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

{"title":"Posterior tibial slope (PTS) reducing osteotomy should be considered in patients having primary ACL reconstruction if PTS is greater than 12-14 degrees.","authors":"David H Dejour, Michael J Dan, Nicolas Cance","doi":"10.1016/j.arthro.2025.03.004","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.03.004","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626986","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: Upper-Extremity Limb Asymmetry May Complicate Objective Evaluation of Criteria on the Basis of Return to Sport Evaluation After Arthroscopic Bankart Repair.","authors":"Patrick M Ryan","doi":"10.1016/j.arthro.2025.02.035","DOIUrl":"10.1016/j.arthro.2025.02.035","url":null,"abstract":"<p><p>Although there are many reported postoperative rehabilitation protocols after arthroscopic Bankart repair, significant variability exists within each protocol, leaving a lack of consensus or standardized evaluation of return to play. As such, criteria-based return to sport protocols have been established in an attempt to normalize the rehabilitation while reducing the recurrence rate after this procedure. This type of protocol has been published with promising results, but validation of the protocol has been difficult. Using the contralateral upper extremity as the \"uninjured\" extremity has resulted in healthy volunteers failing to pass the criteria on the basis of return to sport testing. Using the contralateral extremity, especially in the upper extremities, may not be the most accurate or appropriate control, however, and additional studies are needed in the search for an objective benchmark to return following arthroscopic Bankart repair.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627051","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":"Glenoid Labral Articular Disruption Lesions in the Setting of First-Time Anterior Shoulder Instability.","authors":"Jenna L Dvorsky, Ryan T Lin, Confidence Njoku-Austin, Yunseo Linda Park, Sophia McMahon, Zachary J Herman, Rajiv P Reddy, Ehab M Nazzal, Matthew Como, Albert Lin","doi":"10.1016/j.arthro.2025.02.030","DOIUrl":"10.1016/j.arthro.2025.02.030","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the clinical outcomes and rates of recurrent instability in patients after arthroscopic Bankart repair with and without glenolabral articular disruption (GLAD) lesions in the setting of first-time anterior instability events.</p><p><strong>Methods: </strong>This was a retrospective comparative case series of consecutive patients with GLAD lesions in the setting of first-time anterior instability events who underwent arthroscopic Bankart repair. Patients with GLAD lesions (cases) were matched at a 1:3 ratio for sex, age, body mass index, and sports participation to those without GLAD lesions (controls). Primary outcomes included postoperative range of motion (forward elevation and external rotation) and patient-reported outcomes: Subjective Shoulder Value, visual analog scale score, and Western Ontario Shoulder Instability Index. Rates of recurrent instability after primary arthroscopic stabilization were also collected. Statistical analysis was performed to compare outcomes between the control and GLAD groups, with significance set to P ≤ 0.05.</p><p><strong>Results: </strong>A total of 56 patients undergoing arthroscopic anterior stabilization between 2012 and 2020 were included for analysis, of whom 14 had GLAD lesions whereas the remaining 42 were controls. The average follow-up time from surgery in controls was 8.2 years (range, 3.1-11.7 years), whereas the average follow-up time in patients with GLAD lesions was 7.6 years (range, 3.8-11.8 years). There were no differences in postoperative forward flexion or external rotation, Subjective Shoulder Value, visual analog scale score, or Western Ontario Shoulder Instability Index. The rate of recurrent instability was found to be the same in both the control and GLAD groups (7% and 7%, respectively; P = .16).</p><p><strong>Conclusions: </strong>Patients with GLAD lesions in the setting of first-time anterior instability had comparable patient-reported outcomes, forward flexion, and external rotation postoperatively to control patients. In addition, the presence of a GLAD lesion did not influence the rate of recurrent instability.</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":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627040","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: Hormonal Contraceptives May Provide Protection From Knee Ligament Injury Requiring Surgery-An Unexpected Benefit of Hormonal Birth Control.","authors":"Mark G Siegel","doi":"10.1016/j.arthro.2025.03.002","DOIUrl":"10.1016/j.arthro.2025.03.002","url":null,"abstract":"<p><p>Women taking hormonal birth control have a statistically decreased risk of experiencing an anterior cruciate ligament injury requiring surgery. The protective effect of hormonal birth control is evident irrespective of whether by device, oral medication, or systemic administration. Additionally, the benefits are seen with diverse products. Owing to the complexity and interactions of hormones on physiology, the mechanism of this protection is unclear due to the complexity and interactions of hormones on physiology. it has been shown that hormonal fluctuations has multiple affects including postural stability, cognitive performance, and brain function including risk aversion. Finally, this effect is not seen in female individuals aged between 15 and 19 years, although data collection on this topic in this age group may be poor.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588259","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":"Screw Fixation Has Better Outcomes, Lower Incidence of Redislocation, and Lower Bone Resorption Than Button Fixation for Arthroscopic Anatomic Glenoid Reconstruction With Distal Tibia Allograft: A Matched Cohort Analysis.","authors":"Devan Pancura, Felicia Licht, Ivan Wong","doi":"10.1016/j.arthro.2025.02.034","DOIUrl":"10.1016/j.arthro.2025.02.034","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the clinical outcomes between patients who received arthroscopic anatomic glenoid reconstruction (AAGR) using distal tibia allograft with button fixation versus screw fixation.</p><p><strong>Methods: </strong>A retrospective chart review was conducted for all patients who underwent AAGR with button or screw fixation between 2012 and 2021. Patients were matched at a 1:1 ratio on the basis of sex, type of surgery, and time since surgery. All patients who were included had a minimum clinical follow-up of 2 years. Study outcomes compared Western Ontario Shoulder Instability (WOSI) Index scores, recurrence of instability, incidence of revision surgeries, and computed tomography readings.</p><p><strong>Results: </strong>In total, 44 patients were included with 22 patients in each group. The preoperative glenoid bone loss was 22.57 ± 8.06% in the screw group and 22.92 ± 8.84% in the button group (P = .898). Both groups demonstrated a significant improvement in WOSI from preoperative to latest follow-up; however, patients in the screw group demonstrated significantly better WOSI scores at both 2-year (P = .003) and latest follow-up (P = .019) compared with the button group. Recurrent dislocation was observed in 9 patients (40.9%), all of whom underwent button fixation (P < .001). Two patients in the screw group experienced hardware complications (P = .488). Individuals who underwent button fixation were significantly more likely to undergo a revision surgery for recurrent instability (P = .011). Individuals in the button group demonstrated a significantly smaller mean graft anteroposterior diameter postoperatively (P < .001).</p><p><strong>Conclusions: </strong>AAGR with both screw fixation results in significantly improved WOSI scores at minimum 2-year follow-up. Button fixation has a significantly greater incidence of redislocation. Radiographic findings suggest that on average, button fixation results in greater-grade bone resorption and subsequently smaller postoperative glenoid anteroposterior width than screw fixation.</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":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588262","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: Anterior Cruciate Ligament Reconstruction Success Requires Additional Correction of Tibial Slope, Rotational Instability, and Meniscus Pathology: Meniscal Repair Failure Increases Knee Rotational Laxity.","authors":"Andrew S Bi, Jorge Chahla","doi":"10.1016/j.arthro.2025.03.001","DOIUrl":"10.1016/j.arthro.2025.03.001","url":null,"abstract":"<p><p>The anterior cruciate ligament (ACL) and medial and lateral menisci are essential contributors of both anteroposterior and rotational knee stability. Multiple studies have shown both ACL-deficient knees lead to increased risk of meniscal injury, as well as multiple types of meniscal tears or deficiency leading to increased risk of ACL tear or ACL reconstruction (ACLR) failures. All amenable meniscal tears, such as red-red peripheral tears, radial tears, root tears, lateral meniscal oblique radial tears, and ramp lesions should be attempted to be repaired at time of ACLR. In addition, other contributors to rotational stability, such as collateral, posterolateral/posteromedial corner, anterolateral injuries, and excessive posterior tibial slope should be identified and addressed. Rotational stability should be part of every ACL surgeon's algorithm; in my practice, my preference for patients who will place high rotational stress on their knee is for bone-patellar tendon-bone autograft ACLR, aggressively repairing aforementioned meniscal pathology, and adding anterolateral extraarticular reconstructions when recurvatum/ligamentous laxity, increased posterior tibial slope, high-risk patients (e.g., young female athletes in pivoting sports), or high-grade pivot shift is present.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588251","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":"Sports Medicine Patient-Reported Outcomes Fail to Meet National Institutes of Health- and American Medical Association-Recommended Reading Levels.","authors":"Harjot Uppal, Daniel J Garcia, Matthew Kruchten, Matthew J Kraeutler, Andrew McGinniss, Arash Emami, Anthony J Scillia","doi":"10.1016/j.arthro.2025.02.029","DOIUrl":"10.1016/j.arthro.2025.02.029","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the readability of commonly used patient-reported outcome measures (PROMs) in the sports medicine literature to determine whether they meet the recommended reading levels set by the National Institutes of Health and the American Medical Association (AMA).</p><p><strong>Methods: </strong>A readability analysis was conducted on 26 PROMs commonly used in the sports medicine literature. The primary readability metrics used were the Flesch Reading Ease Score (FRES) and the Simple Measure of Gobbledygook (SMOG) Index. Readability scores were obtained using an online readability calculator and compared against National Institutes of Health and American Medical Association guidelines. An FRES of 80 or greater or an SMOG Index less than 7 was applied as a threshold for a sixth-grade reading level or lower.</p><p><strong>Results: </strong>The average FRES and SMOG Index for all PROMs were 65 ± 13 and 9 ± 1, respectively, indicating an eighth- to ninth-grade reading level. Four PROMs met the FRES and SMOG Index threshold for readability: 12-Item Short Form Survey, Pediatric Quality of Life Inventory, Numeric Pain Rating Scale, and Musculoskeletal Function Assessment. The Patient-Specific Functional Scale, Disablement in the Physically Active scale, Upper Extremity Functional Index, Low Back Outcome Score, and International Knee Documentation Committee questionnaire were among the least readable PROMs.</p><p><strong>Conclusions: </strong>Most sports medicine PROMs are written above the recommended sixth-grade reading level.</p><p><strong>Clinical relevance: </strong>Ensuring that sports medicine PROMs meet recommended readability standards may improve data accuracy and patient comprehension. By reducing literacy barriers, clinicians can obtain more reliable responses, better evaluate outcomes, and ultimately enhance patient care.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588265","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":"Medial Meniscal Posterior Root Repairs Performed With Modified Mason-Allen Locking Stitches Are Associated With Intact but Lax Repairs in a High Proportion of Second-Look Arthroscopy Cases.","authors":"Kyu Sung Chung, Jin Seong Kim, Ui Jae Hwang, Seung Hun Baek, Hyun Soo Soh, Choong Hyeok Choi","doi":"10.1016/j.arthro.2025.02.033","DOIUrl":"10.1016/j.arthro.2025.02.033","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate meniscal healing results and clinical outcomes based on healing status after root repair using modified Mason-Allen stitches with a locking mechanism from second-look arthroscopy in medial meniscal posterior root tears.</p><p><strong>Methods: </strong>Among patients who underwent root repair between 2018 and 2022, those who consented to undergo second-look arthroscopy 1 year after surgery were recruited. The healing condition of the repaired meniscus was evaluated based on (1) morphologic continuity between the bone bed and meniscus (intact vs non-intact) and (2) meniscal laxity at the bony attachment by probing (lax vs non-lax). Healing conditions were categorized as follows: intact and non-lax tissue (group 1), intact and lax tissue (group 2), and healing failure (group 3). Clinical scores (Lysholm score, Western Ontario McMaster Osteoarthritis Index [WOMAC] score, and Knee Injury and Osteoarthritis Outcome Score [KOOS]) and radiologic outcomes (Kellgren-Lawrence grade and medial joint space width) were evaluated preoperatively and at the final follow-up.</p><p><strong>Results: </strong>In total, 34 patients (mean age, 58.2 ± 6.1 years) were enrolled. In terms of healing conditions, intact root tissue and healing failure were observed in 33 patients (97%) and 1 patient (3%), respectively. Among those with intact root tissue, 19 patients (56%) and 14 patients (41%) showed non-lax tissue (group 1) and lax tissue (group 2), respectively. A significant improvement in clinical scores after surgery was noted in groups 1 and 2 but not in group 3. Regarding postoperative clinical scores, the mean values in group 1 were as follows: Lysholm score, 86.1 ± 8.2 (minimal clinically important difference [MCID], 5.35); WOMAC score, 12.8 ± 6.6 (MCID, 4.55); and KOOS, 22.4 ± 6.8 (MCID, 4.5). The group 1 outcomes were substantially better than those in group 2; the group 2 scores were as follows: Lysholm score, 76.8 ± 7.0 (MCID, 2.85); WOMAC score, 21.0 ± 8.3 (MCID, 4.75); and KOOS, 32.8 ± 10.0 (MCID, 6.5). Radiographically, group 1 exhibited significantly less Kellgren-Lawrence grade progression and less medial joint space narrowing than group 2.</p><p><strong>Conclusions: </strong>Pullout repair using modified Mason-Allen stitches showed promising healing outcomes with a 97% rate of intact root healing on second-look arthroscopy. However, repairs that showed laxity were associated with significantly worse patient-reported outcome measures and higher rates of progression of osteoarthritis. Considering that 23% of the total patients refused second-look arthroscopy, the possibility of transfer bias should be considered.</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":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588298","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":"Periacetabular Osteotomy with Concomitant Hip Arthroscopy Shows Comparable Outcomes Compared to Isolated Hip Arthroscopy with Capsular Plication in Borderline Dysplastic Hips: A Propensity-Matched Study.","authors":"Roger Quesada-Jimenez, Andrew R Schab, Meredith F Cohen, Benjamin D Kuhns, Ady H Kahana-Rojkind, Benjamin G Domb","doi":"10.1016/j.arthro.2025.02.032","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.02.032","url":null,"abstract":"<p><strong>Purpose: </strong>To compare minimum 2-year outcomes of concomitant hip arthroscopy (HA) with periacetabular osteotomy (PAO) versus isolated HA with capsular plication in patients with borderline hip dysplasia (BHD).</p><p><strong>Methods: </strong>Data were retrospectively reviewed for patients who underwent surgery for femoroacetabular impingement in the setting of BHD between September 2008 and December 2021. Included patients had preoperative and minimum 2-year patient reported outcomes scores (PROs). Patients who underwent staged PAO and HA comprised the PAO group. Patients who underwent isolated HA with capsular plication comprised the HA group. Matching occurred in a 1:1 ratio based on age, sex, BMI, and Tonnis Grade.</p><p><strong>Results: </strong>74 hips were included. The HA group's mean postoperative values for the mHHS, NAHS, HOS-SSS, and VAS were, respectively: 90.32 ± 12.39, 89.46 ± 11.57, 81.47 ± 20.54, and 1.74 ± 1.89. These PRO values for the PAO group were: 90.69 ± 13.46, 91.59 ± 10.80, 82.20 ± 21.23, and 1.49 ± 1.94. The HA group met MCID for the mHHS (89.19%), NAHS (86.49%), and HOS-SSS (72.97%) at similar rates compared to the PAO group (89.19%, 86.49%, and 78.38%). Rates of achieving PASS in the HA group for these PROs were 86.49%, 72.97%, and 67.57%, while in the PAO group, rates were 86.49%, 78.38%, and 70.27%. Rates of achieving MOI in the HA group for these PROswere 81.1%, 75.68%, and 70.27%, while in the PAO group, rates were 75.68%, 75.68%, and 70.27%. 10.81% of the PAO group and 5.41% of the HA group experienced complications (p = 0.67).</p><p><strong>Conclusion: </strong>PAO with concomitant HA and isolated HA with capsular plication in the setting of BHD yielded favorable and comparable outcomes. A high percentage of patients in both HA and PAO groups reached clinically relevant thresholds, with similar rates of revision and conversion to arthroplasty at minimum 2-year follow-up.</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":""},"PeriodicalIF":4.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588306","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 Patient-Reported Outcomes After Isolated Anterior Cruciate Ligament Reconstruction Are Associated With Lower Muscle Strength Rather Than Graft Status During Second-Look Arthroscopic Evaluation.","authors":"Seo-Jun Lee, Jun-Gu Park, Seung-Beom Han, Ji-Hoon Bae, Ki-Mo Jang","doi":"10.1016/j.arthro.2025.02.031","DOIUrl":"10.1016/j.arthro.2025.02.031","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the relationship between patient-reported outcomes (PROs), objective graft status on second-look arthroscopy, and knee muscle strength during the early period after isolated primary anterior cruciate ligament reconstruction (ACLR).</p><p><strong>Methods: </strong>Patients who underwent second-look arthroscopy at least 1 year after primary ACLR between 2012 and 2020 were retrospectively reviewed. Those who completed follow-up muscle strength tests and PRO measures were included in this study. Subjective clinical outcomes were assessed on the basis of patient-reported outcome measures using the Lysholm score preoperatively and during second-look arthroscopy. Objective graft status was assessed during second-look arthroscopy using a numeric scale system consisting of the following 4 subscales: tension, vascularity, synovialization, and continuity of the graft. The graft score (0-8) was determined by adding the points from each subscale (0-2). Muscle strength was measured using isokinetic dynamometry to assess peak torque, limb symmetry index for both the quadriceps and hamstrings and the ratio of the hamstring and quadriceps before second-look arthroscopy. Second-look arthroscopy patients included in analysis were those without concomitant meniscal or cartilage procedures. Multivariate logistic regression was used to identify factors associated with inferior PROs (Lysholm score ≤83).</p><p><strong>Results: </strong>A total of 82 patients were enrolled in this study. At an average follow-up of 22.4 ± 4.8 months, 25 patients (30.5%) scored less than 83 on the Lysholm scale. No significant differences were found in total graft status scores between groups with superior or inferior outcomes (6.9 ± 1.8 vs 7.1 ± 1.2, P = .573). However, the group with inferior PROs showed significantly lower peak torque in both hamstring and quadriceps (P = .001 and P < .001, respectively). Multivariate analysis indicated that older age and lower limb symmetry index for extension and flexion (<70% and 90%, respectively) were significantly correlated with inferior PROs (odds ratios: 1.08, 5.11, and 5.66; P = .014, .013, and .006, respectively).</p><p><strong>Conclusions: </strong>Early inferior subjective outcomes after ACLR were associated with delayed recovery of quadriceps and hamstring muscle strength compared to graft appearance and tension.</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":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588294","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}