Knee最新文献

{"title":"Evaluation of anterior intermeniscal ligament in types of bucket-handle tear with using magnetic resonance ımaging","authors":"Ali Koç ,&nbsp;Turgut Tursem Tokmak ,&nbsp;Özgür Karabıyık ,&nbsp;Tuba Uçarkuş","doi":"10.1016/j.knee.2025.06.001","DOIUrl":"10.1016/j.knee.2025.06.001","url":null,"abstract":"<div><h3>Background</h3><div>Anterior intermeniscal ligament (AIML) has a beneficial influence on knee biomechanics, contributing to shock-absorbing function of the menisci and to the transmission of circumferential hoop stresses in the knee. Investigation of the relationship between meniscal bucket-handle tears and the AIML may help to elucidate AIML function. The aim of this study was to determine AIML according to anatomical insertions in groups composed of central and peripheral type bucket-handle tear cases.</div></div><div><h3>Methods</h3><div>In total 104 cases with bucket-handle tear were re-evaluated with magnetic reonance imaging (MRI) for AIML and tear pattern. AIMLs were grouped according to the classification of Nelson and LaPrade. Two groups of bucket-handle tear cases were recorded according to the tear pattern as central or peripheral according to the Cooper classification. Chi-squared analysis and Fisher’s exact test were used for correlation and significance analysis between AIML subtypes and the two types of bucket-handle tear.</div></div><div><h3>Results</h3><div>No significant correlation was found between the AIML and the groups consisting of different patterns of bucket-handle tear (<em>P</em> = 0.063). Peripheral zone tears were found in 53 (51%) patients, whereas central zone tears were found in 51 (49%) patients. AIML was absent in 51 patients. Type I AIML was present in 21, type II in 24, and type III in eight patients.</div></div><div><h3>Conclusions</h3><div>The distribution of AIML in different patterns of bucket-handle tear cases was not statistically significant and did not differ from the normal ratios specified in the literature.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"56 ","pages":"Pages 366-372"},"PeriodicalIF":1.6,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor regarding \"Closing the tendon defect does not affect tendon length and patellar height after bone-patellar tendon-bone ACL reconstruction: A retrospective study using radiographs\".","authors":"Renu Sah, Ankita Mathur","doi":"10.1016/j.knee.2025.06.002","DOIUrl":"https://doi.org/10.1016/j.knee.2025.06.002","url":null,"abstract":"","PeriodicalId":56110,"journal":{"name":"Knee","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bone–patellar tendon–bone allografts are safe and effective grafts for anterior cruciate ligament one-stage revision: A consecutive series of 38 patients with at least 2 years of follow up","authors":"Marco Turati ,&nbsp;Filippo Maria Anghilieri ,&nbsp;Marco Crippa ,&nbsp;Massimiliano Piatti ,&nbsp;Luca Rigamonti ,&nbsp;Elena Tassistro ,&nbsp;Sabrina Trapletti ,&nbsp;Marco Bigoni","doi":"10.1016/j.knee.2025.05.034","DOIUrl":"10.1016/j.knee.2025.05.034","url":null,"abstract":"<div><h3>Background</h3><div>Rupture of the anterior cruciate ligament is one of the most common injuries in sports. Although primary reconstruction is a successful procedure, failure is reported to occur in up to 13% of patients. In patients who complain of instability, revision surgery should be proposed and discussed with patients. The issue arising in this setting is the graft choice, being limited from the grafts used in primary surgery.</div></div><div><h3>Methods</h3><div>We retrospectively enrolled 38 consecutive patients who had undergone ACL one-stage revision with bone–patellar tendon–bone (BPTB) allografts from a single center with at least 2 years of follow up. The clinical evaluation was based on PROMs In addition, we recorded the rate of allograft re-rupture and post-surgical complications.</div></div><div><h3>Results</h3><div>Our series showed good PROMs at a minimum of 2 years follow up. Median IKDC, Lysholm, and Simple Knee Value were 82.8, 85.5, and 77.5, respectively. For the Tegner Activity Scale we recorded a median value of 8.0 before injury and 6.0 after surgery. Timing for return-to-play was between 6 and 9 months for 19 patients (54.3%). Regarding post-surgery complications, we recorded an overall rate of 15.79%, with however minor entity (Clavien–Dindo grade I). Allografts re-rupture rate was 10.5%.</div></div><div><h3>Conclusion</h3><div>BPTB allografts in one-stage ACL revision enabled patients to return to sports and to a good quality of life after the final follow up. Moreover, this type of graft has been shown to be a safe choice, being burdened by a low rate of post-surgical complications and re-rupture risk.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"56 ","pages":"Pages 354-365"},"PeriodicalIF":1.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Judet quadricepsplasty leads to enhanced knee function in patients with post-traumatic stiffness: a case series of 19 consecutive patients at 10 years mean follow-up","authors":"Alberto Fogacci ,&nbsp;Vito Gaetano Rinaldi ,&nbsp;Iacopo Sassoli ,&nbsp;Antongiulio Favero ,&nbsp;Stefano Di Paolo ,&nbsp;Margherita Bonaiuti ,&nbsp;Giulio Maria Marcheggiani Muccioli ,&nbsp;Stefano Zaffagnini","doi":"10.1016/j.knee.2025.05.021","DOIUrl":"10.1016/j.knee.2025.05.021","url":null,"abstract":"<div><h3>Aims</h3><div>Knee stiffness is common condition after high energy trauma, surgeries, leading to severe functional limitation in normal daily activities. Purpose is reporting clinical outcomes and detect complications at mean follow-up of 10 years after modified Judet quadriceplasty.</div></div><div><h3>Methods</h3><div>Retrospective observational single center study was conducted, evaluating a 19 patients sample affected by post traumatic knee stiffness who underwent modified Judet quadricepsplasty from January 2008 to June 2023. Procedures were performed by same expert surgical team, patients followed same perioperative protocol. Patients were clinically evaluated using Judet criteria for final range of motion and five score (KOOS, WOMAC, Tegner-Lysholm, HSS KS, EQ-5D). Demographic characteristic, clinical history, pre intra and post operative knee flexion and possible complications by computerized medical records were detected.</div></div><div><h3>Results</h3><div>Average definitive flexion was 100.7° (range 35°-140°) and flexion gain was 50.4° (range 5–100°). According to Judet’s criteria, the result obtained by 10 patients could be classified as excellent (52.6%), 7 as good (36.8%), 1 as fair (5.3%) and at last in 1 as poor (5.3%). An extension lag was observed in 47% of cases, with 8.8° average value (range 2–20°); only 10.5% showed significant deficit (greater than 10°). There were four cases that required new arthromyolysis, four cases of perioperative complications and two long-term complications, mostly due to infection.</div></div><div><h3>Conclusion</h3><div>Modified Judet quadricepsplasty is effective in improving knee function and mobility in patients with post-traumatic stiffness, resulting in a less aggressive invasive technique. Despite some risks, especially in severe cases, it remains a valuable surgical option when conservative treatments fail.</div><div>Level of evidence: Level IV retrospective case series.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"56 ","pages":"Pages 332-353"},"PeriodicalIF":1.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144364955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: \"Diagnostic accuracy of ChatGPT-4 in orthopedic oncology: a comparative study with residents\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1016/j.knee.2025.06.005","DOIUrl":"https://doi.org/10.1016/j.knee.2025.06.005","url":null,"abstract":"","PeriodicalId":56110,"journal":{"name":"Knee","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serum oxidative stress is associated with the progression of knee osteoarthritis: A 5-year longitudinal cohort in the Yakumo study","authors":"Hiroaki Ido ,&nbsp;Taisuke Seki ,&nbsp;Yasuhiko Takegami ,&nbsp;Yusuke Osawa ,&nbsp;Hiroki Iida ,&nbsp;Hiroaki Nakashima ,&nbsp;Shinya Ishizuka ,&nbsp;Yukiharu Hasegawa ,&nbsp;Shiro Imagama","doi":"10.1016/j.knee.2025.05.023","DOIUrl":"10.1016/j.knee.2025.05.023","url":null,"abstract":"<div><h3>Introduction</h3><div>Knee osteoarthritis (KOA) is a chronic degenerative disease characterized by a reduction in joint cartilage in the in-knee joint. However, few reports have investigated the relationship between serum reactive oxygen species (ROS) and KOA. We aimed to investigate whether oxidative stress, assessed using d-ROM and biological antioxidant potential (BAP), is associated with the severity and progression of KOA in community-dwelling individuals.</div></div><div><h3>Method</h3><div>We enrolled 95 participants (190 knees) who participated in the Yakumo Study. We used a computer-aided diagnosis system for KOA to obtain the average joint space width (aJSW), minimal joint space width (mJSW), joint space area (JSA), and femorotibial angle; calculated the difference between JSW and JSA at 5 years and at baseline; and divided the study population into two groups based on median d-ROM and BAP values. Statistical analyses were conducted between the groups, including propensity score matching based on age, sex, body mass index, and medial mJSW at baseline between high d-ROMs (HD) and low d-ROMs (LD) groups.</div></div><div><h3>Results</h3><div>The median values for the lateral and medial mJSW, aJSW, and JSA were significantly narrower in the HD group than in the LD group. The medial mJSW, aJSW and JSA at the 5-year follow-up were significantly narrower in the HD group than those in the LD group.</div></div><div><h3>Conclusions</h3><div>Oxidative stress level was found to be associated with joint space narrowing and progression of joint space narrowing over the course of five years in clinical settings.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"56 ","pages":"Pages 323-331"},"PeriodicalIF":1.6,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144331082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Altered long-term patient-perceived outcome following lateral tibial plateau fractures – A matched register-based cohort study of 762 patients with a mean of 11 years of follow-up","authors":"Peter Larsen ,&nbsp;Rasmus Elsoe","doi":"10.1016/j.knee.2025.05.036","DOIUrl":"10.1016/j.knee.2025.05.036","url":null,"abstract":"<div><h3>Background</h3><div>While several studies have examined lateral tibial plateau fracture (LTPF) outcomes, long-term follow-up data (exceeding 10 years) remain limited. We aim to compare the long-term patient-reported outcomes following LTPF to that of an age- and gender-matched group without an LTPF.</div></div><div><h3>Methods</h3><div>The study design was a national matched cohort study, including all patients admitted with an LTPF in Denmark between January 1, 1996, and December 31, 2017. The primary outcome measure was The Knee Injury Osteoarthritis Outcome Score (KOOS). The match group consisted of Danish citizens without LTPFs matched 1:10 to the LTPF group on age and gender.</div></div><div><h3>Results</h3><div>Total 1621 patients with a LTPF were included. Of these, 762 (47 %) responded to the survey invitation. The mean age of respondents was 61.5 years, and 65 % were women—the mean follow-up time since fracture was 11.2 years, ranging between 6.1 and 26.0 years. The match group was comprised of 16,210 citizens. Of these, 5050 (31 %) responded to the survey invitation. The mean age of respondents was 63.3 years, and 72 % were women. Patients with LTPFs reported significantly lower KOOS subscale scores compared to the match group. The differences in KOOS subscale scores ranged from a mean of 7.2 in activities of daily living (ADL) to 20.4 in sport and recreational activities (Sport/Rec).</div></div><div><h3>Conclusion</h3><div>Results suggested than LTPFs are associated with considerable long-term patients-perceived knee complaints compared to that of an age- and gender-matched population without a lateral tibial plateau fracture.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"56 ","pages":"Pages 317-322"},"PeriodicalIF":1.6,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144331081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can tendon autograft function as a meniscal transplant?","authors":"Ahmed Mahmoud Gad,&nbsp;Mohamed Hussein Khalil","doi":"10.1016/j.knee.2025.05.033","DOIUrl":"10.1016/j.knee.2025.05.033","url":null,"abstract":"<div><h3>Background</h3><div>Various options have been advocated for the treatment of patients who developed post-meniscectomy symptoms, including meniscus allograft transplant (MAT), collagen meniscus implants, synthetic polymer meniscal implants, and tendon autografts. The aim of this study was to evaluate the functional outcomes after using the peroneus longus (PL) tendon autograft as meniscal transplantation in patients with knee joint line pain exacerbated by weight bearing following prior total or subtotal meniscectomy.</div></div><div><h3>Methods</h3><div>Twenty-five patients were treated using PL autograft as an alternative for meniscal transplantation between May 2022 and December 2022. Nineteen patients were male, and six patients were female. The medial meniscus was involved in 17 patients, while the lateral meniscus was affected in eight patients. All patients were followed up for at least 2 years following surgery. Functional outcomes were assessed using the Lysholm and Knee Injury and Osteoarthritis and Outcome (KOOS) scores preoperatively and at 2 years following surgery.</div></div><div><h3>Results</h3><div>A statistically significant improvement was found between preoperative and 2 years follow up values in terms of both the Lysholm and KOOS scores.</div></div><div><h3>Conclusions</h3><div>Meniscus transplantation using PL tendon autograft may be a successful treatment with satisfactory functional results for patients with post-meniscectomy symptoms following previous total or subtotal meniscectomy.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"56 ","pages":"Pages 309-316"},"PeriodicalIF":1.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous bilateral total knee arthroplasty may be safe in selected patients","authors":"Rajesh Malhotra ,&nbsp;Deepak Gautam ,&nbsp;Saurabh Gupta ,&nbsp;Jaiben George","doi":"10.1016/j.knee.2025.05.024","DOIUrl":"10.1016/j.knee.2025.05.024","url":null,"abstract":"<div><h3>Background</h3><div>Simultaneous bilateral total knee arthroplasty (TKA) provides advantages in the form of single anaesthesia, lower cost, and faster overall rehabilitation for patients suffering from bilateral knee pathologies. However, there are concerns regarding the safety of performing simultaneous bilateral TKA. The present study was aimed at comparing the perioperative outcomes of patients undergoing simultaneous and staged bilateral TKA.</div></div><div><h3>Methods</h3><div>A total of 1696 patients (3392 knees) suffering from bilateral knee arthritis who either underwent a simultaneous (n = 1025) or staged TKA (n = 671) at a single institution were identified retrospectively from our institutional database. Major and minor complications within 90 days of the procedure were compared between simultaneous and staged procedures.</div></div><div><h3>Results</h3><div>Patients undergoing simultaneous surgery were younger (<em>P</em> &lt; 0.001), had lower ASA score (<em>P</em> &lt; 0.001), and had a lower number of comorbidities (<em>P</em> &lt; 0.001). Overall, complications were comparable in both the groups (staged vs. simultaneous: 17.9% vs. 17.3%, <em>P</em> = 0.794). But after adjusting for the baseline differences, the simultaneous group had a higher risk of complications. When subgroup analysis was performed, in patients younger than 65 years simultaneous surgery did not increase the risk of complications while the risk was almost doubled in patients above 70 years.</div></div><div><h3>Conclusions</h3><div>Patients undergoing simultaneous bilateral surgery had an increased risk of complications especially when it was performed in patients over 70 years old. Bilateral simultaneous TKA may be safely performed in patients younger than 65 years. In those patients between 65 and 70 years, the slightly increased risk should be discussed with the patient if simultaneous surgery is being considered.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"56 ","pages":"Pages 302-308"},"PeriodicalIF":1.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tibial fixation in anterior cruciate ligament reconstruction using soft-tissue allograft: Cortical suspensory device versus aperture interference screw","authors":"Jae Ang Sim,&nbsp;Jehoon Sung,&nbsp;Byung Hoon Lee","doi":"10.1016/j.knee.2025.05.019","DOIUrl":"10.1016/j.knee.2025.05.019","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to compare clinical outcomes and tibial tunnel widening following anterior cruciate ligament reconstruction (ACLR) using allo-tibialis tendon performed with an all-inside technique (All-inside group) or an aperture fixation technique with a bioabsorbable screw (Aperture fixation group) for tibial side fixation.</div></div><div><h3>Methods</h3><div>A retrospective analysis of 36 patients between 2012 and 2022 was conducted. Patients who received a single-bundle anatomical ACLR with allo-tibialis tendon using suspensory femoral fixation were divided into two groups according to tibial fixation methods: adjustable suspensory fixative device or aperture fixation technique with a bioabsorbable screw.</div></div><div><h3>Results</h3><div>All-inside technique required a smaller skin incision (&lt;5 mm) for tibial fixation. At postoperative 1-year radiographs, tunnel diameter showed no significant difference at the aperture level between both groups. More tunnel enlargement was observed in the All-inside group at the mid-substance level (<em>P</em> = 0.044). Postoperative 1-year MRI in the All-inside group showed a significantly larger cross-sectional area (CSA) at the aperture level than the mid-substance level (<em>P</em> = 0.003). CSA increments were larger in the All-inside group than the Aperture fixation group at insertion side and mid-substance level. No significant differences in clinical outcome measures were observed, including the Lysholm score, Tegner activity level. All-inside group showed higher failure cases and significantly lower rate of return to previous sports at postoperative 2-year follow up.</div></div><div><h3>Conclusions</h3><div>All-inside technique with soft allograft demonstrated cosmetic superiority and non-inferior clinical outcomes at the median 2-year follow up but showed larger tibial tunnel widening than aperture fixation technique with a bioabsorbable interference screw at the postoperative 1-year follow up.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"56 ","pages":"Pages 294-301"},"PeriodicalIF":1.6,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}