Clinical outcomes and recurrence rate of four procedures for recurrent anterior shoulder instability: ASA, “Remplissage,” Open and Arthroscopic Latarjet. A Multicenter study.
The aim of the present study was to compare the clinical outcomes of four surgical techniques in patients with recurrent anterior shoulder dislocation, glenoid bone loss (GBL)3. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - December 3, 2022 Category: Orthopaedics Authors: Marco Maiotti, Andrea De Vita, Massimo De Benedetto, Simone Cerciello, Carlo Massoni, Angelo Di Giunta, Francesco Raffelini, Riccardo Lo Cascio, Piergiorgio Pirani, Roberto Castricini Tags: Original Article Source Type: research

IJERPH, Vol. 19, Pages 16127: Smoking Has No Influence on Outcomes after Repair of the Medial Meniscus in the Hypo and Avascular Zones & mdash;A Pilot Study
This study included 50 consecutive patients with isolated, traumatic tear of the medial meniscus who underwent knee joint arthroscopy between 2016 and 2019. All-inside arthroscopic repair of the medial meniscus was performed in each case. All patients followed a uniform, postoperative rehabilitation protocol for 8 weeks. The follow-up examination was based on the functional scores at 3 and 6 months postoperatively. According to smoking status there were 17 smokers and 33 non-smokers. The mean number of cigarettes smoked per day was 11, for a mean of 7.4 years, and the mean pack-years index value was 4.9. There was no corre...
Source: International Journal of Environmental Research and Public Health - December 2, 2022 Category: Environmental Health Authors: Jan Zabrzy ński Łukasz Paczesny Agnieszka Zabrzy ńska Gazi Huri Kamil Grabo ń Tomasz Pielak Jacek Kruczy ński Łukasz Łapaj Tags: Article Source Type: research

Delayed ACL reconstruction increases rates of concomitant procedures and risk of subsequent surgery
ConclusionThe majority of patients undergo ACL reconstruction within 2  months of initial ACL tear diagnosis. Delayed surgery greater than 6 months after the diagnosis of an ACL rupture leads to increased need for concomitant meniscectomy as well as higher risk for revision ACLR within 2 years, but immediate surgery may increase risk for knee arthrofibrosis.Level of evidenceIV (Source: Knee Surgery, Sports Traumatology, Arthroscopy)
Source: Knee Surgery, Sports Traumatology, Arthroscopy - December 2, 2022 Category: Orthopaedics Source Type: research

Mismatch between trochlear coronal alignment of arthritic knees and currently available prosthesis: a morphological analysis of 4116 knees and 45 implant designs
ConclusionThis study shows a significant mismatch between native and prosthetic trochlear angles. A relevant proportion of the studied knees (41.45%) fall out of the trochlear angle range of currently available implants; representing a potential source for biomechanical imbalance. While further research is warranted to fully understand the clinical implications of the present study, manufacturers may need to take these findings into account for future implant designs.Level of evidenceLevel III, retrospective cohort study. (Source: Knee Surgery, Sports Traumatology, Arthroscopy)
Source: Knee Surgery, Sports Traumatology, Arthroscopy - December 2, 2022 Category: Orthopaedics Source Type: research

Waste not, want not: assessing the impact of arthroscopic waste
Br J Surg. 2022 Dec 1:znac427. doi: 10.1093/bjs/znac427. Online ahead of print.NO ABSTRACTPMID:36453070 | DOI:10.1093/bjs/znac427 (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - December 1, 2022 Category: Surgery Authors: Siddharth Shah Holly Morris Nic Nicolaou Scott MacInnes Paul Haslam Shantanu Shahane Fazal Ali Joe Garcia Source Type: research

Comparing Patient-Reported Outcomes on Three-Ligament Tenodesis between Partial and Complete Scapholunate Ligament Injuries: A Cohort Study
CONCLUSIONS: Patients with complete and partial traumatic SLIL injury report better PRWE total scores at 12 months after 3-LT, but there was no statistically significant difference between the groups in PRWE scores or satisfaction with the treatment result.TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.PMID:36456426 | DOI:10.1016/j.jhsa.2022.09.012 (Source: Hand Surgery)
Source: Hand Surgery - December 1, 2022 Category: Surgery Authors: Stefanie N Hakkesteegt Mark J W van der Oest Kas N Dullemans Liron S Duraku Caroline A Hundepool Ruud W Selles Reinier Feitz J Michiel Zuidam Hand-Wrist Study Group Source Type: research

Waste not, want not: assessing the impact of arthroscopic waste
Br J Surg. 2022 Dec 1:znac427. doi: 10.1093/bjs/znac427. Online ahead of print.NO ABSTRACTPMID:36453070 | DOI:10.1093/bjs/znac427 (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - December 1, 2022 Category: Surgery Authors: Siddharth Shah Holly Morris Nic Nicolaou Scott MacInnes Paul Haslam Shantanu Shahane Fazal Ali Joe Garcia Source Type: research

Proinflammatory cytokines levels in patients with temporomandibular joint disorder undergoing arthroscopy
ConclusionAn increase in inflammatory cytokines coupled with chondromalacia propose a more aggressive degenerative disease. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - December 1, 2022 Category: ENT & OMF Source Type: research

Medial patellofemoral ligament reconstruction combined with derotational distal femoral osteotomy yields better outcomes than isolated procedures in patellar dislocation with increased femoral anteversion
ConclusionBoth isolated MPFLR and MPFLR combined with DDFO yielded satisfactory clinical and radiological outcomes in the treatment of patellar dislocation with increased FA. However, combined DDFO had better outcomes and should be considered a priority.Level of evidenceLevel III. (Source: Knee Surgery, Sports Traumatology, Arthroscopy)
Source: Knee Surgery, Sports Traumatology, Arthroscopy - December 1, 2022 Category: Orthopaedics Source Type: research

The prevalence, classification, radiological and arthroscopic findings of intratendinous subscapularis tears
ConclusionUnderstanding features of pre-operative MRI, physical examination and arthroscopic view is helpful to identify inSSC tears. Arthroscopic repair yielded satisfactory clinical outcomes in patients with inSSC tears.Level of evidenceLevel IV. (Source: Knee Surgery, Sports Traumatology, Arthroscopy)
Source: Knee Surgery, Sports Traumatology, Arthroscopy - December 1, 2022 Category: Orthopaedics Source Type: research

Extended skin cleaning on the shoulder with chlorhexidine reduces the cutaneous bacterial load but fails to decrease suture contamination in patients undergoing arthroscopy rotator cuff repair
To investigate whether preoperative skin cleaning of the chin, neck, and chest with chlorhexidine soap could reduce suture contamination by Cutibacterium acnes (C. acnes) in patients undergoing arthroscopic rotator cuff repair. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - December 1, 2022 Category: Orthopaedics Authors: Chih-Kai Hong, Kai-Lan Hsu, Fa-Chuan Kuan, Ya-Ting Lee, Pei-Fang Tsai, Po-Lin Chen, Wei-Ren Su Tags: Original Article Source Type: research

Correction to: Letter to the editor
(Source: Knee Surgery, Sports Traumatology, Arthroscopy)
Source: Knee Surgery, Sports Traumatology, Arthroscopy - December 1, 2022 Category: Orthopaedics Source Type: research

Editorial Commentary: External Fixation and/or Vascular Injury Is Associated With Postoperative Arthrofibrosis After Multiple-Ligament Knee Injury Reconstruction
Patients with a body mass index over 30 do not have a significant increase in postoperative arthrofibrosis after multiple-ligament knee injury (MLKI) reconstruction compared with patients with a body mass index under 30. However, although this may be associated with the severity of injury, recent research has shown that patients who undergo external fixation at index surgery and/or who have vascular injury are at increased risk of requiring manipulation under anesthesia. This finding is clinically significant in that it is reassuring that stiffness requiring manipulation is no more likely to develop in obese patients than ...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - November 30, 2022 Category: Surgery Authors: Claude T. Moorman Tags: Editorial Commentary Source Type: research

Editorial Commentary: Prophylaxis Against Deep Venous Thrombosis Should Be the Norm After Knee Arthroscopy
Knee arthroscopy has low complication rates overall, and most complications are not overly disabling. Yet one of the most concerning complications is venous thromboembolism, and pulmonary embolism (PE), in particular. The combination of low rate of venous thromboembolism in knee arthroscopy but high potential cost in the event of PE makes for a challenging risk-benefit analysis in the decision for whether to use thromboprophylaxis. Research is inherently difficult due to the infrequency of deep venous thrombosis and PE, leaving orthopaedic surgeons to fill in the gaps with clinical judgement. (Source: Arthroscopy - Journal...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - November 30, 2022 Category: Surgery Authors: Ian D. Engler Tags: Editorial Commentary Source Type: research

Editorial Commentary: Causes of Patient Dissatisfaction May Be Modifiable
Adapting Tolstoy, “Satisfied patients are all alike; every dissatisfied patient is dissatisfied in their own way.” We need to learn the reasons why patients are dissatisfied. Whereas happy patients receive the same procedures for similar indications as unhappy patients, evidence supports a clear association betwe en negative psychological function and worse preoperative and postoperative patient-reported outcome measures. Thus, the unhappy patient might be where we can make most improvement in patient care. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - November 30, 2022 Category: Surgery Authors: Jefferson Brand, Rich Hardy Tags: Editorial Commentary Source Type: research