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

{"title":"Author Reply to \"Letter to the Editor Regarding 'YouTube is an Inconsistent Source of Information on Orthobiologics: Implications for Content Quality, Reliability, Comprehensiveness, and Patient Decision-Making'\".","authors":"Jared P Sachs, Alexander C Weissman, Kyle R Wagner, Kaitlyn M Joyce, Trice Pickens, Andrew S Bi, Brian J Cole","doi":"10.1016/j.arthro.2025.04.048","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.04.048","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049494","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":"The Open Latarjet is More Cost-Effective than Arthroscopic Bankart Repair for First-Time Shoulder Dislocations in Male Patients with < 10% Glenoid Bone-Loss.","authors":"Eoghan T Hurley, Alex M Meyer, Samuel G Lorentz, Jacob F Oeding, Mark A Glover, Ignacio Pasqualini, Luciano Rossi, Hannan Mullett, Jonathan F Dickens","doi":"10.1016/j.arthro.2025.04.053","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.04.053","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to perform a Markov model-based cost-effectiveness analysis comparing arthroscopic Bankart repair (ABR) to open Latarjet for first-time shoulder dislocations.</p><p><strong>Methods: </strong>A Markov Chain Monte Carlo probabilistic model was developed to evaluate the outcomes and costs of 1,000 simulated patients undergoing ABR vs. open Latarjet. A 20-year old male presenting with a first-time shoulder dislocation with < 10% glenoid bone-loss serves as the base case for our model. Health utility values, transition probabilities, and costs were derived from the literature. Outcome measures included costs, quality-adjusted life years (QALYs), and the incremental cost-effectiveness ratio. Ten-year costs for each patient in the microsimulation model were averaged by initial treatment strategy to capture costs of any subsequent treatments patients underwent. Cycle length was defined as one year, with all costs and utilities discounted at 3% annually.</p><p><strong>Results: </strong>Over the ten-year time horizon, mean total costs resulting from ABR and open Latarjet were $35,463 ± 6,377 and $32,593 ± 5,742, respectively. On average, ABR was associated with 6.8 ± 0.5 QALYs, while open Latarjet was associated with 7.9 ± 0.5 QALYs. Overall, open Latarjet was determined the preferred cost-effective strategy in 99.9% of patients included in the microsimulation model, with ABR predicted to be preferred in 0.1% of patients. Deterministic sensitivity analysis found that the recurrence risk associated with ABR would need to be less than 4.3% in order for ABR to be more cost-effective than the Latarjet procedure.</p><p><strong>Conclusion: </strong>The open Latarjet was shown to be the dominant, cost-effective treatment strategy for first-time shoulder dislocations based on the Monte Carlo microsimulation and probabilistic sensitivity analysis. Historical data reporting higher risks of redislocation following ABR created increased downstream costs in the model that exceeded that of open Latarjet. due to the increased downstream costs incurred by recurrent dislocations. .</p><p><strong>Level of evidence: </strong>Level III, economic and decision analysis.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043217","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":"Socioeconomic and Demographic Variables Are Lacking in Meniscectomy Randomized Controlled Trials: A Systematic Review.","authors":"Mark Kurapatti, Laurel Wong, Ha-Neul Yu, Mateo Restrepo Mejia, Avanish Yendluri, Nikan K Namiri, Dennis Bienstock, Michael Megafu, John D Kelly, Robert L Parisien","doi":"10.1016/j.arthro.2025.04.054","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.04.054","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to evaluate the inclusion of sociodemographic factors in randomized controlled trials (RCTs) on meniscectomy outcomes, with the goal of understanding the extent to which RCTs on meniscectomy consider sociodemographic variables.</p><p><strong>Methods: </strong>PubMed, Embase, and Medline were queried from January 1, 2014, to October 10, 2024, for meniscectomy RCTs in high-impact journals. Each RCT was assessed for inclusion of the following background and sociodemographic variables: age, sex, body mass index (BMI), race/ethnicity, education level, insurance, smoking/tobacco use, socioeconomic status, marital status, alcohol use, proficiency in country's official language, employment status, and residence status. Temporal trends were analyzed using Fisher exact test.</p><p><strong>Results: </strong>Of 301 RCTs screened, 11 reports on unique meniscectomy trials were included. All 11 studies included age. Sex and BMI were included in 10 studies (90.9%). Patients' proficiency in the official language(s) of the study country was only included in 4 studies (36.4%). Employment status was reported in 2 studies (18.2%), and race/ethnicity and smoking/tobacco use were each included in one study (9.1%). Socioeconomic status, residency status, alcohol use, marital status, and insurance were not reported in any included RCT. There was no significant difference in the reporting of at least one sociodemographic variable (excluding age, sex, and BMI) in later studies (2015-2019) versus earlier studies (2020-2024, p=0.061).</p><p><strong>Conclusions: </strong>Our analysis of high-impact meniscectomy RCTs revealed deficient reporting of sociodemographic variables over the last decade. RCTs on meniscectomy outcomes should consistently report key sociodemographic variables to better elucidate the external validity of their findings.</p><p><strong>Clinical relevance: </strong>This analysis highlights the historical oversight of sociodemographic factors in meniscectomy trials and thus emphasizes the critical need to incorporate these variables in future orthopedic clinical research to improve the generalizability, utility, and replicability of study findings.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027039","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":"Sagittal plane alignment impacts hip femoroacetabular impingement and hip dysplasia: Patients May Benefit From Physical Therapy By Decreasing Anterior Pelvic Tilt.","authors":"Derek Ochiai","doi":"10.1016/j.arthro.2025.04.046","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.04.046","url":null,"abstract":"<p><p>Sagittal plane alignment affects hips with conditions such as femoroacetabular impingement (FAI) and hip dysplasia. Increasing anterior pelvic tilt (pelvis rocking forward) improves femoral head coverage in patients with dysplasia. Increasing posterior pelvic tilt improves internal rotation in patients with FAI. Physical therapy may functionally decrease anterior pelvic tilt, allowing the hip joint further range of motion before impinging, and thus alleviating symptoms.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027035","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":"Rotator Cuff Repairs Augmented with Exosomes in a Rabbit Model Are Stronger and Histologically Superior to Repairs Performed in Isolation.","authors":"Andrew Sheean","doi":"10.1016/j.arthro.2025.04.045","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.04.045","url":null,"abstract":"<p><p>Ongoing research should focus on improving healing of rotator cuff repairs at the tendon-to-bone interface. \"Cells, scaffolds, and signals\" is useful in categorizing orthobiologic-related approaches to augmenting RCR. Cell-based therapies such as platelet rich plasma (PRP) and bone marrow aspirate concentrate (BMAC) exert positive effects through production of signaling molecules that modulate the inflammatory process, promote angiogenesis, and facilitate new tendon tissue growth. \"Scaffolds\" refer to structural and non-structural augments that may facilitate concentration of biologically active constituents at the healing site and provide time zero tissue strength of repaired tissues. Owing to challenges associated with the use of cell-based products, isolation and targeted delivery of the signaling molecules represent a promising avenue for optimizing tendon repair healing. \"Exosomes\" are small extracellular vesicles (30-150 nanometers) secreted by cells that serve as natural carriers of bioactive molecules. The role of exosomes in influencing intercellular communication-modulating inflammation, promoting angiogenesis, and regulating extracellular matrix (ECM) remodeling-makes them uniquely suited for tissue repair applications and a natural target for RCR-related basic science research. The use of exosomes represents a promising adjunct that appears to improve the biomechanical and histological properties of rotator cuff repairs. Rotator cuff repairs augmented with exosomes in a rabbit model may be stronger and histologically superior to repairs performed in isolation.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007549","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":"Fear of Reinjury, Psychological Factors, and Sport Played Have Negative Impact on Return to Sport Following Medial Patellofemoral Ligament Reconstruction for Patellar Instability","authors":"Patrick C. Ryan M.S. ,&nbsp;Idaleen C. Ching B.S. ,&nbsp;Victoria K. Ierulli M.S. ,&nbsp;Keith Pickett M.L.I.S. ,&nbsp;Mary K. Mulcahey M.D.","doi":"10.1016/j.arthro.2024.05.022","DOIUrl":"10.1016/j.arthro.2024.05.022","url":null,"abstract":"<div><h3>Purpose</h3><div><span>To analyze factors that affect return to sport after medial patellofemoral </span>ligament reconstruction (MPFLR), such as psychological factors, sport played, and a positive apprehension test following surgery, and to determine the average return to sport rates and time to return to sport.</div></div><div><h3>Methods</h3><div>A literature search was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Included studies met the following criteria: patients underwent MPFLR for patellar instability, return to sport was recorded, and a factor that affected return to sport was mentioned. Search terms included medial patellofemoral ligament, tibial tubercle osteotomy, tibial tubercle transfer, return to play, and return to sport.</div></div><div><h3>Results</h3><div>Eighteen of 632 identified studies met inclusion criteria, and 1,072 patients who underwent MFPLR were recorded. Return-to-sport rates and mean/median time ranged from 60.0% to 100% and 3 to 10.4 months, respectively. Of the patients, 55.6% to 84.0% returned to sport without decreasing the level of competition. Six of 12 studies (50.0%) reported fear of reinjury as the top reason for patients not returning or returning at a lower level of sport. Volleyball/handball had the lowest return to the same level following surgery (18.2%-50.0%).</div></div><div><h3>Conclusions</h3><div>Athletes who underwent MPFLR following recurrent patellar instability returned to sport at a range of 60.0% to 100%. Return to sport at the same level or higher was found to have a lower maximum rate at 55.6% to 84.0%. Fear of reinjury and sport played were found to have a substantial impact on ability to return to sport. Surgeons can use this information to advise patients on expectations following surgery.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level III and IV studies.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1605-1617"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288992","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 Reoperation Rate and Superior Patient-Reported Outcome Following Arthroscopic Rotator Cuff Repair With Concomitant Acromioplasty: An Updated Systematic Review of Randomized Controlled Trials","authors":"Songyun Yang M.D. ,&nbsp;Long Pang M.D. ,&nbsp;Chunsen Zhang M.D. ,&nbsp;Jiapeng Wang M.D. ,&nbsp;Lei Yao M.D. ,&nbsp;Yinghao Li M.D. ,&nbsp;Yizhou Huang Ph.D. ,&nbsp;Xin Tang M.D., Ph.D.","doi":"10.1016/j.arthro.2024.05.026","DOIUrl":"10.1016/j.arthro.2024.05.026","url":null,"abstract":"<div><h3>Purpose</h3><div>To systematically assess the postoperative outcomes in patients undergoing arthroscopic rotator cuff repairs with or without concomitant acromioplasty through a rigorous systematic review of randomized controlled trials (RCTs).</div></div><div><h3>Methods</h3><div>This systematic review, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, aimed to identify RCTs comparing clinical outcomes of patients with full-thickness rotator cuff tears undergoing arthroscopic rotator cuff repair with acromioplasty versus those without at a minimum 12-month follow-up. Databases searched included PubMed, Web of Science, Embase, and the Cochrane Library. The risk of bias in the included studies was assessed using the revised Cochrane Risk of Bias 2. Meta-analysis was conducted for outcomes with at least 3 studies reporting, with pooled effect estimates calculated using either fixed-effect or random-effects models based on heterogeneity levels. Results were presented as the weighted mean difference or odds ratio with 95% confidence intervals (CIs). Primary outcomes included rates of retear and reoperation, whereas secondary outcomes included improvement in American Shoulder and Elbow Surgeons (ASES) score, range of motion (ROM), and complication rate.</div></div><div><h3>Results</h3><div>Five high-quality RCTs, with low bias risk, involving 409 patients, revealed demographics of 58.4% males, mean age of 58.4 years, and the following acromion types: 12.2% type I, 70.7% type II, and 17.1% type III. Mean follow-up was 52.2 months. All involved studies reported comparable retear and complication rates between the 2 groups. However, the involved studies indicated a lower reoperation rate, and the pooled data demonstrated a statistically superior improvement in ASES score (weighted mean difference, 3.99; 95% CI, 1.00-6.99; <em>P</em> = .009) in the acromioplasty group. Both groups showed significant improvements in ROM, but insufficient data prevented a comparison.</div></div><div><h3>Conclusions</h3><div>Compared with arthroscopic rotator cuff repair alone, arthroscopic rotator cuff repair with acromioplasty demonstrated similar rates of retear and complications but had a significantly lower reoperation rate and superior improvement in ASES score. The available data were insufficient to draw a definitive conclusion regarding ROM. This conclusion is fragile due to a limited sample size.</div></div><div><h3>Level of Evidence</h3><div>Level II, systematic review of Level I and II studies.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1618-1634"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322095","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":"Fatty Infiltration, Tear Size, and Retraction Size Are Significant Risk Factors for Retear After Arthroscopic Rotator Cuff Repair: A Systematic Review","authors":"Azad Darbandi M.D. ,&nbsp;Kevin Credille M.D. ,&nbsp;Aria Darbandi M.D. ,&nbsp;Mario Hevesi M.D., Ph.D. ,&nbsp;Navya Dandu M.D. ,&nbsp;Blake M. Bodendorfer M.D. ,&nbsp;Zachary Wang B.S. ,&nbsp;Grant Garrigues M.D. ,&nbsp;Nikhil Verma M.D. ,&nbsp;Adam Yanke M.D., Ph.D.","doi":"10.1016/j.arthro.2024.06.040","DOIUrl":"10.1016/j.arthro.2024.06.040","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the consistency and quality of risk factor reporting for rotator cuff repair (RCR) retear and identify risk factors most frequently associated with retear.</div></div><div><h3>Methods</h3><div>A systematic review was performed according to Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Of the initial 3,158 studies, a total of 31 met the following inclusion criteria: (1) clinical studies regarding RCR failure, (2) arthroscopic procedures involving RCR, (3) reporting of clinical outcomes, (4) publication within the past 5 years, and (5) studies investigating preoperative risk factors for retear. After full-text review, 18 risk factors were analyzed.</div></div><div><h3>Results</h3><div>The most consistently significant risk factors were acromiohumeral distance (80%), critical shoulder angle (67%), tear size (63%), anterior-posterior dimension (60%), fatty infiltration (FI) (58%), and retraction size (56%). FI was analyzed using different methods among studies, with 63% finding significant results and 50% of all studies performing ordinal analysis. Tear size was inconsistently analyzed quantitatively or qualitatively, with 58% of studies finding significant results and 63% of all studies performing quantitative analysis. Risk factors consistently found to be nonsignificant included age, sex, diabetes mellitus, symptom duration, hand dominance, repair technique, smoking, and body mass index.</div></div><div><h3>Conclusions</h3><div>Tear size, FI, and retraction size were found to be significant risk factors in most of the included studies evaluating rotator cuff retear. Risk factors less likely reported as predictive included repair technique, age, sex, diabetes mellitus, symptom duration, hand dominance, repair technique, smoking, and body mass index. Risk factors that require further investigation include critical shoulder angle, acromiohumeral distance, and anterior-posterior tear dimension.</div></div><div><h3>Level of Evidence</h3><div>Level III, systematic review of Level III-IV studies.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1649-1666.e3"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581577","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: Combined Anterior Cruciate Ligament/Medial Collateral Ligament Injuries: Surgeons Should Have a Low Threshold to Operate on the Medial Collateral Ligament","authors":"Thomas R. Hays M.D.,&nbsp;Michael S. Barnum M.D.,&nbsp;Bruce A. Levy M.D.","doi":"10.1016/j.arthro.2024.07.004","DOIUrl":"10.1016/j.arthro.2024.07.004","url":null,"abstract":"<div><div>Combined anterior cruciate ligament/medial collateral ligament (ACL/MCL) injuries are relatively common, and multiple factors are involved in surgical decision-making, particularly when it comes to the MCL. Historically, most surgeons treated the MCL conservatively and performed staged MCL reconstruction after MCL reconstruction only if there was persistent medial instability. This was followed by a nonoperative approach for the MCL (when reconstructing the ACL) unless there was evidence of extreme (grade III or &gt;1 cm) valgus instability, valgus malalignment, or mid-substance or tibial-sided injury, avulsion, or Stener lesion. However, the most recent research demonstrates that combined ACL/MCL injuries present a higher risk of ACL reconstruction failure and subsequent revision compared to ACL injuries alone. With growing biomechanical and clinical evidence, more surgeons are repairing or reconstructing the MCL in these combined injuries. Although there is no clear consensus, we recommend surgeons consider surgically treating the MCL to avoid not only excessive force on the ACL graft but also persistent valgus laxity, which can lead to ACL failure. For distal MCL avulsions, repairs have shown excellent midterm outcomes, especially if the tissue quality is pristine. If the tissue quality is not repairable, then we would advocate for repairing whatever tissue is repairable and augmenting with an MCL reconstruction. For mid-substance MCL injuries, if surgical intervention is required, we advocate for MCL reconstruction. For proximal tears, the same criteria used for distal tears apply with management based on tissue quality and joint stability after repair. The ACL is a secondary stabilizer to valgus loads, and MCL deficiency results in tremendous strain on ACL graft reconstructions. If the MCL is even mildly incompetent, we strongly advocate for treating the MCL surgically in this setting.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1434-1437"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735773","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 “Adding Dexmedetomidine to Intra-articular Local Anesthetics Results in Prolonged Analgesia After Knee Arthroscopy: A Systematic Review and Meta-analysis”","authors":"Musab Elhadi M.B.B.S., F.C.A.I.,&nbsp;Paul Stewart M.B. B.Ch. B.A.O., F.C.A.I., E.D.R.A.,&nbsp;Claire C. Nestor M.B. B.Ch. B.A.O., F.C.A.I., E.D.I.C., E.D.R.A.","doi":"10.1016/j.arthro.2024.11.056","DOIUrl":"10.1016/j.arthro.2024.11.056","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1245-1246"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","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}