Daniel P Berthold, Markus Bormann
The significance of psychological factors in orthopaedic surgery has long been underestimated. High psychological resilience plays a significant role in achieving a positive postoperative outcome in terms of mental health, pain, and functional outcomes. This underscores the need for a more holistic approach to patient care, one that considers not only the physical aspects of treatment but also the emotional and psychological well-being of patients. This may involve implementing strategies to enhance resilience, providing support resources for coping with the challenges of surgery and recovery, and fostering open communication between patients and healthcare providers...
April 12, 2024: Arthroscopy
Xiali Xue, Xinwei Yang, Qingfa Song, Amila Kuati, Zhongyi Deng, Guoqing Cui
PURPOSE: To evaluate the effectiveness and safety of arthroscopic surgery combined with platelet-rich plasma (PRP) compared to arthroscopic surgery alone in the treatment of patients with full-thickness rotator cuff tears (RCT). METHODS: The Cochrane Library, PubMed, Embase, Scopus, EBSCO, Web of Science, CNKI, and Wanfang Database were systematically searched from inception to November 2023. Subject words combined with free words were used to collect randomized controlled trials focusing on arthroscopic surgery combined with platelet-rich plasma (PRP) in the treatment of full-thickness RCT...
April 10, 2024: Arthroscopy
Erik Hohmann
Knee osteoarthritis (OA) affects 30% of individuals over 60 and 40% over 70 years old. The incidence of radiological knee OA is 373 per 10,000 person-years, but symptomatic knee OA registers as a considerably lower rate of 50 per 10,000 person-years. For symptomatic cases that are not candidates for surgical intervention, various treatment options include exercise, weight loss, pharmacological management, bracing, physical therapy, oral supplementation, and intra-articular injection with corticosteroids, hyaluronic acid, or orthobiologics such as platelet-rich plasma (PRP)...
April 9, 2024: Arthroscopy
James H Lubowitz, Michael J Rossi, Elizabeth Matzkin
Authors may have the misconception that the purpose of peer review is to serve as an arbiter or referee, or in other words, to make a binary, Accept After Revision versus Reject, decision whether or not an article will be published in our journal. In truth, while making that difficult decision is part of the process, it is only a part. The principal goal of peer review is to make articles better.
April 9, 2024: Arthroscopy
Omair Kazi, Kyleen Jan, Michael J Vogel, Joshua Wright-Chisem, Richard M Danilkowicz, Derrick M Knapik, Shane J Nho
PURPOSE: To evaluate patient-reported outcomes (PROs) and survivorship at mid-term follow-up after hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS) in patients with and without preoperative lower back pain (LBP). METHODS: Patients with self-endorsed preoperative LBP who underwent HA for FAIS with mid-term follow-up were identified and propensity matched 1:1 to patients without back pain by age, sex, and body mass index. PROs collected preoperatively and at postoperative years 1, 2, and 5 included: Hip Outcome Score Activities of Daily Living (HOS-ADL) and Sports Subscale (HOS-SS), International Hip Outcome Score 12 (iHOT-12), modified Harris Hip Score (mHHS), Visual Analog Scale (VAS) for Pain...
April 9, 2024: Arthroscopy
Viktor Weninger, Gergely Agócs, Norbert Kovács, Szilárd Váncsa, Luca Hergár, Chan Ju Baek, Péter Hegyi, Gergely Holnapy, Gábor Skaliczki
PURPOSE: We conducted our network meta-analysis to compare the efficacy of the steroid injections to other injectable therapies in partial-thickness rotator cuff tears (PTRCTs). METHODS: A systematic literature search was performed until October 25, 2021 in three databases (CENTRAL, Embase, MEDLINE). Eligible studies compared the efficacy of steroid, hyaluronic acid (HA), platelet-rich plasma (PRP), the combination of HA and PRP (HA+PRP), and adipose-derived regenerative cells (ADRC) in RC tears...
April 8, 2024: Arthroscopy
Alexander B Alvero, Jimmy J Chan, Michael J Vogel, Jordan H Larson, Shane J Nho
PURPOSE: To identify whether 6-month outcomes following hip arthroscopy for FAIS correlate with outcomes at minimum 10-year follow-up. METHODS: Patients who underwent primary hip arthroscopy for FAIS from 2012-2013 were reviewed and included if they had 6-month and minimum 10-year follow-up. Patient-reported outcome (PRO) measures included Hip Outcome Score Activities of Daily Living (HOS-ADL) and Sports-Specific (HOS-SS) subscales, modified Harris Hip Score (mHHS), and Visual Analog Scales for Pain (VAS-P) and Satisfaction (VAS-S)...
April 8, 2024: Arthroscopy
Gaoming Liu, Yusheng Li, Shide Jiang, Wenhao Lu, Mahamat Hassan Yacoub Hassan, Anko Elijah Essien, Volotovski Pavel, Wenfeng Xiao, Cheng Huang
PURPOSE: The purpose of this study is to compare the accuracy of 3D magnetic resonance imaging (MRI) with that of 3D CT in evaluating glenoid bone loss (GBL). METHODS: This review aligned with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. PubMed, the Cochrane Library, Embase, and Web of Science were obtained from data inception to Aug 28, 2023. The search term "glenoid bone loss" was extracted and analyzed via stringent inclusion and exclusion criteria...
April 8, 2024: Arthroscopy
Ashish Gupta, Kristine Italia, Mohammad N Jomaa, Andrew M Ker, Roberto Pareyon, Amaris En-Hui Tok, Jashint Maharaj, Sarah L Whitehouse, Kenneth Cutbush
PURPOSE: The purpose of this study was to evaluate the clinical and radiographic outcomes of an all-arthroscopic rotator cuff repair technique involving muscle advancement and double-layer lasso loop (DLLL) repair for massive, retracted posterosuperior cuff tears. METHODS: This is a retrospective case series of patients with massive, retracted posterosuperior cuff tears who underwent the all-arthroscopic muscle advancement technique from March 2017 to September 2021, with minimum follow-up of 12 months...
April 8, 2024: Arthroscopy
Garrett R Jackson, Colton C Mowers, Divesh Sachdev, Derrick M Knapik, Hans Lapica, Vani J Sabesan
PURPOSE: To systematically review the literature to provide an updated evaluation of postoperative clinical outcomes, return to play, and postoperative complications following primary ulnar collateral ligament reconstruction (UCLR) in throwing and non-throwing athletes at a minimum two-year follow-up. METHODS: A literature search was performed on November 25th , 2023, by querying EMBASE, PubMed, and Scopus online databases using the 2020 Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines...
April 8, 2024: Arthroscopy
Matthew J Kraeutler, Ryan S Marder, Sydney M Fasulo, Iciar M Dávila Castrodad, Omer Mei-Dan, Anthony J Scillia
PURPOSE: To prospectively compare the short-term clinical outcomes of patients undergoing hip arthroscopy with versus without the use of a perineal post. METHODS: A prospective, single-surgeon cohort study was performed on a subset of patients undergoing hip arthroscopy between 2020 and 2022. A post-free hip distraction system was used at one center at which the senior author operates, and a perineal post was used at another surgical location. An electronic survey of Patient-Reported Outcome Measures (PROMs) was completed by each patient at a minimum of 1 year postoperatively...
April 8, 2024: Arthroscopy
Liam A Peebles, Nigel O Blackwood, Arjun Verma, Michael J O'Brien, David M Lintner, Matthew J Kraeutler
PURPOSE: To perform a systematic review evaluating clinical outcomes in patients undergoing medial ulnar collateral ligament reconstruction (MUCLR) with soft tissue allograft. METHODS: A systematic review of the literature was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The primary outcomes evaluated were patient-reported outcome scores, return to play (RTP) rates, incidence of postoperative complications, and rates of graft rupture or mechanical failure...
April 7, 2024: Arthroscopy
Vani J Sabesan, Alessia Lavin, Gabriel Lama, Akshay V Daji, Clyde K Fomunung, Carlos A Fernandez, Garrett R Jackson, Lisa K Cannada
PURPOSE: To identify residency program characteristics, including the presence of underrepresented minority in medicine (URiM) and/or female Program Director's influence on the race and sex distribution of Orthopaedic Surgery Residency trainees. METHODS: All active and ACGME-accredited orthopaedic surgery residency programs from 2017-2021 that reported usable information on the Residency Explorer Tool were included. Data collected included program characteristics, faculty and resident sex distribution, ethnicity, race, and demographic characteristics...
April 7, 2024: Arthroscopy
Thun Itthipanichpong, Kittitat Jaidee, Pawarit Wipaswatcharayotin, Danaithep Limskul, Samarth Venkata Menta, Thanathep Tanpowpong, Somsak Kuptniratsaikul, Anil S Ranawat, Napatpong Thamrongskulsiri
PURPOSE: To determine the effect of hip external rotation or extension/adduction on minimizing the ischiofemoral distance (IFD) and assess the correlation between cadaveric and fluoroscopic IFD measurements in difference hip positions. METHODS: This cadaveric study involved 33 hip joints from 17 embalmed cadavers. IFD, the distance between the lesser trochanter and lateral ischium, was measured in different hip positions: neutral, external rotation at 30° and external rotation at 60° with the hip in both neutral extension and adduction as well as 10° hip extension and 10° hip adduction...
April 7, 2024: Arthroscopy
Justin J Greiner
Hip labral reconstruction aims to replace an irreparable or insufficient labrum with the goal of restoring the native function of the labrum and thus contribute to hip preservation. Multiple studies have reported success and improved outcomes with labral reconstruction both in primary and revision settings. The function of the labrum includes providing additional soft tissue coverage of the femoral head, and contributing to regulation of fluid dynamics within the hip joint through the "suction seal." Labral tears and insufficiency alter hip joint biomechanics which could result in hip microinstability and joint degeneration...
April 5, 2024: Arthroscopy
Eric Berkson, Evan O'Donnell, Mark Cote, Augustus D Mazzocca
Ulnar collateral ligaments (UCL) tears have moved from a career ending injury to one where success is almost expected from reconstruction. In reality, though, success from a UCL reconstruction is not guaranteed. As we have attempted to assess the true success rate of UCL reconstructions we have also learned the difficulties of this assessment. Rates of return to sport after ulnar collateral ligament reconstruction vary by level of play, the primary or revision status of the repair along with the specific surgical techniques performed, the chronicity of the tear, the rehab protocols associated with the surgery, and more...
April 5, 2024: Arthroscopy
Christopher A Schneble
Cartilage restoration procedures have gained increased traction over the years as a treatment for chondral defects in relatively younger patients. A critical assessment of study populations for confounders is vital in order to interpret results in a valid manner. This is particularly true when assessing outcomes of cartilage restoration procedures in the patellofemoral compartment given substantial heterogeneity amongst patients within study populations. Patients often undergo additional procedures (prior or concomitant), have variable anatomy (malalignment, maltracking, and trochlear dysplasia), and variable chondral defect sizes, depths, and locations (lateral patellar facet, medial patellar facet, median patellar ridge, trochlea)...
March 28, 2024: Arthroscopy
Berkcan Akpinar
Patients undergoing endoscopic gluteus medius and/or minimus (GM) repair with concomitant arthroscopic labral management have been reported to achieve excellent improvement in symptoms and outcome at as far as 5- to 10-year long-term follow up. While clinical outcomes at two years and onward are successful, few studies investigate how quickly patients improve after surgery. Most patients undergoing gluteus medius and/or minimus for predominantly partial thickness tears achieve minimal clinically important differences as early as 6 months post-operatively, and a minimum of one year is needed for the majority of patients to achieve a patient acceptable symptomatic state...
March 27, 2024: Arthroscopy
Michael Kimmeyer, Tilman Hees, Geert-Alexander Buijze, Laurent Lafosse, Thibault Lafosse
PURPOSE: The aim of this study was to evaluate the clinical and radiological outcomes in the treatment of acute acromioclavicular joint (ACJ) separations using an all-endoscopic double cerclage endobutton technique compared to an arthroscopic-assisted single bundle endobutton technique. The secondary aim was to analyze the complication, failure and revision rate of both procedures. MATERIAL AND METHODS: All patients with acute ACJ separations Rockwood IIIB and V who were operated on using an all-endoscopic double-cerclage technique (2019-2022) or an arthroscopic-assisted single bundle technique (2017-2019) were included...
March 26, 2024: Arthroscopy
Victor Vaquerizo
No abstract text is available yet for this article.
March 25, 2024: Arthroscopy
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