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Diffuse Host Bone Marrow Edema on Six-Month MRI is a Risk Factor for Osteochondral Allograft Failure
The purpose of this study is to evaluate the presence of host Bone Marrow Edema (BME) surrounding osteochondral allograft plugs on routine 6-month postoperative Magnetic Resonance Imaging (MRI), and to determine whether such BME is correlated with subsequent failure. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 17, 2024 Category: Surgery Authors: Guilherme M. Palhares, Ravi Vaswani, Connor Fletcher, Paige Hinkley, Morgan Rizy, Sabrina M. Strickland, Andreas Gomoll Source Type: research

Early anterior cruciate ligament treatment might be crucial for acute combined anterior cruciate ligament and medial collateral ligament injuries: a systematic review of the various treatment strategies
To assess outcomes on management and outcomes for acute, combined, complete anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries in the literature. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 17, 2024 Category: Surgery Authors: Jelle P. van der List, Rachel K. Muscott, Nihir Parikh, Brian R. Waterman, Nicholas A. Trasolini Source Type: research

Editorial Commentary: Diagnosis of Hip Acetabular Retroversion Requires 3-Dimensional Imaging
Diagnosis of global hip acetabular retroversion requires 3-dimensional imaging. Using anteroposterior pelvis radiographs, the crossover sign has been associated with retroversion. Recent research reports that the ischial spine sign and posterior wall sign also should be considered, yet even taking into account all 3 signs, the false-positive rate for retroversion is reported as greater than 35%. In truth, an anteroposterior radiograph is not sufficient for determination of acetabular retroversion. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 16, 2024 Category: Surgery Authors: Elizabeth J. Scott Tags: Editorial Commentary Source Type: research

Editorial Commentary: Meniscal Allograft Transplantation Is Effective for Adolescents With Meniscal Insufficiency, Although Outcomes May Decline Over Time
Over the last several years, there has been a shift from arthroscopic partial meniscectomy to meniscal repair, especially in the younger patient. In case of a necessary partial meniscectomy, some patients have unremittent symptoms of pain and effusion corresponding to the postmeniscectomy syndrome. In these patients without large coronal malalignment, meniscal allograft transplantation is a valuable option to restore contact pressures, promote a chondroprotective microenvironment, and potentially delay secondary surgical interventions symptoms. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 16, 2024 Category: Surgery Authors: Jelle P. van der List, Nicholas A. Trasolini, Brian R. Waterman Tags: Editorial Commentary Source Type: research

Editorial Commentary: Diagnosis of Hip Acetabular Retroversion Requires Three-Dimensional Imaging
Diagnosis of global hip acetabular retroversion requires 3-dimensional imaging. Using anteroposterior pelvis radiographs, the crossover sign has been associated with retroversion. Recent research reports that the ischial spine sign and posterior wall sign also should be considered, yet even taking into account all 3 signs, the false-positive rate for retroversion is reported as greater than 35%. In truth, an anteroposterior radiograph is not sufficient for determination of acetabular retroversion. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 16, 2024 Category: Surgery Authors: Elizabeth J. Scott Tags: Editorial Commentary Source Type: research

Editorial Commentary: Biplanar Medial Opening-Wedge High Tibial Osteotomy: A Retrotubercular Technique Changes the Patellofemoral Alignment Less Than a Supratubercular Technique but May Increase the Tibial Slope and Complication Rates
An opening-wedge high tibial osteotomy may be performed with a uniplanar cut, usually passing proximal to the tibial tubercle, or a biplanar cut, with the anterior part of the cut passing either proximal to the tibial tubercle (an ascending anterior or supra-tubercular biplanar osteotomy) or distal to the tibial tubercle (a descending anterior or retrotubercular biplanar osteotomy). A retrotubercular osteotomy maintains the patellofemoral alignment, whereas a supratubercular osteotomy can decrease the patellar height and lateralize the tibial tubercle. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 16, 2024 Category: Surgery Authors: Chris Servant Tags: Editorial Commentary Source Type: research

Editorial Commentary: Quadriceps Tendon Is a Better Graft Than Hamstring for Anterior Cruciate Ligament Reconstruction
Over the last 12 years identification of specific risk factors (age, activity level, and laxity) for failure of anterior cruciate ligament (ACL) reconstruction have led to comparisons of the patellar tendon (PT) and hamstring (HS) tendon grafts. The PT has proved superior in most of these studies. During this same time period, there has been increased clinical/research interest in the quadriceps tendon autograft for ACL reconstruction. This has led to direct comparison to the HS and QT autografts. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 16, 2024 Category: Surgery Authors: John Xerogeanes Tags: Editorial Commentary Source Type: research

Editorial Commentary: Evidence for Patch Augmentation of Rotator Cuff Repair Is Weak
Rotator cuff repair has a substantial failure rate despite various attempts to improve outcome and prevent a retear. Patch augmentation is an intuitively appealing approach to seek to reduce failure rate and improve outcomes for patients. Two main augmentation approaches are used: “on-lay” and “bridging.” The literature is heterogeneous, and the best approach is uncertain. The evidence on patch augmentation for rotator cuff repair is both disparate and weak. Large randomized trials and registry data are required to move the field, ensure patient safety, and avoid wast ing precious resources. (Source: Arthroscopy - ...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 16, 2024 Category: Surgery Authors: Jonathan Alistair Cook, Mathew Baldwin, Andrew Jonathan Carr Tags: Editorial Commentary Source Type: research

Editorial Commentary: Postoperative Zoledronic Acid Improves Tendon Healing but Does Not Affect Outcomes in Rotator Cuff Repair Patients With Postmenopausal Osteoporosis
Understanding the preoperative risk factors for successful rotator cuff repair (RCR) and ways to optimize these factors is an evolving area of study. The Rotator Cuff Healing Index and other proxy risk factors for failed rotator cuff healing have implicated significant fatty infiltration, muscular atrophy, advanced chronological age, tear size and retraction, and ultimately, osteoporosis. Although structural (or biological) augmentation and tendon transfer have been proposed as solutions for the alarmingly high rate of failure after primary RCR, other options may preferentially focus on the enthesis and underlying osseous ...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 14, 2024 Category: Surgery Authors: Robert S. Dean, Brian R. Waterman Tags: Editorial Commentary Source Type: research

Athletes Continue to Show Functional Performance Deficits at Return to Sport After Anterior Cruciate Ligament Reconstruction: A Systematic Review
To systematically review the existing literature on the functional performance of athletes at the time of return-to-sport (RTS) clearance after anterior cruciate ligament reconstruction (ACLR). (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 12, 2024 Category: Surgery Authors: Vikram S. Gill, Sailesh V. Tummala, Will Han, Sayi P. Boddu, Jens T. Verhey, Lisa Marks, Anikar Chhabra Tags: Systematic Review Source Type: research

Functional Performance of Athletes at Return to Sport Following ACL Reconstruction: A Systematic Review
To systematically review the existing literature on the functional performance of athletes at the time of return-to-sport (RTS) clearance following ACL-reconstruction (ACLR). (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 12, 2024 Category: Surgery Authors: Vikram S. Gill, Sailesh V. Tummala, Will Han, Sayi P. Boddu, Jens T. Verhey, Lisa Marks, Anikar Chhabra Source Type: research

Editorial Commentary: The Minimal Clinically Important Difference Is Less Important Than It Sounds: Patients Seek to Achieve Substantial Clinical Benefits and Not Minimally Perceptible Improvements When They Undergo Arthroscopic Surgery
The minimal clinically important difference (MCID) is a frequently reported metric for describing within-patient improvement in patient-reported outcome measures (PROMs). It was originally defined by Jaeschke et  al. as “the smallest difference in score in the domain of interest which patients perceive as beneficial and which would mandate, in the absence of troublesome side effects and excessive cost, a change in the patient’s management.” The latter part of this statement is often omitted, and this results in a loss of the originally intended value through lack of sufficient clinical importance to change managemen...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 11, 2024 Category: Surgery Authors: Adnan Saithna, Mark P. Cote Tags: Editorial Commentary Source Type: research

Editorial Commentary: When Managing Patellofemoral Instability, Mind Your P's and Q's: Medial Patellofemoral Ligament Versus Medial Quadriceps Tendon Femoral Ligament Versus Medial Patellofemoral Complex
Our understanding of patellar instability and the medial patellofemoral complex (MPFC) has evolved over the past 15 years. Despite advancements and appreciation of the anatomy and biomechanics of the MPFC, the best surgical treatment for recurrent patellar instability has yet to be determined. The goals of medial patellofemoral ligament (MPFL), medial quadriceps tendon femoral ligament (MQTFL), or MPFC reconstructions (with grafts from both the patella and quad to the femur) are to return patients back to activity and avoid complications such as recurrent instability, overconstraint, secondary arthrosis, and potential pate...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 11, 2024 Category: Surgery Authors: Elizabeth Matzkin Tags: Editorial Commentary Source Type: research

Editorial Commentary: One- and 2-Year Outcomes Are Clinically Similar After Rotator Cuff Repair: What Are We Waiting For?
Research standards require reliable data from which we can draw accurate conclusions. For short-term outcome studies, one measure recommended by journals is preferring at least 2 years ’ minimum follow-up. In some cases, this is important to avoid false conclusions because of follow-up too short to detect either failure or complete improvement. However, although intended to prevent an incomplete picture, this mandate may not always add clinical utility. Recent data suggest that for rotator cuff repair outcomes, 1-year follow-up is clinically sufficient, making the 2-year recommendation an inconvenient and unnecessary sta...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 11, 2024 Category: Surgery Authors: Joseph C. Brinkman Tags: Editorial Commentary Source Type: research

Does Calculation of the Minimal Clinically Important Difference Make Sense? Ways to Improve
Over the past 30 years, there has been a growing emphasis on assessing patient-reported outcomes at the individual level.1 This shift underscores the importance of establishing clinically significant treatment goals, which can inform clinical trial design, sample size calculations, and individual patient decisions. Despite variations in terminology, definitions, and methodologies used to determine these individual-level targets for patient-reported outcomes, the focus on personalizing care has gained prominence. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - January 11, 2024 Category: Surgery Authors: Jaydeep Dhillon, Carson Keeter, Matthew J. Kraeutler Tags: Letter to the Editor Source Type: research