An increased posterior slope of the medial and lateral meniscus posterior horn is associated with anterior cruciate ligament injuries
The purpose of this study was to measure slope of both the medial and lateral posterior horn of the meniscus, and its contribution to the overall resulting posterior tibial slope (bone and meniscus combined slope) in ACL-intact (ACLI) and ACL-deficient (ACLD) knees. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 5, 2021 Category: Surgery Authors: Erik Hohmann, Kevin Tetsworth, Vaida Glatt, Mthunzi Ngcelwane, Natalie Keough Source Type: research

The inverse relationship between labral size and acetabular coverage: Does it protect the cartilage in the dysplastic hip?
The aims of this study were to confirm the relationship between osseous coverage and labral size, and to investigate the severity of intra-articular damage in borderline dysplastic hips in correlation to labral size. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 5, 2021 Category: Surgery Authors: Jacob Shapira, Jeffrey W. Chen, Mitchell J. Yelton, Philip J. Rosinsky, David R. Maldonado, Mitchell B. Meghpara, Ajay C. Lall, Benjamin G. Domb Source Type: research

Bone Marrow Lesions on Preoperative MRI Correlate with Outcomes following Isolated Osteochondral Allograft Transplantation.
The purpose of this study was to investigate the role of preoperative bone marrow lesion (BML) size and location on (1) postoperative patient reported outcomes and (2) postoperative failure and time to failure after osteochondral allograft (OCA) transplantation. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 5, 2021 Category: Surgery Authors: Hailey P. Huddleston, Stephanie E. Wong, William M. Cregar, Eric D. Haunschild, Mohamad M. Alzein, Brian J. Cole, Adam B. Yanke Source Type: research

Establishing the Minimal Clinically Important Difference and Patient-Acceptable Symptomatic State after Arthroscopic Meniscal Repair and Associated Variables for Achievement
The purpose of this study is to establish the minimal clinically important difference (MCID) and patient-acceptable symptomatic state (PASS) after arthroscopic meniscal repair and identify the factors associated with achieving these outcomes. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 5, 2021 Category: Surgery Authors: Bhargavi Maheshwer, Stephanie E. Wong, Evan M. Polce, Katlynn Paul, Brian Forsythe, Charles Bush-Joseph, Bernard R. Bach, Adam B. Yanke, Brian J. Cole, Nikhil N. Verma, Jorge Chahla Source Type: research

The Superficial “Swing-Down” Quadriceps Tendon Autograft is a Viable Option for Medial Patellofemoral Ligament Reconstruction: A Systematic Review.
The purpose of this systematic review is to ascertain the reported clinical outcomes and complication profiles of medial patellofemoral ligament (MPFL) reconstruction performed using a superficial “swing-down” quadriceps tendon autograft. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 4, 2021 Category: Surgery Authors: Olumide Olotu, Ali Siddiqui, Devin Peterson, Darren de Source Type: research

The Incidence of Hip Arthroscopy in Patients with Femoroacetabular Impingement Syndrome and Labral Pathology Increased by 85% Between 2011 and 2018 in the United States
The purpose of this study was to investigate the incidence of hip arthroscopy in patients with labral pathology in the United States from the year 2011-2018 using a large national database. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 4, 2021 Category: Surgery Authors: Mikhail Zusmanovich, William Haselman, Brian Serrano, Michael Banffy Source Type: research

The effect of rim preparation, labral augmentation and labral reconstruction on the suction seal of the hip
To evaluate the biomechanical properties of the labral suction seal in the native labrum and after rim preparation, labral augmentation, and labral reconstruction. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 4, 2021 Category: Surgery Authors: Sunikom Suppauksorn, Kevin C. Parvaresh, Jonathan Rasio, Elizabeth F. Shewman, Shane J. Nho Source Type: research

Femoro-Epiphyseal Acetabular Roof (FEAR) index and anterior acetabular coverage correlate with labral length in developmental dysplasia of the hip
The aim of this study was to evaluate the association between labral length and radiographic parameters of lateral and anterior acetabular coverage and the femoro-epiphyseal acetabular roof (FEAR) index in patients with developmental dysplasia of the hip (DDH). (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 4, 2021 Category: Surgery Authors: Yuichi Kuroda, Shingo Hashimoto, Masayoshi Saito, Tomoyuki Matsumoto, Naoki Nakano, Ryosuke Kuroda, Shinya Hayashi Source Type: research

Suture Tape Augmentation Improves the Biomechanical Performance of Bone-Patellar Tendon-Bone Grafts Used for Anterior Cruciate Ligament Reconstruction
The purpose of this study was to investigate the time-zero biomechanical properties (stiffness, displacement and load at failure) of bone-patellar tendon-bone (BTB) grafts used for anterior cruciate ligament (ACL) reconstruction with and without suture tape augmentation as a means to determine the potential clinical benefit of this technique. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 4, 2021 Category: Surgery Authors: Matthew J. Matava, Jonathan Koscso, Lucia Melara, Ljiljana Bogunovic Source Type: research

Trochlear Dysplasia As Shown By Increased Sulcus Angle is Associated with Osteochondral Damage in Patients with Patellar Instability
The primary objective was to describe the incidence of osteochondral damage in our cohort of patients with patellar instability. The second was to assesss for associations between patient demographics, duration of patellar instability, and quantitative radiographic measurements of anatomic risk factors for patellar instability and osteochondral damage. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 4, 2021 Category: Surgery Authors: Lilah Fones, Andrew E. Jimenez, Chris Cheng, Nicole Chevalier, Michael B. Brimacombe, Andrew Cohen, J. Lee Pace Source Type: research

Autologous Platelet-rich Fibrin Membrane to Augment Healing of Microfracture Has Better Macroscopic and Histological Grades Compared to Microfracture Alone on Chondral Defects in a Rabbit Model
To determine the in vivo effectiveness of a single-stage surgery that combines microfracture and an autologous platelet-rich fibrin (PRF) membrane for cartilage repair in a rabbit model. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 4, 2021 Category: Surgery Authors: Takuya Kinoshita, Yusuke Hashimoto, Kumi Orita, Yohei Nishida, Kazuya Nishino, Hiroaki Nakamura Source Type: research

Latarjet after Failed Arthroscopic Bankart Repair Results in Twice the Rate of Recurrent Instability Compared to Primary Latarjet
The purpose of this study was to assess recurrent instability of the shoulder following open Latarjet performed as the primary stabilization procedure or as a salvage procedure. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 4, 2021 Category: Surgery Authors: Daniel L. Rodkey, Donald F. Colantonio, Lance E. LeClere, Kelly G. Kilcoyne, Jonathan F. Dickens Source Type: research

Live Observational Objective Assessment of Operative Performance in a Cadaveric Model is Equivalent to Delayed Video-Based Assessment
The purpose of our study was to compare real time, live observational scoring with delayed retrospective video review of operative performance, and to determine if the evaluation method affected attainment of proficiency benchmarks. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 4, 2021 Category: Surgery Authors: Richard L. Angelo, Pat St. Pierre, Joe Tauro, Anthony G. Gallagher Source Type: research

The Efficacy of Platelet-Rich Plasma on Improving Pain and Function for Lateral Epicondylitis: A Systematic Review and Meta-analysis with Risk-of-Bias Assessment
To assess the efficacy of PRP for lateral epicondylitis and evaluate its impact on pain and functional outcomes. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 4, 2021 Category: Surgery Authors: Xiao T. Chen, William Fang, Ian A. Jones, Nathanael D. Heckmann, Caron Park, C. Thomas Vangsness Source Type: research

Lack of Conclusive Evidence of the Benefit of Biologic Augmentation in Core Decompression for Nontraumatic Osteonecrosis of the Femoral Head: A Systematic Review
To assess whether biologic augmentation in addition to core decompression (CD), compared to CD alone, improves clinical and radiographic outcomes in the treatment of nontraumatic osteonecrosis of the femoral head (ONFH). Our hypothesis was that biologic augmentation would reduce the progression of osteonecrosis and therefore also the rate of conversion to THA. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 4, 2021 Category: Surgery Authors: Octavian Andronic, Cesar A. Hincapi é, Marco D. Burkhard, Rafael Loucas, Marios Loucas, Emanuel Ried, Stefan Rahm, Patrick O. Zingg Source Type: research

Superior capsular reconstruction with autologous fascia lata using single lateral row technique is an effective option in massive irreparable rotator cuff tears. Minimum two-year follow-up.
The purpose of this study is to evaluate clinical and radiological outcomes of arthroscopic superior capsular reconstruction (ASCR) with fascia lata autograft in patients with irreparable rotator cuff tears (IRCT) performed with a single lateral row fixation technique. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 3, 2021 Category: Surgery Authors: Jose Francisco Alarcon, Bastian Uribe-Echevarria, Carlos Clares, Daniel Apablaza, Juan Carlos Vargas, Sergio Benavetne, Viviana Rivera Source Type: research

The Everted Acetabular Labrum: Patho-anatomy, Magnetic Resonance Imaging, and Arthroscopic Findings of a Native Variant
The purpose of this study was to introduce a native labral variant, the everted acetabular labrum, and describe the patho-anatomy, magnetic resonance imaging/arthrogram (MRI/MRA) characteristics, and arthroscopic findings of this condition. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 3, 2021 Category: Surgery Authors: Laura A. Vogel, Matthew J. Kraeutler, Mary K. Jesse, Corey K. Ho, Darby A. Houck, Tigran Garabekyan, Omer Mei-Dan Source Type: research

Triple-Row Technique Confers a Lower Re-tear Rate than Standard Suture Bridge Technique in Arthroscopic Rotator Cuff Repairs
The purpose of the study is to compare the structural and clinical results between the knotless suture bridge (SB) and triple-row (TR) techniques. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 3, 2021 Category: Surgery Authors: Makoto Tanaka, Hiroto Hanai, Yuki Kotani, Kosuke Kuratani, Kota Koizumi, Kenji Hayashida Source Type: research

Return to Play and Re-Injury Rates in NCAA Division I Football Players Following Anterior Cruciate Ligament Reconstruction Using Hamstring Autograft
The purpose of this study was to examine the outcomes of ACL reconstruction using quadrupled hamstring (QH) autograft in a cohort of National Collegiate Athletic Association (NCAA) Division I football players. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 3, 2021 Category: Surgery Authors: Kirk W. Jeffers, Sagar A. Shah, Derek D. Calvert, Nathan P. Lemoine, Jack Marucci, Shelly Mullenix, Robert D. Zura, Brent Bankston, Larry S. Bankston Source Type: research

To improve pain and function, platelet-rich plasma injections may be an alternative to surgery for treating lateral epicondylitis: A systematic review
To determine if platelet-rich plasma (PRP) injection for lateral epicondylitis (LE) offers patients comparable outcomes to lateral epicondylar surgery. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 3, 2021 Category: Surgery Authors: Richard Hardy, Aerika Tori, Hannah Fuchs, Taiyo Larson, Jefferson Brand, Emily Monroe Source Type: research

Intraoperative Computer Vision Integrated Interactive Fluoroscopy Correlates with Successful Femoroplasty on Clinic-based Radiographs
The purpose of this study was to quantitatively evaluate computer vision interface (CVI)-guided femoroplasty in the arthroscopic treatment of femoroacetabular impingement syndrome (FAIS) and compare those results with traditional unguided resections. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 2, 2021 Category: Surgery Authors: Austin M. Looney, Daniel M. Wichman, Kevin C. Parvaresh, Thomas D. Alter, Shane J. Nho Source Type: research

Hip Capsular Management in Patients with Femoroacetabular Impingement or Microinstability: A Systematic Review of Biomechanical Studies
To investigate the correlation between hip capsular management (repair or reconstruction) and biomechanical results in the setting of femoroacetabular impingement and microinstability. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 30, 2021 Category: Surgery Authors: Andrew E. Jimenez, Jade S. Owens, Jacob Shapira, Benjamin R. Saks, Hari K. Ankem, Payam W. Sabetian, Ajay C. Lall, Benjamin G. Domb Source Type: research

Nicotine Exposure Via Electronic Cigarettes Significantly Impedes Biomechanical Healing Properties of Tendon Healing in a Rat Model
The purpose of this study was to evaluate the biomechanical and histological effects on Achilles tendon repair between inhaled combusted tobacco versus nicotine exposure via electronic cigarette versus a control group in a small animal (Sprague Dawley Rat) model. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 30, 2021 Category: Surgery Authors: Patrick Kennedy, Kaitlin Saloky, Aditya Yadavalli, Erin Barlow, Michael Aynardi, Matthew Garner, Jesse Bible, Gregory Lewis, Aman Dhawan Source Type: research

Repeat Revision Hip Arthroscopy Outcomes Match That of Initial Revision but Not That of Primary Surgery for Femoroacetabular Impingement Syndrome
To (1) report on pre- and post-operative patient reported outcome (PROs) scores for repeat revision patients in short-term follow up and (2) compare minimal clinically important difference (MCID) and patient acceptable symptomatic state (PASS) achievement between primary, revision, and repeat revision hip arthroscopy cohorts. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 30, 2021 Category: Surgery Authors: Robert B. Browning, Ian M. Clapp, Laura M. Krivicich, Benedict U. Nwachukwu, Jorge Chahla, Shane J. Nho Source Type: research

Unstable lateral hinge fracture or occult complete osteotomy adversely affects correction accuracy in open wedge high tibial osteotomy
To verify whether lateral hinge fracture (LHF) affects correction accuracy in open wedge high tibial osteotomy (OWHTO), and to identify the fracture characteristics responsible for inaccurate correction, including LHF type and hinge location. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 30, 2021 Category: Surgery Authors: Ju-Ho Song, Seong-Il Bin, Jong-Min Kim, Bum-Sik Lee Source Type: research

A Single Injection of Amniotic Suspension Allograft is Safe and Effective for Treatment of Mild to Moderate Hip Osteoarthritis: A Prospective Study
The purpose of our study was to examine the effects of a commercially available amniotic suspension allograft (ASA) (ReNuTM, Organogenesis, Canton, MA) in a patient population with moderate osteoarthritis of the hip. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 30, 2021 Category: Surgery Authors: Molly Meadows, Katia Elisman, Shane Nho, Katie Mowry, Marc Safran Source Type: research

Mid-Term Outcomes of Arthroscopically-Assisted Anatomic Coracoclavicular Ligament Reconstruction using Tendon Allograft for High-Grade Acromioclavicular Joint Dislocations
The purposes of this study were to assess clinical and radiographic outcomes of arthroscopically-assisted, anatomic coracoclavicular ligament reconstruction using tendon allograft (AA-ACCR) for the treatment of Rockwood type III-V injuries at minimum 2-year follow-up, and to perform subgroup analyses of clinical and radiographic outcomes for acute vs. chronic and type III vs. type IV-V injuries. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 30, 2021 Category: Surgery Authors: Philip-C. Nolte, Joseph J. Ruzbarsky, Bryant P. Elrick, Thomas Woolson, Kaare S. Midtgaard, Peter J. Millett Source Type: research

Mobilized Peripheral Blood Stem Cells are Pluripotent and Can be Safely Harvested and Stored for Cartilage Repair
The primary objective of this study was to reproduce and validate the harvest, processing and storage of peripheral blood stem cells for a subsequent cartilage repair trial, evaluating safety, reliability, and potential to produce viable, sterile stem cells. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 30, 2021 Category: Surgery Authors: Adam W. Anz, Johnny Torres, Hillary A. Plummer, Caroline Siew-Yoke Jee, Travis J. Dekker, Kevin B. Johnson, Khay-Yong Saw Source Type: research

No Difference in Minimum Two-Year Patient-Reported Outcome Scores Between Circumferential and Segmental Labral Reconstruction for the Management of Irreparable Labral Tear and Femoroacetabular Impingement Syndrome in the Primary Setting. A Propensity-Matched Study
To compare minimum two-year follow-up patient-reported outcome scores (PROs) in patients who underwent primary acetabular circumferential and segmental labral reconstruction for irreparable labral tears and femoroacetabular impingement syndrome (FAIS). (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 30, 2021 Category: Surgery Authors: David R. Maldonado, Cynthia Kyin, Jacob Shapira, Mitchell B. Meghpara, Philip J. Rosinsky, Ajay C. Lall, Benjamin G. Domb Source Type: research

"diagnostic ultrasound shows reversal of supraspinatus muscle atrophy following arthroscopic rotator cuff repair."
Prospective study to assess ultrasonography (US) utility as an imaging tool for supraspinatus muscle atrophy diagnosis establishing if there is any relationship between repairing supraspinatus tears and its eventual muscular recovery. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 30, 2021 Category: Surgery Authors: Alejandro Pag án-Conesa, María Tíscar García-Ortiz, Emilio José Salmerón-Martínez, Alejandro Moya-Martínez, Fernando López-Prats Source Type: research

Pre-operative mri imaging accurately detects the arthroscopic comma sign in subscapularis tears
The purpose of this study was to assess the accuracy and reliability of routine preoperative MR imaging in the detection of the comma sign, compared against the gold standard of arthroscopic findings. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 30, 2021 Category: Surgery Authors: Angela Atinga, Tim Dwyer, John Theodoropoulos, Katrina Dekirmendjian, Ali M. Naraghi, Lawrence M. White Source Type: research

Randomized Prospective Trial of Arthroscopic Rotator Cuff with or without Acromioplasty: No Difference in Patient-Reported Outcomes at Long-Term Follow-up
The purpose of this study was to evaluate long-term patient-reported outcomes and revision surgery after arthroscopic rotator cuff repair with or without acromioplasty. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 30, 2021 Category: Surgery Authors: Brian R. Waterman, Jon Newgren, Anirudh K. Gowd, Brandon Cabarcas, Drew Lansdown, Bernard R. Bach, Brian J. Cole, Anthony A. Romeo, Nikhil N. Verma Source Type: research

Learning curve for lateral meniscal allograft transplantation: preventing meniscal extrusion
This study analyzes the large number of lateral meniscal allograft transplantation (LMAT) procedures conducted by a single surgeon over 23 years in order to determine whether the absolute amount of graft subluxation and the incidence of extrusion are different at the present time compared to the early MAT era. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 30, 2021 Category: Surgery Authors: Jung-Su Choe, Seong-Il Bin, Bum-Sik Lee, Jong-Min Kim, Ju-Ho Song, Hyung-Kwon Cho Source Type: research

Degenerative medial meniscus tear with a displaced flap into the meniscotibial recess and tibial peripheral reactive bone edema presents good results with arthroscopic surgical treatment
To report the arthroscopic treatment results of a degenerative medial meniscus tear with a displaced flap into the meniscotibial recess, tibial peripheral reactive bone edema and focal knee medial pain. As a secondary objective, we propose to identify possible factors associated with a good or poor prognosis of the surgical treatment of this lesion. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 29, 2021 Category: Surgery Authors: Camilo Partezani Helito, Paulo Victor Partezani Helito, Marcel Faraco Sobrado, Pedro Nogueira Giglio, Tales Mollica Guimaraes, Jos é Ricardo Pécora, Riccardo Gomes Gobbi, Marcelo Bordalo Rodrigues, Bruno Vande Berg Source Type: research

Intraoperative Findings and Clinical Outcomes Associated with Arthroscopic Management of Subspine Impingement: A Propensity-Matched Controlled Study
(1) To investigate intra-articular damage in the hip joint associated with subspine impingement (SSI), (2) to evaluate clinical outcomes of arthroscopic treatment of hips with SSI, and (3) to compare the findings and outcomes to a control group without SSI. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 29, 2021 Category: Surgery Authors: Jacob Shapira, Mitchell J. Yelton, Rachel M. Glein, Philip J. Rosinsky, David R. Maldonado, Mitchell B. Meghpara, Hari K. Ankem, Ajay C. Lall, Benjamin G. Domb Source Type: research

Joint Space Width Increases Medially and Decreases Laterally at Different Time points After Medial Open-Wedge High Tibial Osteotomy
This study aimed to evaluate serial changes in the joint space width (JSW) of the medial and lateral compartments after medial open-wedge high tibial osteotomy (MOWHTO) and its associated factors. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 29, 2021 Category: Surgery Authors: Sang-Min Lee, Seong-Il Bin, Jong-Min Kim, Bum-Sik Lee, Kuen Tak Suh, Ju-Ho Song Source Type: research

Editorial Commentary: Synovial Fluid White Blood Cell Is the Gold Standard to Detect Infection After Anterior Cruciate Ligament Reconstruction: Don ’t Hesitate to Aspirate
Infection after anterior cruciate ligament reconstruction can have devastating consequences, including potential graft loss, arthrofibrosis, chondral destruction or chondrolysis, and secondary osteoarthritis. Early detection and aggressive management are imperative to improve the chances of infection eradication, graft retention, and to decrease the risk of chondral loss. One must have a high index of suspicion and not shy away from working up a possible infection. Synovial fluid aspiration and cell count, specifically white blood cell count, is the gold standard to diagnose postoperative infection. (Source: Arthroscopy - ...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 23, 2021 Category: Surgery Authors: James Michael Paci Tags: Editorial Commentary Source Type: research

Editorial Commentary: Medicare Cost-Containment Programs Reduce Reimbursement, Complicate Care, and Increase Administrative Costs: Alarm Bells Are Ringing and Physicians Must Get Involved
Medicare cost-containment efforts have uniformly led to a reduction in physician reimbursement offset by increasing administrative burdens and costs and complicating delivery of care. Surgeons who face decreasing compensation for Medicare patients may be forced to limit the number of these patients for whom they care. Decreasing physician reimbursement from Medicare typically translates into a similar reduction by private payers. Administrators who come at a cost have yet to show proven value. All of this translates into limiting our ability to care for patients. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 23, 2021 Category: Surgery Authors: Andrew S. Neviaser Tags: Editorial Commentary Source Type: research

Editorial Commentary: This Is the Way: Extra-Articular Augmentation Is an Essential Consideration in Contemporary Anterior Cruciate Ligament Surgery
Since the rediscovery of the anterolateral ligament, extra-articular augmentation (EA) has evolved from controversial to an essential consideration in contemporary anterior cruciate ligament reconstruction surgery. Anterolateral ligament (ALL) reconstruction and lateral extra-articular tenodesis are 2 common methods. Indications among early adopters pioneering anterolateral ligament reconstruction at anterior cruciate ligament surgery included revision anterior cruciate ligament (ACL) case, chronic ACL tear, high-grade pivot shift, and patients with hyperlax, hypermobile knees. (Source: Arthroscopy - Journal of Arthroscopi...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 23, 2021 Category: Surgery Authors: Theodore B. Shybut Tags: Editorial Commentary Source Type: research

Editorial Commentary: Arthroscopic Repair of Partial Thickness Rotator Cuff Tears: What Do We Know So Far and Where Should We Put the Focus of Our Future Research?
The available evidence shows that arthroscopic repair using either the transtendon in situ repair technique or the tear completion and subsequent repair technique are associated with favorable results in the short term. Likewise, the location of the lesions (articular or bursal) does not seem to significantly influence the clinical results, regardless of the technique used. Specifically with regard to the surgical technique of choice in the case of deciding to complete the tear and then repair it, it remains to be defined more clearly in future investigations whether it is better to repair with a single- or double-row tech...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 23, 2021 Category: Surgery Authors: Luciano A. Rossi Tags: Editorial Commentary Source Type: research

Editorial Commentary: If the Massive Rotator Cuff Tear is Irreparable, Just Fix the Rotator Cable
Large and massive rotator cuff tears are not always reparable and present a difficult clinical problem. If surgery is warranted surgical options range from arthroscopic debridement, partial repairs, degradable spacers, tendon transfers, and more superior capsular reconstruction. The rotator cable is formed by the deep layer of the coracohumeral ligament and the crescent structure running from the anterior insertion site of the supraspinatus to the inferior border of the infraspinatus. The role of the rotator cable is not clear but seems to play a role in reducing tendon stress and influence glenohumeral kinematics. (Source...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 23, 2021 Category: Surgery Authors: Erik Hohmann Tags: Editorial Commentary Source Type: research

Editorial Commentary: Treating Patients With Recurrent Patellar Instability With an Individualized, Anatomic Approach Is Needed: Learn From the Anterior Cruciate Ligament
Treatment algorithms for recurrent patellofemoral instability have evolved over time. Early treatment techniques focusing specifically on pain have been replaced by evidence-based and anatomically appropriate procedures such as ligament reconstruction, osteotomies, and trochleoplasty. Bony and soft-tissue factors contribute to recurrent patellofemoral instability, but the exact indications for soft-tissue, bony, and combined procedures remain controversial. Personally, I am much more likely to combine tibial tubercle osteotomy with medial patellofemoral ligament reconstruction in a patient with trochlear dysplasia, patella...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 23, 2021 Category: Surgery Authors: Jeremy M. Burnham Tags: Editorial Commentary Source Type: research

Editorial Commentary: Femoral Notch Volume: Too Much Information?
Femoral intercondylar notch size and volume are some of the many morphometric knee measures that have been associated with increased risk of anterior cruciate ligament (ACL) injury. The merits of relatively simple measures such as notch width versus more complex 3-dimensional notch volume have been debated, and there is some evidence suggesting that volumetric measures may have a stronger association with injury risk. The application for this information is, however, unclear. Notch volume appears to be just one of many nonmodifiable risk factors that contribute in a small way to the complex puzzle that is ACL injury risk. ...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 23, 2021 Category: Surgery Authors: Scott Tashman Tags: Editorial Commentary Source Type: research

Editorial Commentary: Adolescent Patients Undergoing Hip Arthroscopy Require a Considerable Improvement in Postoperative Outcomes Scores to Achieve Substantial Clinical Benefit: The International Hip Outcome Tool-33 Seems Optimal for Measuring Substantial Clinical Benefit In Young, Active Patients
Arthroscopic treatment of femoroacetabular impingement syndrome in adolescents is increasing, with evidence supporting similarly improved outcomes as in adult populations. Adolescent patients present unique challenges compared with adult counterparts, often with greater demands on their hips and greater baseline functional statuses. Further, elective surgery in adolescents demands long-lasting outcomes for treatment success. There is increased effort in the orthopaedic literature to define improvements in outcomes that are significant to the patient, including minimal clinically important difference, substantial clinical b...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 23, 2021 Category: Surgery Authors: Brian Cash, Anil Ranawat Tags: Editorial Commentary Source Type: research

Editorial Commentary: The Value of Time-Driven, Activity-Based Costing in Health Care Delivery
Time-driven activity-based costing (TDABC) provides a powerful approach to more targeted cost accounting based on resources actually used by patients during a cycle of care. Since its introduction in 2004 by Kaplan and Anderson, TDABC has gained increasing popularity in defining the actual costs of care for various orthopaedic processes and pathways. TDABC may demonstrate lower costs of care compared with traditional cost accounting methods, including ratio of costs to charges and relative value units. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 23, 2021 Category: Surgery Authors: Prakash Jayakumar, Brian Triana, Kevin J. Bozic Tags: Editorial Commentary Source Type: research

Editorial Commentary: Arthroscopic Partial Meniscectomy Is Not a First-Line Treatment for Degenerative Meniscus Tear: To Meniscectomize or Not to Meniscectomize?
A painful knee with a degenerative meniscal tear is a quite common problem in the middle-aged patient. Arthroscopic partial meniscectomy is too often used to alleviate pain and seems to work in the short-term. However, arthroscopic partial meniscectomy does not guarantee success, particularly in the long run, particularly in patients with greater grades of osteoarthritis, patients who are older than 60 years, female patients, patients with malalignment, and patients having lateral meniscectomy. There is a need for better science to recommend arthroscopic meniscectomy in those cases. (Source: Arthroscopy - Journal of Arthro...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 23, 2021 Category: Surgery Authors: Joan C. Monllau Tags: Editorial Commentary Source Type: research

Editorial Commentary: Anterolateral Hinge Position Decreases the Slope in Opening-Wedge High Tibial Osteotomy: A Key Point in Treating an Anterior Cruciate Ligament –Deficient, Varus Knee
The orthopaedic surgeon who performs opening-wedge high tibial osteotomy (HTO) has to be aware of the behavior of the tibial slope depending on variations in the location of the hinge and in the inclination of the osteotomy. The most important point is that changing both the inclination and the rotation axis of the osteotomy cut affects the tibial slope. There is a natural trend to unintentionally increase the tibial slope when performing an opening-wedge HTO. However, an increased tibial slope has been established as a risk factor for both primary and recurrent anterior cruciate ligament (ACL) injuries, whereas slope-redu...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 23, 2021 Category: Surgery Authors: Juan Pablo Martinez-Cano Tags: Editorial Commentary Source Type: research

Editorial Commentary: Suture Button –Anchor Fixation Is Preferable to Hook Plate Fixation for Acute Acromioclavicular Joint Dislocations: Form and Function Need to Be United
Both hook plate fixation and suture button –anchor fixation have been reported to yield good results in the treatment of acute acromioclavicular joint reconstruction. In addition to a mandatory secondary procedure, hook plate fixation clearly has an increased prevalence of post-traumatic acromioclavicular arthritis in the short term that i s likely to progress in the long term. Conversely, suture button–anchor fixation—a minimally invasive technique that creates less soft-tissue disruption, does not require hardware removal, and does not violate the acromioclavicular joint—is more likely to promote ...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 23, 2021 Category: Surgery Authors: Michael D. Feldman Tags: Editorial Commentary Source Type: research

Editorial Commentary: Operative Versus Nonoperative Management of Shoulder Instability in the National Football League Athlete: Do What Needs to Be Done —Treatment Choice Does Not Affect Future Performance or Games Played
Shoulder instability is common in the National Football League athlete. Nonoperative versus operative treatment of shoulder labrum injury without bone loss depends on many factors, including type and direction of instability, presence or absence of pain and recurrent instability that limits function, and player and season situational issues. Prophylactic surgical treatment in an effort to enhance future player performance and increase the number of future games played should be discouraged. Management of shoulder instability should be based on clinical indication and surgical stabilization should not be done prophylactical...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 23, 2021 Category: Surgery Authors: Timothy R. McAdams Tags: Editorial Commentary Source Type: research

Editorial Commentary: Is It Time for the Vancomycin Wrap to Become a Universal Recommendation for the Prevention of Septic Arthritis Following Anterior Cruciate Ligament Reconstruction?
Septic arthritis is a devastating complication of anterior cruciate ligament (ACL) reconstruction, which can still occur in approximately 1% of patients despite appropriate intravenous antibiotic prophylaxis and other recommended preventative measures being undertaken. The infection is most likely secondary to the autograft becoming contaminated during harvest and preparation, introducing bacteria into the joint on insertion. Presoaking ACL grafts in 5 mg/mL vancomycin is a novel method developed to eradicate this bacterial contamination and is supported by compelling Level III evidence from multiple observational trials s...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 23, 2021 Category: Surgery Authors: Christopher John Vertullo Tags: Editorial Commentary Source Type: research