have a devastating long-term effect, leading to knee arthritis for these patients. Three major strategies exist in the management of perioperative infection after anterior cruciate ligament reconstruction: infection prevention, eradication of the infection in the acute setting, and long-term management of these patients. Infection prevention can be possible with soaked grafts in vancomycin and proper patient, graft, and technique selection. Aggressive management toward eradication of the microorganism, but without compromising the biomechanical environment of the knee, can be a delicate balance. After the acute phase, focusing on restoring anatomy, enhancing healing, and improving the microenvironment may be the solution for longevity of the knee joint.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2722-2724"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860250","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":"Sex and Height Impact Tibial Tuberosity to Trochlear Groove Distance Thresholds for Malalignment on Magnetic Resonance Imaging When Comparing Knees With Patellar Instability Versus Age- and Sex-Matched Controls.","authors":"Varun Nukala, Alisha Sodhi, Isha Tushar Wadhavkar, Dharsini Rangaswamy, Maria Velasquez-Hammerle, Kartik Mangudi Varadrajan, Miho Jean Tanaka","doi":"10.1002/arj.70428","DOIUrl":"10.1002/arj.70428","url":null,"abstract":"<p><strong>Purpose: </strong>To identify magnetic resonance imaging (MRI)-based thresholds for measurements of malalignment and assess their ability to identify knees with patellar instability, while evaluating the impact of patient sex and height on these thresholds.</p><p><strong>Methods: </strong>A retrospective analysis was conducted to identify patients with symptomatic patellar instability and compare them with age- and sex- matched controls, defined as patients with meniscus tears without patellofemoral pathology. Tibial tuberosity to trochlear groove (TTTG) and tibial tuberosity-posterior cruciate ligament (TT-PCL) distances were measured on axial knee MRI. Receiver operating characteristic curves were calculated, and an area under the curve greater than 0.7 was considered a good diagnostic test. Youden's J statistic was used to establish diagnostic thresholds. Subgroup analysis was performed based on sex and height.</p><p><strong>Results: </strong>The study included 240 patients (64% female; age: 27 ± 9 years). Area under the curve was 0.75 (0.69, 0.81) for TTTG distance, but below 0.7 for TT-PCL distance. Cutoff values for TTTG distance identifying patellar instability were 13.7 mm and 14.7 mm in female patients < and >= 165.1 cm, respectively. In male patients, cutoff values were 16.1 mm and 20.1 mm for male patients < and >= 177.8 cm, respectively. TTTG distance had good diagnostic accuracy in both female patients (0.78 (0.7, 0.85)) and male patients (0.7 (0.57, 0.82)), with greater predictive ability in male patients below (0.79 (0.61, 0.94)) versus above (0.56 (0.39, 0.72)) the median height and similar efficacy among female patients below (0.76 (0.64, 0.86)) and above (0.77 (0.64, 0.88)) the median height.</p><p><strong>Conclusions: </strong>TTTG distance measurements on MRI showed that threshold values for patellar instability were 16.1 mm vs 20.1 mm in male patients below and above the median height, and in female patients were 13.7 mm vs 14.7 mm for those below and above the median height, respectively. These differences highlight a need for incorporating patient-specific factors when using these thresholds in clinical decision-making.</p><p><strong>Level of evidence: </strong>Level IV, retrospective comparative case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2674-2681"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610341","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: Does Size Matter? Evaluating Hill-Sachs Lesion Size in Shoulder Instability.","authors":"Joseph S Tramer, Vincent A Lizzio, Lafi S Khalil","doi":"10.1002/arj.70654","DOIUrl":"10.1002/arj.70654","url":null,"abstract":"<p><p>Does the size of a Hill-Sachs lesion (HSL) matter? Since its original description in 1940, understanding of the HSL's contribution to recurrent shoulder instability has evolved from a binary engaging/nonengaging framework under the glenoid track concept to more nuanced concepts of bipolar bone loss on a continuum. Although much attention has been centered on glenoid bone loss, the contribution of an HSL and, perhaps more importantly, the distance to dislocation of the HSL have gained increasing attention. How to evaluate at-risk patients with chronic shoulder instability and multiple, recurrent instability events remains problematic, especially when their shoulder fits a classic on-track, nonengaging biomechanical profile. Do patients with chronic and recurrent instability events have worse, larger, or more medialized HSL? Should we do more than isolated arthroscopic Bankart repair in these patients? The paradigm appears to shift along with the location of the HSL.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2454-2456"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066043","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":"Female Patients Exhibit a Narrower Glenoid Rim and Lower Bone Density in the Anteroinferior Quadrant Compared With Male Patients.","authors":"Willem Geuskens, Haider Ali Lakdawala, Maïté Jaspers, Tom Doyle, Damir Rasidovic, Olivier Verborgt, Oisin Flanagan, Eoghan Hurley, Hannan Mullett","doi":"10.1002/arj.70380","DOIUrl":"10.1002/arj.70380","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate sex-based differences in glenoid rim morphology and bone density relevant to arthroscopic Bankart repair.</p><p><strong>Methods: </strong>This retrospective study assessed differences in glenoid rim morphology between sexes in patients with shoulder instability and uninjured control subjects who underwent a magnetic resonance imaging scan of the shoulder at a single institution between 2014 and 2023. The glenoid neck-to-face ratio was calculated to compare differences in steepness of the glenoid neck. Bone density was analyzed in a separate cohort of uninjured subjects using computed tomography scans, with Hounsfield units measured in the anteroinferior (4-6 o'clock) quadrant and the mid-anterior (3 o'clock) region.</p><p><strong>Results: </strong>A total of 204 patients (51 shoulders per cohort) were included for the glenoid morphology analysis, and a separate group of 102 uninjured patients was included for bone density evaluation. The neck-to-face ratio differed significantly between male patients and female patients in both the instability cohort (P < .001) and the uninjured cohort (P < .001). There were no significant differences between instability and uninjured cohorts of the same sex (P = .22 and P = .43). Bone density in the anteroinferior quadrant of the glenoid was significantly lower in female patients (median: 272.5 HU) compared with male patients (median: 303.0 HU; P = .009), whereas the mid-anterior region showed no significant differences (P = .65).</p><p><strong>Conclusions: </strong>Female patients exhibit a significantly narrower glenoid rim compared with male patients, with no differences between instability and uninjured subjects of the same sex. Bone density at the anteroinferior quadrant (4-6 o'clock) was also lower in female patients, whereas no difference was observed at the mid-anterior region (3 o'clock).</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2473-2481"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347502","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: The Knee External Rotation Recurvatum Test Is Not Diagnostic of a Specific Ligament Injury.","authors":"Mark G Siegel","doi":"10.1002/arj.70416","DOIUrl":"10.1002/arj.70416","url":null,"abstract":"<p><p>For over half a century, the external rotation recurvatum test has been taught and used by orthopaedic surgeons to evaluate the ligamentous integrity of the knee. Sequential cutting studies have now determined that posterolateral ligament injuries alone will not result in a positive test. A combination of knee exams is needed to evaluate the integrity of the tissues associated with stability to hyperextension, external tibial rotation, and varus rotation.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2614-2615"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622657","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 3-Tunnel Suture-Bridge Technique for Treating Tibial Avulsion Fractures of the Posterior Cruciate Ligament Is Associated With Excellent Clinical and Radiological Outcomes.","authors":"Zhiqiang Ren, Mingquan Liu, Chen Youxia, Zhaoyu Wu, Zhou Zhang, Zhong Li, Juncai Liu","doi":"10.1002/arj.70502","DOIUrl":"10.1002/arj.70502","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the clinical effectiveness of an all-arthroscopic 3-tunnel suture-bridge technique that employs anterior, posteromedial, and posterolateral tibial tunnels to generate a triangulated suture-bridge construct for stable fixation of the avulsed fragment, with a focus on functional recovery, knee stability, and radiographic healing.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on patients who underwent all-arthroscopic 3-tunnel suture-bridge fixation for posterior cruciate ligament (PCL) tibial avulsion fractures between January 2020 and June 2023. Patients were included if they had a radiologically confirmed PCL tibial avulsion fracture and completed a minimum of 24 months of follow-up. Knee function was assessed using range of motion, International Knee Documentation Committee (IKDC) subjective score, Lysholm knee score, and Tegner activity scale; knee stability was evaluated using KT-1000 measurements of posterior tibial translation; and fracture reduction and healing were assessed using postoperative radiographs and computed tomography.</p><p><strong>Results: </strong>Between January 2020 and June 2023, a total of 33 patients with PCL tibial avulsion fractures were assessed. According to the predefined inclusion and exclusion criteria, 22 patients (13 men and 9 women; median age 27.5 years, range 15-55 years) were finally included in the study and completed a minimum follow-up of 24 months (range, 24-40 months). Significant postoperative improvements were observed in range of motion, IKDC subjective score, Lysholm knee score, and Tegner activity scale compared with preoperative values (all P < .001). At the patient level, all patients achieved or exceeded the cohort-specific minimal clinically important difference thresholds for the IKDC subjective score, Lysholm knee score, and Tegner activity scale at both 1 year postoperatively and at the final follow-up. KT-1000 measurements of posterior tibial translation improved from 8.4 ± 1.3 mm preoperatively to 2.9 ± 0.7 mm at the final follow-up (P < .001). Postoperative radiographs and computed tomography confirmed immediate anatomic reduction and complete bony union within 3 months.</p><p><strong>Conclusions: </strong>Arthroscopic 3-tunnel suture-bridge fixation for PCL tibial avulsion fractures resulted in significant improvement in knee function and stability at a minimum 2-year follow-up. Radiographic evaluations confirmed satisfactory anatomic reduction and osseous healing, with no procedure-related complications observed. In addition, all patients achieved the minimal clinically important difference thresholds for the Lysholm knee score, IKDC subjective score, and Tegner activity scale, indicating clinically meaningful functional improvement.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2698-2708"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876713","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}