Arthroscopy

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...

No abstract text is available yet for this article.

Diminished hip labrum size and tissue quality may be a predictor of poor patient outcomes when a nonaugmented primary labrum repair is performed. Labrum augmentation is an option for patients with hypoplastic or degenerative labral tissue. The optimal graft for augmentation has yet to be identified, and biomechanical research shows no difference in force to suction seal disruption between dermal allograft and iliotibial band allograft when used to augment the labrum. However, time zero biomechanical studies do not reflect biological ability of the graft to heal to surrounding structures, revascularization of the graft, durability of the graft, hip capsular status, and response to functional demands of the patient...

Bacterial contamination, as a result of suture contamination, may be associated with rotator cuff retear, or impaired tendon healing, following rotator cuff repair. This represents a potential new area of focus and intervention. Despite an array of rotator cuff repair techniques, from varying suture configurations and double row repairs to biologic adjuncts and patches, a substantial proportion of repairs do not heal or go on to retear. Decades of research have been dedicated to identifying risk factors for these failures and mitigating their influence...

PURPOSE: To (1) evaluate and synthesize the available literature related to platelet-rich plasma (PRP) treatment of knee pathologies and (2) provide recommendations to inform future research in the field. METHODS: PubMed, CINAHL, and Scopus databases were queried on October 6, 2023. All identified citations were collated and uploaded into Covidence for screening and data extraction. Studies were included if they were human studies published in English with adult cohorts that received PRP as a procedural injection or surgical augmentation for knee pathologies with patient-reported outcome measures (PROMs) and level of evidence I-IV...

PURPOSE: The purpose of this study is to assess the current literature surrounding suture tape augmentation (STA) of posterior cruciate ligament reconstruction (PCLR) with additional evaluation of PCLR+STA in clinical practice. METHODS: A systematic search of three databases (PubMed, EMBASE, and Web of Science Core Collection) was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and was completed April 2023 to identify studies related to PCLR+STA...

No abstract text is available yet for this article.

PURPOSE: To systematically review the literature to assess heterogeneity of platelet-rich plasma (PRP) preparation and composition reporting for the treatment of musculoskeletal/orthopaedic pathologies. METHODS: A systematic review was performed by searching PubMed, the Cochrane Library, and Embase to identify Level I and Level II studies from 2016 to 2022 that evaluated the utilization of PRP therapy for musculoskeletal pathologies. The search phrase used was "platelet-rich plasma clinical studies"...

PURPOSE: To evaluate the histologic healing process and mechanical characteristics of the interface between a fascia lata autograft and supraspinatus muscle by establishing a supraspinatus tendon reconstruction model for chronic massive, irreparable rotator cuff tears (MIRCTs). METHODS: A total of 40 rats were studied. Eight rats were sacrificed to establish an intact control group, and the other rats were first established as the chronic MIRCTs model and then developed as the supraspinatus tendon reconstruction model...

PURPOSE: To provide an update on the incidence and extent of graft extrusion following meniscus allograft transplantation (MAT) and to systematically review the literature to identify if the type of root fixation or additional surgical techniques may reduce the risk of developing graft extrusion. METHODS: A systematic search, in accordance with the PRISMA guidelines, was conducted using the MEDLINE, EMBASE, Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials (CENTRAL) databases...

Massive rotator cuff tears (MRCTs) are a challenge to treat with options from arthroscopic rotator cuff repair to reverse shoulder arthroplasty. Arthroscopic repair may still be an option even in the setting of advanced Goutallier changes and Hamada grades and regardless of healing. As the lifetime risk of revision for a 55 year old patient having an RSA was approximately 1 in 3, arthroscopic surgical management of MRCTs should not be discounted. An individualized approach that should consider the patient's radiographs (severity of arthritis), function (i...

Recent research shows that magnetic resonance arthrogram (MRA) offers better definition of certain shoulder pathology, especially labral tears, compared to magnetic resonance imaging (MRI). Conventional MRI accuracy and precision deteriorates after two weeks, and few health delivery environments achieve MRI within 14 days of a shoulder dislocation. Moreover, further loss of MRI accuracy is time dependent. While MRA should be considered as a first-line imaging study when evaluating shoulder instability more than two weeks after the patient's injury, one must also consider clinical value and cost-effectiveness...

PURPOSE: To compare pre- and post-operative findings between patients undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS) with lateral impingement versus those without lateral impingement METHODS: Patients who underwent primary hip arthroscopy for FAIS between 2012-2017 with minimum 5-year follow-up were included. Alpha angle (AA) was measured on preoperative AP and 90° Dunn radiographs. Patients with AA > 60° on Dunn view but not AP view (no lateral impingement) were propensity matched by sex, age, and BMI in a 1:3 ratio to patients with AA > 60° on both views (lateral impingement)...

PURPOSE: To evaluate ≥ 2-year patient outcomes following primary all-soft tissue quadriceps tendon autograft (ASTQ) anterior cruciate ligament reconstruction (ACLR) with suture tape augmentation (STA) in skeletally mature high school and collegiate athletes. METHODS: All high school and collegiate athletes who underwent primary ASQT ACLR with STA with a minimum of 2-year follow-up were analyzed retrospectively. Patients were administered validated PROMs pre- and postoperatively...

In recent years, there has been a shift in healthcare away from the fee-for-service model to a value-based care model. Concomitantly, there have been changes in inflation-adjusted surgeon reimbursements for arthroscopic meniscectomies. Nationally, albeit at different rates, there has been a decrease in partial meniscectomy utilization. We feel that this is in part due to the change in healthcare economics and reimbursements as well as the growing evidence that partial meniscectomy may not be as efficacious in the treatment of degenerative meniscus tears as we once thought...

PURPOSE: To determine if the platelet dose administered during a platelet-rich plasma (PRP) injection for knee osteoarthritis (OA) impacts clinical outcomes. METHODS: A systematic review was performed by searching PubMed, Cochrane Library, and Embase for randomized controlled trials with at least one study arm using PRP for knee OA. Only studies that provided a platelet count, concentration, or dose with a minimum of 6-month outcome scores were included. Studies in which the PRP group had statistically significant positive outcomes were separated from those without statistical significance...

PURPOSE: To evaluate the clinical and structural outcomes of using injectable atelocollagen during arthroscopic rotator cuff repair (ARCR) for small to medium-sized rotator cuff tears. METHODS: This retrospective study reviewed patients with small to medium size full-thickness tears who underwent ARCR from 2016 to 2022 with minimum 1 year follow-up. Propensity score (PS) matching was used to reduce bias. Tendon integrity was evaluated using magnetic resonance imaging (MRI) at postoperative 6 months...

PURPOSE: To (1) compare the efficacy of immersive virtual reality (iVR) to nonimmersive virtual reality (non-iVR) training in hip arthroscopy on procedural and knowledge-based skills acquisition and (2) evaluate the relative cost of each platform. METHODS: Fourteen orthopaedic surgery residents were randomized to simulation training utilizing an iVR Hip Arthroscopy Simulator (n = 7; PrecisionOS) or non-iVR simulator (n = 7; ArthroS Hip VR; VirtaMed). After training, performance was assessed on a cadaver by 4 expert hip arthroscopists through arthroscopic video review of a diagnostic hip arthroscopy...

PURPOSE: To evaluate sex-based differences in 30-day postoperative emergency department (ED) visits, 90-day complications, and two-year secondary surgery rates following the Latarjet procedure for the treatment of recurrent shoulder instability. METHODS: A national administrative claims database was used to identify patients with International Classification of Diseases (ICD)-10 diagnosis codes for shoulder subluxation or dislocation on the day of first-time stabilization with the Latarjet technique between 2015 and 2021...

PURPOSE: To report the clinical outcomes of arthroscopic debridement for the treatment of Kellgren Lawrence (KL) grades I and II (mild), and III (moderate) knee osteoarthritis (OA) at minimum 1-year follow-up. METHODS: A systematic review of primary literature was performed in concordance with PRISMA guidelines using the Medline, Embase, and Cochrane databases for studies regarding arthroscopic debridement/chondroplasty for management of knee OA at minimum 1-year follow-up...