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

{"title":"Adding a Lateral Extra-articular Tenodesis to Quadriceps Autograft Anterior Cruciate Ligament Reconstruction Reduces Risk of Graft Failure.","authors":"Sean P Renfree, Joseph C Brinkman, Sailesh V Tummala, Alexander J Hoffer, Kostas J Economopoulos","doi":"10.1002/arj.70398","DOIUrl":"10.1002/arj.70398","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to compare graft failure and clinical outcomes following primary anterior cruciate ligament reconstruction (ACLR) using quadriceps tendon autograft (QA), with or without a modified Lemaire lateral extra-articular tenodesis (LET).</p><p><strong>Methods: </strong>Patients with ACL deficiency who underwent primary QA ACLR with or without LET and completed at least 2-year follow-up were included. Patients with a Beighton score ≥4, a preoperative pivot shift grade ≥2, or an intention to return to cutting and pivoting sports were offered LET. The primary outcome variable assessed was graft failure as defined by graft rupture or grade ≥2 pivot shift at any point postoperatively. Secondary outcomes included return to sport clearance rates, the International Knee Documentation Committee and Lysholm scores and postoperative complications.</p><p><strong>Results: </strong>There were 122 undergoing QA ACLR with LET (QA + LET group) and 152 undergoing isolated QA ACLR (QA group). The QA + LET group had a significantly lower failure rate of 14.8% versus 29.6% in the QA group (P = .02). In addition, the QA + LET group had a lower residual pivot shift rate compared with the QA group (11.3% vs. 26.3% respectively; P = .01). There was no difference in graft retear rates between the 2 groups (P = .37). The QA + LET returned to sport significantly faster at 8.8 months compared with 9.7 months in the QA group (P = .038).</p><p><strong>Conclusions: </strong>The addition of LET to QA ACLR was associated with a significantly lower overall graft failure rate and lower percentage of patients with residual pivot shifts after ACLR compared with QA alone at 2-year follow up. However, there was no difference between the 2 groups with regard to graft retear rates. The addition of an LET to QA ACLR also allowed athletes to return to sports faster compared with QA alone.</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":"2629-2641"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371041","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":"Anterior Cruciate and Posterolateral Ligament Injuries Result in Different Degrees of the External Rotation Recurvatum Test: A Robotic Analysis in Male Cadaveric Knees.","authors":"Rebekah M Deardurff, Edward S Grood, Frank R Noyes","doi":"10.1002/arj.70409","DOIUrl":"10.1002/arj.70409","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the abnormal knee hyperextension and coupled external rotation, varus, and anterior translation that occurs using sequential ligament and capsular sectioning in multiligamentous injuries.</p><p><strong>Methods: </strong>A six-degree-of-freedom robotic system measured knee hyperextension and coupled external rotation, varus, and anterior-posterior translation with selective tissue cutting in 23 cadaveric knees. Tests were performed up to 25 Nm hyperextension load before and after cutting 6 structures: oblique popliteal ligament (OPL), posterolateral capsule with the fabellofibular ligament (PLC+FFL), posteromedial capsule with posterior oblique ligament (PMC+POL), lateral collateral ligament and popliteus tendon (LCL+POP), and the anterior cruciate ligament (ACL). Sequence 1 sectioned the posterior capsular structures (OPL, PLC+FFL, and PMC+POL) followed by the LCL+POP and ACL. Sequence 2 simulated a posterolateral injury (LCL+POP) and ACL injury followed by the posterior capsular injuries (OPL, PLC+FFL, and PMC+POL).</p><p><strong>Results: </strong>In sequence 1, sectioning the posterior capsule caused statistically significant increases to hyperextension (2.5° ± 0.9°; P = .02). Additional injury of the LCL+POP and ACL significantly increased hyperextension to 7.6°± 4.4° (P < .01), external rotation to 2.7° ± 2.8° (P < .01), and varus rotation to 3.2°± 3.9° (P < .01). In sequence 2, sectioning the LCL+POP significantly increased hyperextension (1.4° ± 0.6°; P < .01) and additional ACL sectioning significantly increased hyperextension (2.1° ± 1.0°; P < .01). Further sectioning the posterior capsule significantly increased hyperextension to 6.9° ± 1.7° (P < .01), external rotation to 2.9° ± 2.3° (P < .01), and varus rotation to 2.5° ± 1.4° (P < .01).</p><p><strong>Conclusions: </strong>Posterolateral injuries (LCL+POP and PLC+FFL) resulted in small increases in knee hyperextension, external tibial rotation, and varus rotation. Sectioning the entire posterior capsular structures (PLC+FFL, PMC+POL, and OPL) is necessary for major increases in knee hyperextension.</p><p><strong>Clinical relevance: </strong>Posterolateral ligament injuries may not result in a positive external rotation recurvatum test as only modest increases in external rotation and varus occur with knee hyperextension. Other ligament tests including the dial test for external tibial rotation and varus loading for lateral joint opening in knee flexion are recommended.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2605-2613"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622488","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: Suture Configuration Matters When Fixing Proximal Hamstring Tears.","authors":"Jacob Maier, Matthew Combes, Kai Close, Jovan Laskovski","doi":"10.1002/arj.70653","DOIUrl":"10.1002/arj.70653","url":null,"abstract":"<p><p>As endoscopic techniques for the management of proximal hamstring injuries have evolved, new challenges have emerged. Tendon-to-bone healing remains the ultimate goal, but a strong time-zero fixation construct is necessary to resist tension and facilitate healing. The constraints of an endoscopic environment limit the surgeon's ability to pass suture and create constructs that are relatively straightforward in an open procedure. Biomechanical studies have shown that suture configurations that distribute tension and maximize suture purchase achieve higher ultimate load to failure. Locking constructs, such as the Krackow or modified Mason-Allen stitch, have shown the best biomechanical performance, nearly doubling the load to failure of a simple suture. However, these configurations are technically more challenging to perform endoscopically. Horizontal mattress configurations have a load-to-failure profile similar to that of locking constructs but are technically more comparable to a simple suture. In our practice, we have found that Krackow sutures are well suited for retracted proximal hamstring tears, particularly those with macerated tissue and dissociation from the tendon sheath. In contrast, locking constructs may be unnecessary for partial tears. For these tears, we typically use a horizontal mattress configuration as it provides comparable strength while being technically simpler. Suture configuration matters when repairing these tendons, as the repair construct is subjected to substantial tension during the early postoperative period. Thus, fixation strength must be optimized while maintaining technical efficiency in an endoscopic setting. Although several biomechanical studies show the superiority of mattress and locking constructs, the next step is evaluating how these different configurations translate to clinical outcomes.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2505-2507"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083048","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":"Dermal Allograft Patch Augmentation With Mini-Open Triple-Row Repair for Large to Massive Rotator Cuff Tears Results in a Low Retear Rate and Favorable Clinical Outcomes Without Adverse Events.","authors":"Du-Han Kim, Seong Woo Jeon, Eun-Seok Son, Chul-Hyun Cho","doi":"10.1002/arj.70482","DOIUrl":"10.1002/arj.70482","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate radiological and clinical outcomes, as well as adverse events, after dermal allograft patch (DAP) augmentation with rotator cuff repair for large to massive rotator cuff tears (RCTs).</p><p><strong>Methods: </strong>Fifty consecutive patients who underwent DAP augmentation with arthroscopic-assisted mini-open triple-row suture bridge repair for large to massive RCTs were retrospectively reviewed. The inclusion criteria were posterosuperior large to massive RCTs (>3 cm) and a minimum 24-month follow-up after surgery. Structural integrity was assessed using either magnetic resonance imaging or ultrasonography at a minimum of 6 months after surgery, and graft incorporation was evaluated using magnetic resonance imaging. Clinical outcomes were sequentially evaluated at baseline and at 3, 6, and 12 months, as well as at the final follow-up.</p><p><strong>Results: </strong>Thirty-nine patients were included in the final analysis. The mean follow-up period after surgery was 32.5 (24-45) months. The overall retear rate was 12.8% (5/39 cases), comprising type 2 retear in 3 cases and type 1 retear in 2 cases. Among the 33 magnetic resonance imaging scans obtained at a mean of 7.1 months after surgery, complete incorporation between the repaired tendon and the patch graft was observed in 8 cases (24.3%), partial incorporation in 17 cases (51.5%), no incorporation in 7 cases (21.2%), and resorption with retear in 1 case (3.0%). No adverse events or complications related to DAP were identified. At final follow-up, 69.2% of patients achieved the minimal clinically important difference for the visual analog scale pain score, 79.8% for the American Shoulder and Elbow Surgeons score, and 76.9% for the subjective shoulder value. Patient acceptable symptom state was achieved in 72.3%, 75.4%, and 77.5% of patients for the visual analog scale pain score, American Shoulder and Elbow Surgeons score, and subjective shoulder value, respectively.</p><p><strong>Conclusions: </strong>DAP augmentation combined with arthroscopic-assisted mini-open triple-row suture bridge repair for posterosuperior large to massive RCTs results in a low retear rate and favorable clinical outcomes without adverse events.</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":"2419-2427"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860645","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: Patients With Generalized Ligamentous Laxity Recover Slower and Have More Pain but Eventually Achieve Good Outcomes: A Key Message in Preoperative Counseling!","authors":"Riley Hemstock, Moin Khan","doi":"10.1002/arj.70534","DOIUrl":"10.1002/arj.70534","url":null,"abstract":"<p><p>Patients with generalized ligamentous laxity undergoing hip arthroscopy have traditionally been challenging for hip arthroscopists when setting preoperative expectations. Recent literature confirms slower recovery, increased pain, and worse patient-reported outcomes in the near postoperative period before ultimate normalization in the midterm, providing valuable evidence when counseling patients on the trajectory of their recovery.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2575-2576"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026953","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: Good Outcomes Do Not Necessarily Mean Effective Treatment: A Critical Appraisal of the Causal Relation Between Treatment and Outcome in Calcific Tendinopathy.","authors":"Stefan Moosmayer","doi":"10.1002/arj.70508","DOIUrl":"10.1002/arj.70508","url":null,"abstract":"<p><p>Calcific tendinopathy of the shoulder can be treated using a variety of approaches, including noninvasive, minimally invasive, and arthroscopic procedures. Although numerous studies have reported favorable outcomes, many of them lack appropriate controls, making it difficult to differentiate between the effects of treatment and the natural history of the disease. Because calcific tendinitis has a strong tendency toward spontaneous resolution, clinical improvement after treatment alone does not establish causality. Furthermore, placebo effects may substantially contribute to symptom relief. Consequently, the efficacy of many commonly used interventions remains uncertain, which raises ethical concerns. Future research should include appropriate control groups, such as placebo and no-treatment groups when feasible, to quantify the respective contributions of treatment, spontaneous recovery, and placebo effects and thereby establish the true efficacy of available therapies.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2494-2496"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801818","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":"Structural Allograft Reconstruction for Chronic Proximal Hamstring Avulsion Yields Significant Functional Improvement, Acceptable Satisfaction, but Limited Return to Preinjury Sport Levels.","authors":"Nicolas Lefèvre, Mohamad K Moussa, Eugénie Valentin, Yoann Bohu, Antoine Gerometta, Frederic Khiami, Alain Meyer, Olivier Grimaud, Alexandre Hardy","doi":"10.1002/arj.70513","DOIUrl":"10.1002/arj.70513","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate midterm outcomes of structural allograft reconstruction in patients with chronic proximal hamstring avulsion injuries.</p><p><strong>Methods: </strong>This was a retrospective cohort study (minimum 2-year follow-up) including patients who underwent allograft surgical reconstruction for proximal hamstring avulsion injuries between 2016 and 2023. The primary outcome was the Parisian Hamstring Avulsion Score (PHAS). Secondary outcomes included the Tegner Activity Scale, University of California, Los Angeles Activity Scale, return to sport rates, postoperative patient satisfaction, and complication rates. A cohort-specific minimal clinically important difference analysis was performed using the distribution-based method (½ standard deviation of the change in PHAS score). In addition, substantial clinical benefit and patient acceptable symptom state thresholds were determined using anchor-based methods.</p><p><strong>Results: </strong>A total of 42 patients were included, with 39 having complete functional follow-up (mean follow-up: 3.4 ± 1.6 years). The PHAS score improved significantly from a median of 56.3 (interquartile range [IQR]: 49.0-64.0) preoperatively to 84.5 (IQR: 73.8-94.8) at the final follow-up (P < .001). The Tegner score increased from 2.0 (IQR: 1.0-3.0) to 3.0 (IQR: 3.0-5.0) and the University of California, Los Angeles from 4.0 (IQR: 3.0-5.0) to 6.0 (IQR: 5.0-9.0) (both P < .001). Compared with preinjury levels, both scores remained significantly lower (P = .005 and P = .007, respectively). Regarding return to sport, 48.7% returned to sport, but only 15.4% resumed at the same or higher level. The overall complication rate was 16.7%, including 5 reruptures (11.9%), occurring at a median of 40 days (IQR: 35.0-73.0). The minimal clinically important difference for PHAS was reached by 97.4% of patients, the substantial clinical benefit by 43.6%, and the patient acceptable symptom state threshold (PHAS > 82.3) by 56.4%.</p><p><strong>Conclusions: </strong>Allograft reconstruction is a viable option for chronic proximal hamstring avulsion injuries when direct repair is not feasible, yielding significant functional gains and acceptable satisfaction.</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":"2508-2516"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901510","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: Consider Using Artificial Intelligence to Revise Your Discharge Instructions Because It Improves Readability and Understandability, and It's Free.","authors":"George C Balazs","doi":"10.1002/arj.70485","DOIUrl":"10.1002/arj.70485","url":null,"abstract":"<p><p>Written discharge instructions are ubiquitous in surgical practice, and the readability and understandability of instructions have been shown to significantly impact postoperative outcomes. However, most instructions are written at a reading level far higher than recommended. Artificial intelligence can now be used to revise our existing instructions, with measurable improvements in quality and utility. Applying artificial intelligence to this type of real-world practice issue provides an excellent example of how technology can be used to advance patient outcomes in unexpected ways.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2732-2733"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686906","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":"Suture Configurations With Greater Tendon Purchase Show Increased Time-Zero Fixation Strength in Endoscopic Proximal Hamstring Repair.","authors":"Taylor K Calibo, Joseph T Featherall, Tyler Perleberg, Madeline Blankenship, Justin Hollenbeck, Abigail Zadorozny, Onur Hapa, Jonathan A Godin, Marc J Philippon","doi":"10.1002/arj.70437","DOIUrl":"10.1002/arj.70437","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the biomechanical performance of 4 common suture configurations, simple suture, horizontal mattress, Krackow, and modified Mason-Allen, in endoscopic repair of proximal hamstring tendon avulsions.</p><p><strong>Methods: </strong>Twenty-four cadaveric proximal hamstring tendons were randomized to 1 of the 4 repair groups (simple, horizontal mattress, Krackow, and Mason-Allen; n = 6 each). All constructs underwent uniaxial load-to-failure testing after preconditioning using a mechanical testing system. Primary outcomes included ultimate failure load (N) and linear stiffness (N/mm). Failure modes were recorded.</p><p><strong>Results: </strong>Ultimate failure load was higher for Krackow (283.1 ± 67.9 N; 95% confidence interval [CI], 220.3-345.8) compared with simple suture (141.2 ± 44.6 N; 95% CI, 99.9-182.5; P = .002) and for Mason-Allen (282.5 ± 102.8 N; 95% CI, 187.4-377.6) compared with simple suture (P = .013). Horizontal mattress also showed greater failure load than simple suture (239.7 ± 68.9 N; 95% CI, 176.0-303.4; P = .018). CIs for Krackow, Mason-Allen, and horizontal mattress overlapped. Linear stiffness did not differ significantly among configurations (all P > .05). The predominant failure mode was suture pull-through at the tendon-suture interface (75% of specimens).</p><p><strong>Conclusions: </strong>Suture configurations with greater tendon purchase (Krackow, Mason-Allen) provided nearly double the failure load compared with simple sutures. Horizontal mattress sutures also provided comparable strength to locking patterns, highlighting a technically feasible alternative when portal access limits locking configurations in endoscopic repair.</p><p><strong>Clinical relevance: </strong>These biomechanical findings suggest that locking configurations, when achievable endoscopically, may enhance repair strength and reduce vulnerability to failure. The comparable performance of the horizontal mattress highlights a practical option when traditional locking patterns are not technically feasible. As endoscopic hamstring repair continues to evolve, optimizing suture configuration represents a key opportunity to improve repair robustness.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2497-2504"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594785","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: Arthroscopic Fixation of Posterior Cruciate Ligament Tibial Avulsion Fractures Is the Way to Go…. But It's Not Easy!","authors":"Jacob R Meyer, Diego Silva-Mendoza, Bruce A Levy","doi":"10.1002/arj.70504","DOIUrl":"10.1002/arj.70504","url":null,"abstract":"<p><p>Isolated posterior cruciate ligament injuries are often successfully managed nonoperatively, but displaced tibial-sided bony avulsion fractures are generally considered optimal for surgical fixation. Open reduction and internal fixation and arthroscopic techniques are viable options, each with its own advantages and disadvantages. Recent literature describes an arthroscopic 3-tunnel suture-bridge fixation technique for displaced posterior cruciate ligament tibial avulsion fractures, which achieved excellent clinical and radiological outcomes including 100% anatomic reduction and bony union with no complications in 22 patients at a minimum 2-year follow-up. Despite the appeal of arthroscopic minimally invasive fixation strategies, surgeons should rehearse these techniques extensively in a cadaveric lab before performing live surgery, given the significant technical challenges and expertise required.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2709-2712"},"PeriodicalIF":6.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876768","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}