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

{"title":"Author Reply to “Human- Versus ChatGPT-Generated Abstracts: Some Concerns and Suggestions”","authors":"Ryan D. Stadler B.S., Suleiman Y. Sudah M.D., Mariano E. Menendez M.D.","doi":"10.1016/j.arthro.2024.09.052","DOIUrl":"10.1016/j.arthro.2024.09.052","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1244-1245"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407242","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":"No Differences in 2-Year Reoperation Rates for Meniscus Allograft Transplant With Concomitant Cartilage Restoration or Osteotomy: A National Database Study","authors":"Anna L. Park M.Phil. ,&nbsp;Brian T. Feeley M.D. ,&nbsp;Alan L. Zhang M.D. ,&nbsp;C. Benjamin Ma M.D. ,&nbsp;Drew A. Lansdown M.D.","doi":"10.1016/j.arthro.2024.06.022","DOIUrl":"10.1016/j.arthro.2024.06.022","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate reoperation rates after meniscus allograft transplant (MAT), comparing rates with and without concomitant articular cartilage and osteotomy procedures using a national insurance claims database.</div></div><div><h3>Methods</h3><div>We performed a retrospective cohort study of patients who underwent MAT from 2010 to 2021 with a minimum 2-year follow-up using the PearlDiver database. Using Current Procedural Terminology and International Classification of Diseases codes, we identified patients who underwent concomitant procedures including chondroplasty or microfracture, cartilage restoration defined as osteochondral graft or autologous chondrocyte implantation (ACI), or osteotomy. Univariate logistic regressions identified risk factors for reoperation. Reoperations were classified as knee arthroplasty, interventional procedures, or diagnostic or debridement procedures.</div></div><div><h3>Results</h3><div>The study included 750 patients with an average age of 29.6 years (interquartile range: 21.0-36.8) and average follow-up time was 5.41 years (SD: 2.51). Ninety-day, 2-year, and all-time reoperation rates were 1.33%, 14.4%, and 27.6%, respectively. MAT with cartilage restoration was associated with increased reoperation rate at 90 days (odds ratio: 4.88; 95% confidence interval: 1.38-19.27; <em>P</em> = .015); however, there was no significant difference in reoperation rates at 2 years or to the end of follow-up. ACI had increased reoperation rates at 90 days (odds ratio: 6.95; 95% confidence interval: 1.45-25.96; <em>P</em> = .006), with no difference in reoperation rates 2 years postoperatively or to the end of follow-up. Osteochondral autograft and allograft were not associated with increased reoperation rates.</div></div><div><h3>Conclusions</h3><div>In our cohort, 14.4% of patients had a reoperation within 2 years of MAT. Nearly 1 in 4 patients undergoing MAT had concomitant cartilage restoration, showing that it is commonly performed on patients with articular cartilage damage. Concomitant osteochondral autograft, osteochondral allograft, chondroplasty, microfracture, and osteotomy were not associated with any significant difference in reoperation rates. ACI was associated with increased reoperation rates at 90 days, but not later.</div></div><div><h3>Level of Evidence</h3><div>Level IV, retrospective cohort study.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1451-1458.e2"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447664","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":"High Tibial Osteotomy With Medial Meniscal Posterior Root Tear Reconstruction Yields Improved Radiographic and Functional Outcomes and Healing Rates Compared With Osteotomy Alone","authors":"Min Lan M.D. ,&nbsp;Hongbo Li M.D. ,&nbsp;Wentao Dong M.A. ,&nbsp;Si Nie M.A. ,&nbsp;Xingen Liao M.D. ,&nbsp;Jiayu Huang M.A.","doi":"10.1016/j.arthro.2024.06.039","DOIUrl":"10.1016/j.arthro.2024.06.039","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare preoperative and postoperative clinical and radiologic outcomes between patients undergoing high tibial osteotomy (HTO) with medial meniscal posterior root tear (MMPRT) reconstruction using gracilis tendon graft and those undergoing HTO without MMPRT reconstruction.</div></div><div><h3>Methods</h3><div>Patients with MMPRTs who underwent HTO between January 2018 and December 2021 with minimum 2-year follow-up were included. All patients were divided into 2 groups based on whether they underwent meniscal root reconstruction with tendon graft: HTO alone (33 cases) and HTO with MMPRT reconstruction (21 cases). Clinical evaluation included the Lysholm score, International Knee Documentation Committee (IKDC) score, and visual analog scale (VAS) score. Functional recovery and radiologic outcomes of the knees were evaluated at the latest follow-up. Meniscal root healing rates and medial meniscal extrusion according to a second magnetic resonance imaging reading were compared between the 2 groups at the latest follow-up.</div></div><div><h3>Results</h3><div>The results showed statistically significant improvements in the postoperative Lysholm score, IKDC score, and VAS score in both groups at the latest follow-up (<em>P</em> &lt; .001). Analysis of the minimal clinically important difference for postoperative outcomes revealed that the percentage of patients who reached the minimal clinically important difference threshold was 100% for the Lysholm score, 100% for the IKDC score, and 100% for the VAS score in the HTO–MMPRT reconstruction group. In comparison, the percentages were 87.9% for the Lysholm score, 90.9% for the IKDC score, and 100% for the VAS score in the HTO-alone group. Additionally, compared with the HTO-alone group, the HTO–MMPRT reconstruction group using gracilis tendon graft showed significantly improved meniscal root healing rates (complete healing, 85.7% vs 45.4% [95% confidence interval, 0.003-0.007]; <em>P</em> = .001) and functional recovery (<em>P</em> &lt; .005) at the final follow-up. Additionally, the HTO–MMPRT reconstruction group showed significantly more improvement in the Kellgren-Lawrence grade (10 of 21 knees vs 6 of 33 knees with improved Kellgren-Lawrence grade, <em>P</em> = .033) and medial meniscal extrusion (2.1 ± 1.0 mm vs 3.1 ± 1.6 mm [95% confidence interval, 0.3-1.7 mm]; <em>P</em> = .007) compared with the HTO-alone group.</div></div><div><h3>Conclusions</h3><div>HTO with reconstruction of the meniscal root using a tendon graft resulted in improved radiographic and patient-reported outcomes, as well as improved healing rates, compared with HTO alone.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective case-series comparison.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1485-1492"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635949","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":"Gap Volume Based on Computed Tomography Measurement Is a Strong Risk Factor for Delayed Gap Healing After Open-Wedge High Tibial Osteotomy","authors":"Sayako Sakai M.D. ,&nbsp;Shinichi Kuriyama M.D., Ph.D. ,&nbsp;Yugo Morita M.D., Ph.D. ,&nbsp;Kohei Nishitani M.D., Ph.D. ,&nbsp;Shinichiro Nakamura M.D., Ph.D. ,&nbsp;Takenori Akiyama M.D., Ph.D. ,&nbsp;Shuichi Matsuda M.D., Ph.D.","doi":"10.1016/j.arthro.2024.07.015","DOIUrl":"10.1016/j.arthro.2024.07.015","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify factors that affect delayed gap healing after open-wedge high tibial osteotomy (OWHTO) and to determine whether large gap volume is a predictor of delayed gap healing.</div></div><div><h3>Methods</h3><div>This retrospective study analyzed biplane OWHTO performed between 2019 and 2023 for knee osteoarthritis or osteonecrosis. The minimum follow-up period was 1 year. Delayed gap healing was defined when the medial half of the osteotomy gap area had not reached the consolidation phase by 6 months after surgery based on anteroposterior knee radiographs. Gap volume was calculated from computed tomography images. Logistic regression was performed using body height, smoking, correction angle, hinge fracture, flange thickness, and gap volume. A gap volume cutoff value for delayed gap healing was determined with receiver operating characteristic curve analysis. Gap volume was predicted with multiple linear regression.</div></div><div><h3>Results</h3><div>There were 80 knees in 71 patients (36 men and 44 women). The mean gap volume was 7.6 cm³. Gap healing rates at 3, 6, 9, and 12 months after surgery were 26%, 65%, 89%, and 100%, respectively. There were 25 knees with delayed gap healing. Male sex was not a significant risk factor when adjusted for body height. Multivariate logistic regression revealed that only larger gap volume was a significant risk factor (odds ratio, 1.45; <em>P</em> = .006). The gap volume cutoff value was 7.6 cm³, with an area under the curve of 0.74. Tall body height and a large correction angle (both <em>P</em> &lt; .001) were associated with a significantly larger gap volume (<em>R</em>² = 0.73).</div></div><div><h3>Conclusions</h3><div>Large gap volume is the most important risk factor for delayed gap healing after OWHTO. Gap volume can be predicted based on body height and correction angle. When OWHTO with substantial correction is planned for tall men, surgeons should be aware of possibly delayed gap healing.</div></div><div><h3>Level of Evidence</h3><div>Level IV, retrospective case-control study.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1474-1484"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790050","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: Long Term Results of Hip Arthroscopy for Femoroacetabular Impingement Are Similar Between Male and Female Patients, So Let’s Not Use Sex as an Excuse","authors":"Derek H. Ochiai M.D. (Editorial Board)","doi":"10.1016/j.arthro.2024.08.001","DOIUrl":"10.1016/j.arthro.2024.08.001","url":null,"abstract":"<div><div>Female patients improve equally to male patients with femoroacetabular impingement syndrome arthroscopy, which includes labral repair and capsular closure. The equivalence in improvement may be related to routine capsular closure in all patients. Female patients have a greater incidence of generalized joint hypermobility, which can be mitigated with capsular closure and treated with capsular plication. The shift from dogma to clinical certainty is achieved by long-term outcome tracking.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1358-1359"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918142","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 Bone Grafting Using Suspensory Fixation for Anterior Glenohumeral Fixation With Bone Loss May Supersede the Latarjet Procedure Using Coracoid Transfer","authors":"Stephen C. Weber M.D. (Editorial Board)","doi":"10.1016/j.arthro.2024.09.004","DOIUrl":"10.1016/j.arthro.2024.09.004","url":null,"abstract":"<div><div>The Latarjet procedure, including coracoid transfer, is indicated for anterior glenohumeral instability and significant bone loss. However, even in experienced hands, the Latarjet procedure is associated with potential complications including neurovascular injury, graft resorption leading to painful or broken hardware and secondary subscapularis damage, prominent hardware, and graft nonunion. An adjustable suture button technique may minimize hardware complications and show low rates of nonunion and resorption. (Perhaps, overly rigid fixation of the coracoid using screws contributes to the resorption.) Coracoid transfer may be avoided using various graft sources including iliac crest bone graft. Despite loss of the “sling effect” provided by coracoid and conjoined tendon transfer, the procedure shows good outcomes with low recurrent instability rates in indicated patients. Although technically complex, bone grafting and suspensory fixation may be performed arthroscopically. Time will tell if this technique may supersede the Latarjet procedure.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1335-1336"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156715","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":"Anatomic Fibular-Based Posterolateral Corner Reconstruction With 2 Femoral Tunnels Shows Lowest Residual Laxity With External Rotation and Varus Stresses: A Systematic Review and Network Meta-analysis of In Vitro Biomechanical Studies","authors":"Joshua T. Bram M.D. ,&nbsp;Alexander E. White M.D. ,&nbsp;Antonio Cusano M.D. ,&nbsp;Heidi Halvorsen B.A. ,&nbsp;Sophia Zhuang B.A. ,&nbsp;Bruce Levy M.D. ,&nbsp;Robert G. Marx M.D.","doi":"10.1016/j.arthro.2024.08.046","DOIUrl":"10.1016/j.arthro.2024.08.046","url":null,"abstract":"<div><h3>Purpose</h3><div>To perform a systematic review and network meta-analysis of in vitro cadaveric, biomechanical studies evaluating described techniques for posterolateral corner (PLC) reconstruction, including fibular- and tibiofibular-based techniques.</div></div><div><h3>Methods</h3><div>The PubMed/MEDLINE, Embase, and Cochrane Library databases were searched in December 2023 for cadaveric studies evaluating PLC reconstruction. After a descriptive summary, a series of frequentist network meta-analyses comparing (1) nonanatomic fibular-based (single femoral tunnel), (2) anatomic fibular-based (double femoral tunnel), and (3) anatomic tibiofibular-based PLC reconstructions with the intact knee were performed for both external rotation (ER) and varus laxity from 0° to 90° of knee flexion. Pooled treatment estimates were calculated as mean differences (MDs) with 95% confidence intervals (CIs) using random-effects models.</div></div><div><h3>Results</h3><div>A total of 31 studies were included. Nonanatomic fibular-based reconstructions showed increased ER laxity compared with the intact state between 30° and 90° of flexion (MD, 1.66° [95% CI, –0.27° to 3.59°] at 0° [<em>P</em> = .093]; MD, 2.29° [95% CI, 0.44° to 4.13°] at 30° [<em>P</em> = .015]; MD, 3.04° [95% CI, 0.95° to 5.12°] at 60° [<em>P</em> = .004]; and MD, 4.30° [95% CI, 1.41° to 7.19°] at 90° [<em>P</em> = .004]). The anatomic fibular- and tibiofibular-based reconstructions restored ER stability at all flexion values (except at 0° for tibiofibular based). All 3 reconstructions restored varus stability compared with the intact state in all scenarios except the anatomic fibular-based techniques at 0° (MD, 0.85° [95% CI, 0.06° to 1.63°]; <em>P</em> = .034). Across the assessed ER and varus laxity states, the anatomic fibular-based reconstruction was ranked “best” in 5 of 8 scenarios.</div></div><div><h3>Conclusions</h3><div>PLC reconstructions using nonanatomic fibular-based techniques showed increased residual laxity in ER from 30° to 90° of knee flexion. Conversely, anatomic fibular- and tibiofibular-based reconstructions showed ER and varus laxity similar to that in the intact knee state across most of the assessed knee flexion values.</div></div><div><h3>Clinical Relevance</h3><div>Various techniques have been described for PLC reconstruction. However, no study has comprehensively compared the biomechanical properties of these reconstructions with one another.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1557-1577.e3"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301716","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 Orthopaedic Surgeons Are Less Represented as Head Team Physicians in Collegiate Athletic Programs","authors":"Olivia R. French B.S. ,&nbsp;Hayden Hartman B.S. ,&nbsp;Preston M. Terle B.S. ,&nbsp;Mia V. Rumps M.S. ,&nbsp;Mary K. Mulcahey M.D.","doi":"10.1016/j.arthro.2024.08.045","DOIUrl":"10.1016/j.arthro.2024.08.045","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate National Collegiate Athletic Association (NCAA) head team physicians (HTPs), focusing on gender as it relates to divisional variability, medical specialty, and research productivity.</div></div><div><h3>Methods</h3><div>In December 2022, the NCAA member directory was utilized to obtain HTP information from the top 5 conferences within Divisions I, II, and III (DI, DII, and DIII, respectively). Division I schools were selected from the previously established “Power 5” conferences. Divisions II and III used NCAA rankings. HTP data were collected from publicly available verifiable data sources. Data for gender, Scopus H-index, residency programs, and fellowship programs were collected. Mean, median, skewness, <em>P</em> values, and odds ratios were calculated for analysis.</div></div><div><h3>Results</h3><div>In total, 186 NCAA institutions were evaluated: 69 DI (37%), 65 DII (35%), and 52 DIII (28%). DIII had the highest female representation (8; 16%). Out of the 67 orthopaedic surgery HTPs, 5 (7.5%) were female and 62 male (92.5%). There is a statistically significant difference in female orthopaedic surgeon representation in the HTP field compared to males (<em>P</em> = .038, α = 0.05). Female orthopaedic surgeons have 38% lower odds of being represented as HTPs compared to males (<em>P</em> = .046, α = 0.05). Female HTPs in Divisions I and III had higher H-indexes than the overall average and median values for their respective divisions.</div></div><div><h3>Conclusions</h3><div>Female HTPs are significantly less represented compared to males in the NCAA. Furthermore, female orthopaedic surgeons had lower odds of being represented as HTPs compared to their male counterparts. For research productivity, female HTPs impacted the distribution as outliers in Divisions I and III.</div></div><div><h3>Level of Evidence</h3><div>Level IV, cross-sectional study.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1532-1538"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301729","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":"Human- Versus ChatGPT-Generated Abstracts: Some Concerns and Suggestions","authors":"Shigeki Matsubara M.D., Ph.D.,&nbsp;Daisuke Matsubara M.D., Ph.D.","doi":"10.1016/j.arthro.2024.09.051","DOIUrl":"10.1016/j.arthro.2024.09.051","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1243-1244"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395451","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":"Both Hamstring and Quadriceps Tendon Autografts Offer Similar Functional Outcomes After Arthroscopic Anterior Cruciate Ligament Reconstruction in Patients Aged 50 Years or Older","authors":"Amit Meena M.S., D.N.B. ,&nbsp;Luca Farinelli M.D. ,&nbsp;Riccardo D’Ambrosi M.D. ,&nbsp;Armin Runer M.D. ,&nbsp;Manish Attri M.S., D.N.B. ,&nbsp;Ravi Teja Rudraraju M.S. ,&nbsp;Sachin Tapasvi M.S., D.N.B. ,&nbsp;Christian Hoser M.D. ,&nbsp;Christian Fink M.D.","doi":"10.1016/j.arthro.2024.06.044","DOIUrl":"10.1016/j.arthro.2024.06.044","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;To compare the outcomes of hamstring tendon (HT) and quadriceps tendon (QT) autografts for anterior cruciate ligament (ACL) reconstruction in patients aged 50 years or older in terms of patient-reported functional outcomes, graft failure rates, complications, return to sports activity, and sports preference.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Between 2010 and 2022, prospectively collected data were obtained from an institutional database. Patients aged 50 years or older who underwent primary arthroscopic ACL reconstruction with either HT or QT autograft and had a minimum 2-year follow-up were included. Patients with concomitant meniscal, cartilage, and medial collateral ligament injuries were also included. Patients undergoing revision ACL reconstruction, those undergoing primary ACL reconstruction with a graft other than HT or QT autograft, and those with contralateral knee injuries or ipsilateral osteoarthritis (Ahlbäck stage ≥2) were excluded. Patients were evaluated in terms of the Lysholm knee score, Tegner activity level, and visual analog scale (VAS) score for pain before injury and at 2-year follow-up, as well as graft failure, QT rupture, and return to sport. The Mann-Whitney test was used to analyze unpaired samples, whereas the Friedman test was used to analyze variables over time. The χ&lt;sup&gt;2&lt;/sup&gt; statistic test was used to determine differences in categorical data between groups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The number of patients in the QT and HT groups was 85 and 143, respectively. In the QT and HT groups, the mean age was 54.4 years (range, 50-65 years) and 56.4 years (range, 50-65 years), respectively, and 49% and 51% of patients were men, respectively. The 2 groups did not differ significantly in terms of age, sex, time from injury to surgery, and concomitant injuries. No significant differences in preinjury patient-reported outcome measures, consisting of the Lysholm score, Tegner activity level, and VAS pain score, were found between the 2 groups (&lt;em&gt;P&lt;/em&gt; &gt; .05). At the 2-year follow-up, the Lysholm knee score, Tegner activity level, and VAS pain score improved to preinjury levels and no significant differences in preinjury and 2-year follow-up functional scores were noted between the 2 groups (&lt;em&gt;P&lt;/em&gt; &gt; .05). Furthermore, at the 2-year follow-up, the Lysholm score and VAS pain score did not show significant differences (&lt;em&gt;P&lt;/em&gt; = .390 and &lt;em&gt;P&lt;/em&gt; = .131, respectively) between the QT and HT groups. Similarly, no differences in Tegner activity level were observed between the HT and QT groups at the 2-year follow-up. No significant differences in terms of the minimal clinically important difference were detected between the 2 groups for the Lysholm knee score (&lt;em&gt;P&lt;/em&gt; = .410) and Tegner activity level (&lt;em&gt;P&lt;/em&gt; = .420). The 2 groups did not differ in terms of patients’ percentage of sports participation at baseline and at the 2-year follow-up (&lt;em&gt;P&lt;/em&gt; &gt; .05). A si","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 5","pages":"Pages 1512-1520"},"PeriodicalIF":4.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592212","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}