Knee最新文献

{"title":"Patients with varus hindfoot deformity show decreased knee and foot clinical scores after total knee arthroplasty","authors":"Yoshihiro Wanezaki,&nbsp;Akemi Suzuki,&nbsp;Yuya Takakubo,&nbsp;Michiaki Takagi","doi":"10.1016/j.knee.2025.08.011","DOIUrl":"10.1016/j.knee.2025.08.011","url":null,"abstract":"<div><h3>Objective</h3><div>Evaluating hindfoot alignment using the tibiocalcaneal angle (TCA) is important for understanding the lower limb load axis before and after total knee arthroplasty (TKA). However, no previous studies have investigated the relationship between TCA classification and clinical outcomes after TKA in Japanese patients, including those with TCA varus and valgus deformities. This study aimed to examine the relationship between TCA and knee and foot outcomes following TKA.</div></div><div><h3>Methods</h3><div>Patients who underwent primary TKA for osteoarthritis at our university and affiliated hospitals between October 2020 and October 2021 were prospectively evaluated. Based on preoperative TCA, patients were categorized into varus (&lt;0°), intermediate (0–8°), and valgus (&gt;8°) groups. Preoperative, 6-month, and 1-year postoperative clinical outcomes were assessed using the new Knee Society Scoring System (KSS, 2011), Oxford Knee Score (OKS), and the 5-item SAFE-Q (SQ). Statistical analysis was performed using the Kruskal-Wallis test, Dunn’s multiple comparison test, and logistic regression analysis.</div></div><div><h3>Results</h3><div>Both the KSS and OKS were significantly lower in the varus group at 6 and 12 months (<em>p</em> &lt; 0.05). At 6 months, the varus group had significantly lower scores on social life functions, shoe-related issues, and overall health (<em>p</em> &lt; 0.05). Logistic regression analysis showed that TCA varus was an independent factor that reduced KSS, OKS, SQ, social life function, and overall health 1-year postoperatively (odds ratios: 2.73, 2.95, 1.90, 2.23; <em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Overall, our findings suggest that the patients with varus hindfoot deformity show decreases in knee and foot clinical scores following total knee arthroplasty.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"57 ","pages":"Pages 200-208"},"PeriodicalIF":2.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144908777","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":"Preoperative extra-articular proximal tibial varus deformities do not contribute to inferior subjective outcomes following fixed-bearing medial unicompartmental knee arthroplasty: A prospective study comprising 104 knees","authors":"G.V. ten Noever de Brauw ,&nbsp;R.J.M. Vossen ,&nbsp;L.V. Ruderman ,&nbsp;T. Bayoumi ,&nbsp;G.M.M.J. Kerkhoffs ,&nbsp;H.A. Zuiderbaan ,&nbsp;A.D. Pearle","doi":"10.1016/j.knee.2025.08.002","DOIUrl":"10.1016/j.knee.2025.08.002","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to evaluate the impact of preoperative extra-articular proximal tibial varus deformities on preoperative and postoperative subjective outcomes in patients undergoing medial unicompartmental knee arthroplasty (UKA).</div></div><div><h3>Methods</h3><div>A prospective study was performed among 104 patients undergoing robotic-arm assisted fixed-bearing medial UKA for isolated anteromedial compartment osteoarthritis. Patients were categorized based on their preoperative medial proximal tibial angle (MPTA), stratifying them into patients with tibial varus (MPTA &lt;85°) and those without (MPTA ≥85°). Radiographic outcomes were assessed and patient-reported outcomes, including the UCLA activity score, the Oxford Knee Score, the Visual Analogue Scale for pain, Knee Injury and Osteoarthritis Outcome Score for Joint Replacement, and patient satisfaction were compared between groups preoperatively and at 12 and 24 months follow-up.</div></div><div><h3>Results</h3><div>Postoperatively, patients with tibial varus exhibited more pronounced residual varus alignment (3.8° vs. 0.7°, <em>P</em> &lt;0.001), as well as lower MPTA and joint line obliquity (JLO) values compared with patients without tibial varus. Patients with tibial varus deformities expressed significantly higher satisfaction levels following their surgery (93.4% vs. 77.6%, <em>P</em> = 0.026) and reported higher UCLA activity scores both at baseline (6.4 vs. 5.1, <em>P</em> = 0.006) and 1 year follow-up (7.6 vs. 6.6, <em>P</em> = 0.018) compared with those without tibial varus. However, at 24 months, no significant differences were observed in PROMs or clinical improvement in PROMs between groups.</div></div><div><h3>Conclusion</h3><div>This study supports the safe utilization of fixed-bearing medial UKA as an effective surgical intervention for managing isolated anteromedial osteoarthritis, even in the presence of preoperative tibial varus deformities. While preoperative tibial varus may predispose patients to a more pronounced residual varus following medial UKA, subjective outcomes appear to remain unaffected.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"57 ","pages":"Pages 219-227"},"PeriodicalIF":2.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144908778","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":"Surgical management of the discoid meniscus","authors":"Marco Turati ,&nbsp;Marco Crippa ,&nbsp;Judith Waldner ,&nbsp;Marco Bigoni ,&nbsp;Daniel W. Green ,&nbsp;Franck Accadbled","doi":"10.1016/j.knee.2025.08.012","DOIUrl":"10.1016/j.knee.2025.08.012","url":null,"abstract":"<div><h3>Background</h3><div>Discoid meniscus is the most frequent intraarticular paediatric knee congenital condition. Only symptomatic patients require surgical attention with arthroscopy. The incidence of discoid meniscus repair is increasing.</div></div><div><h3>Diagnosis</h3><div>Typical presentation is an insidious popping or snapping when mobilizing the knee. The older individuals can experience pain and effusion. Restricted knee motion suggests a meniscal rim instability. MRI confirms the diagnosis, with shape and volume criteria, and helps planning surgery. The most common tear pattern of the discoid meniscus is a horizontal tear. Regarding meniscal rim instability, MRI strongly correlates with arthroscopy.</div></div><div><h3>Treatment</h3><div>Treatment includes saucerization, which consists of a gentle central meniscectomy to restore normal shape and volume, and repair when needed. Repair is indicated in case of peripheral detachment of the meniscal rim and when central meniscectomy has revealed a meniscal tear within the remaining tissue. Meniscectomy is only appropriate in case a tear is irreparable. Short term clinical outcome is excellent although revision rate can reach 44 % at 20 years.</div></div><div><h3>Conclusion</h3><div>Surgical management of the discoid meniscus has transitioned from a resection-focused approach to one centred on preservation and functional repair. The results of rim preserving arthroscopic saucerization are favourable, yet with a substantial arthroscopic revision rate. Risk factors for failure and revision should be further investigated.</div><div><strong>Level of evidence:</strong> IV.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"57 ","pages":"Pages 209-218"},"PeriodicalIF":2.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903813","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":"Return to sport (RTS) tests and criteria following an anterior cruciate ligament (ACL) reconstruction (ACLR): a scoping review","authors":"Alexander Wright ,&nbsp;Duncan Reid ,&nbsp;Geoff Potts","doi":"10.1016/j.knee.2025.08.010","DOIUrl":"10.1016/j.knee.2025.08.010","url":null,"abstract":"<div><h3>Objective</h3><div>Anterior cruciate ligament reconstruction (ACLR) surgery is a common procedure to restore knee stability and enable athletes to return to sport (RTS). This scoping review aimed to explore RTS tests and criteria used in decision-making following ACLR surgery.</div></div><div><h3>Methods</h3><div>A scoping review methodology was undertaken. A comprehensive search of MEDLINE, CINAHL, and SPORTDiscus was conducted to identify studies reporting RTS tests and criteria for athletes post-ACLR. Studies involving level I and II sports were included. Data was extracted and study characteristics, RTS criteria, and results were summarised.</div></div><div><h3>Results</h3><div>Of 1703 studies screened, 33 met the inclusion criteria, involving over 6000 participants. RTS criteria showed significant variability across studies, with protocols emphasising limb symmetry indexes (LSI) for strength and jump and hop performance, often set at ≥90 %. RTS timing ranged from a minimum of six to nine months post-surgery. While psychological readiness was frequently reported, assessments of change of direction, agility, and biomechanics were less common.</div></div><div><h3>Conclusions</h3><div>This review highlights the lack of standardisation in RTS protocols, leading to inconsistencies in clinical practice. Developing consistent, evidence-based guidelines is essential to enhance RTS outcomes, minimise re-injury risk, and optimise performance for athletes post-ACLR.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"57 ","pages":"Pages 179-199"},"PeriodicalIF":2.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144895833","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":"Outcomes of two-stage total knee arthroplasty following septic arthritis of the native knee: A propensity score-matched analysis","authors":"Yong-Uk Kwon,&nbsp;Chang-Rack Lee,&nbsp;Chang-Wan Kim,&nbsp;Soo-Hwan Jung,&nbsp;Seung-Hun Baek","doi":"10.1016/j.knee.2025.07.025","DOIUrl":"10.1016/j.knee.2025.07.025","url":null,"abstract":"<div><h3>Aim</h3><div>To compare the functional outcomes and complications between two-stage total knee arthroplasty (TKA) performed in patients with native knee joint infection and TKA performed in patients with osteoarthritis (OA).</div></div><div><h3>Methods</h3><div>This was a retrospective study of 25 patients (25 knees, septic arthritis group) who underwent two-stage TKA for septic arthritis of the native knee joint between 2013 and 2021. Through 1:3 propensity score matching for age, sex, body mass index, follow up duration, and American Society of Anesthesiologists (ASA) score, 75 cases of TKA performed for OA (OA group) were included in the control group. Radiological and functional outcomes and complication rates were compared between the two groups.</div></div><div><h3>Results</h3><div>There was no significant difference in radiological outcomes between the two groups. Preoperative range of motion (ROM) (72.8 ± 23.8 vs. 128.0 ± 7.2, <em>P</em> &lt; 0.001) and all preoperative patient-reported outcomes (<em>P</em> &lt; 0.05) in the septic arthritis group were inferior compared with the OA group. The postoperative ROM (112.0 ± 15.7 vs. 132.3 ± 7.3, <em>P</em> &lt; 0.001) and patient-reported outcomes (all parameters, <em>P</em> &lt; 0.05) were also inferior in the septic arthritis group. The incidence of periprosthetic joint infection (three cases vs. none, <em>P</em> = 0.014) and the reoperation rate (four cases vs. one case, <em>P</em> = 0.013) were significantly higher in the septic arthritis group.</div></div><div><h3>Conclusions</h3><div>Two-stage TKA for septic arthritis of the native knee joint showed relatively good infection control and functional outcomes. However, it was associated with a higher risk of periprosthetic joint infection and poorer functional outcomes compared with TKA performed for OA.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"57 ","pages":"Pages 171-178"},"PeriodicalIF":2.0,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890950","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 “Incidence of concomitant intra- and extra-articular lesions and procedures in patients undergoing primary and subsequent revision single-stage or 2-stage revision anterior cruciate ligament reconstruction: a matched retrospective cohort study”","authors":"Zhiyang Cao,&nbsp;Yun Li,&nbsp;Xiao Xiao","doi":"10.1016/j.knee.2025.08.005","DOIUrl":"10.1016/j.knee.2025.08.005","url":null,"abstract":"","PeriodicalId":56110,"journal":{"name":"Knee","volume":"56 ","pages":"Pages 665-666"},"PeriodicalIF":2.0,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979890","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-evaluation of the cartilage safety of low-dose tranexamic acid.","authors":"Murat Yüncü","doi":"10.1016/j.knee.2025.08.003","DOIUrl":"https://doi.org/10.1016/j.knee.2025.08.003","url":null,"abstract":"","PeriodicalId":56110,"journal":{"name":"Knee","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979864","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":"Patient reported outcome measures, healthcare utilization, and survivorship after unicompartmental knee arthroplasty may not be impacted by obesity","authors":"Khaled A. Elmenawi ,&nbsp;Nickelas Huffman ,&nbsp;Shujaa T. Khan ,&nbsp;Ignacio Pasqualini ,&nbsp;Benjamin E. Jevnikar ,&nbsp;Chao Zhang ,&nbsp;Nicolas S. Piuzzi","doi":"10.1016/j.knee.2025.07.023","DOIUrl":"10.1016/j.knee.2025.07.023","url":null,"abstract":"<div><h3>Aims</h3><div>Obesity has long been considered a relative contraindication to medial unicompartmental knee arthroplasty (mUKA). However, controversy remains. This study aimed to assess the association of BMI with (i) 1-year patient reported outcome measures (PROMs), (ii) healthcare utilization, and (iii) survivorship and mortality in patients undergoing mUKA.</div></div><div><h3>Methods</h3><div>886 mUKA patients from 2016 to 2022 at a single hospital system were identified. PROMs included Knee disability and Osteoarthritis Outcome Score (KOOS) for Pain, Joint Replacement (JR), and Physical function Shortform (PS), Achievement of the Minimal Clinically Important Difference (MCID), and Patient Acceptable Symptom State (PASS). Healthcare utilization was assessed by length of stay (LOS), discharge disposition (DD), readmission, and emergency department (ED) visits. Survivorship was assessed using 1- and 2-year reoperations and 1-year mortality. Multivariate regression was used to predict the effect of BMI on outcomes of interest.</div></div><div><h3>Results</h3><div>In multivariate analyses, BMI did not predict MCID-JR, PASS-PS, PASS-Pain, PASS-JR, and 90-day ED visits. There were no differences in achievement of MCID-Pain (p = 0.4), LOS (p = 0.62), DD (p = 1), 90-day readmission (p = 0.78), 1-year reoperation (p = 0.75), and 2-year reoparation (p = 1), between cases with BMI above and below 35. Class I obesity was associated with failure to achieve MCID for KOOS-PS (OR = 1.94, 95 % CI [1.02–3.67], p = 0.04).</div></div><div><h3>Conclusion</h3><div>Overall, BMI did not impact healthcare utilization, PROMs, or short term survivorship following mUKA. Therefore, using BMI as a contraindication for mUKA may be unwarranted. With the continued rise in mUKA numbers, enhanced understanding of the influence of morbid obesity on healthcare utilization, survivorship, and PROMs is needed.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"57 ","pages":"Pages 156-164"},"PeriodicalIF":2.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144886500","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":"Real-implant articulating spacers for chronic knee prosthetic joint infection have similar infection control rates as all-cement spacer constructs","authors":"Justin Wong ,&nbsp;Thomas G. Myers ,&nbsp;John G. Ginnetti ,&nbsp;Nathan Kaplan ,&nbsp;Gabriel Ramirez ,&nbsp;Benjamin F. Ricciardi","doi":"10.1016/j.knee.2025.08.001","DOIUrl":"10.1016/j.knee.2025.08.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Antibiotic eluting cement spacers are commonly used to treat prosthetic joint infection (PJI) in the setting of knee arthroplasty, however, controversy exists regarding the optimal spacer design. The purpose of this study was to evaluate: 1) post-operative 30-day complications; 2) reoperations over the study period; 3) and ultimate infection control between real-implant versus all-cement spacers in the setting of two-stage revision treatment for chronic knee PJI. We hypothesize that complications and infection control outcomes will be similar between spacer constructs.</div></div><div><h3>Methods</h3><div>This is a retrospective, tertiary referral, single-center analysis. Inclusion criteria included: chronic knee prosthetic joint infection undergoing planned two-stage revision, and minimum 1-year follow-up (mean 43 months) (<em>N</em> = 46 patients). Demographics, infection characteristics, surgical characteristics, and spacer type were collected. Multivariable logistic regressions evaluated associations of underlying demographic and treatment characteristics with outcomes.</div></div><div><h3>Results</h3><div>30-day post-operative complication rates were not different between real-implant and all-cement spacer groups. In the real-implant group, 10/29 patients (34.5 %) had 30-day complications compared to 5/17(29.4 %) of all-cement spacer group (OR 5.68; 95 % confidence interval 0.39 to 82.96; <em>p</em> = 0.723). Unexpected reoperations were also similar between the two groups with 7/17 (41.2 %) of the all-cement group and 9/29 (31 %) of the real-implant group undergoing an unexpected reoperation (OR:0.40; 95 % CI: 0.04 to 3.93; <em>p</em> = 0.065). Infection control at final follow up was similar between the two groups with 12/17 (70.6 %) of the all-cement group and 26/29 (89.7 %) of the real-implant groups achieving infection control (<em>p</em> = 0.100).</div></div><div><h3>Discussion</h3><div>We found that post-operative complications, unexpected reoperations, and infection control outcomes were similar between all-cement and real-implant spacers. These results suggest that real-implant spacers may not compromise infection control outcomes while possibly providing functional benefits to patients after Stage I treatment for chronic PJI.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"57 ","pages":"Pages 120-128"},"PeriodicalIF":2.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144879696","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":"Are joint line convergence angle and tibial slope related to bucket handle medial meniscal tear in chronic anterior cruciate ligament insufficiency?","authors":"Ufuk Arzu ,&nbsp;Muhammed Furkan Darılmaz ,&nbsp;Mehmet Ekinci ,&nbsp;Taha Kızılkurt ,&nbsp;Mehmet Emin Erdil ,&nbsp;Gökhan Polat","doi":"10.1016/j.knee.2025.08.008","DOIUrl":"10.1016/j.knee.2025.08.008","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to assess the relationship between the joint line convergence angle (JLCA), posterior tibial slope (PTS), and anatomic medial proximal tibial angle (aMPTA) with bucket handle medial meniscus tears in patients with chronic anterior cruciate ligament (ACL) deficiency. It was hypothesized that increased joint obliquity and PTS might elevate the risk of such tears in chronic ACL insufficiency.</div></div><div><h3>Methods</h3><div>A total of 120 patients, who underwent primary ACL reconstruction surgery between 2012 and 2023 due to chronic ACL deficiency (ACL injury &gt; 3 months) were retrospectively analyzed, except for those patients with isolated medial meniscal tear, isolated acute ACL injuries on primary MRI (without medial meniscus injury), combined ligamentous injuries (except for Grades 1–2 medial collateral ligament injuries), Grade 2–4 chondral injuries and lateral meniscal tears prior to the surgery on the same or opposite lower extremity. Their anatomic lateral distal femoral angle (aLDFA), aMPTA, JLCA, and PTS were measured using plain radiography and magnetic resonance imaging.</div></div><div><h3>Results</h3><div>Of the 120 patients, 75 (62.5 %) had bucket handle tears (Group 1), while 45 (37.5 %) did not (Group 2). Group 1 showed significantly higher JLCA, PTS, and aMPTA values than Group 2 (<em>p</em> = 0.004, <em>p</em> &lt; 0.001, <em>p</em> &lt; 0.001). No significant difference was observed in aLDFA (<em>p</em> = 0.131). Chronic ACL-deficient knees with joint obliquity had a 1.62 times greater risk of developing bucket handle tears.</div></div><div><h3>Conclusion</h3><div>JLCA, PTS, and MPTA are statistically significant predictors of bucket handle tear in the medial meniscus in knees with chronic ACL deficit.</div><div><strong><em>Level of evidence:</em></strong> 3, retrospective cohort study.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"57 ","pages":"Pages 165-170"},"PeriodicalIF":2.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144879694","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}