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Biceps Rerouting Augmentation Technique Restores Biomechanics, Improves Healing, and has Many Advantages for Repair of Large and Massive Rotator Cuff Tears
The biceps rerouting (BR) augmentation technique has emerged as a useful option for the repair of rotator cuff tears (RCTs) when the torn tendon does not cover the footprint or can only be reduced under excessive tension. BR offers several advantages over traditional methods. It is an all-inside joint procedure, eliminating the need for skin incisions other than those for the arthroscopic portal, thus reducing operative time and infection risk. It does not lead to donor site morbidity, (unlike superior capsular reconstruction. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 13, 2024 Category: Surgery Authors: Yang-Soo Kim, Sung-Hyun Cho Tags: Editorial Commentary Source Type: research

The Severity of Femoral and Acetabular Articular Cartilage Defects are Inversely Proportional to Mid- and Long-term Success of Hip Arthroscopy
The health of the articular cartilage is an important determinant of success with hip arthroscopy. Recent research has demonstrated that articular cartilage damage on both the acetabular and femoral sides of the hip joint place patients at higher risk of failure following a primary hip arthroscopy, leading to the need for a revision arthroscopy or total hip arthroplasty. This risk appears to increase with degree of cartilage damage and manifests at the mid-term and long-term follow-up timepoints. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 13, 2024 Category: Surgery Authors: Dominic S. Carreira, Matthew R. Yuro Tags: Editorial Commentary Source Type: research

Knee Lateral Extra-articular Tenodesis Procedures: Appropriate Study Design is Essential for Reducing Conflicting Findings and Unnecessary Controversy in the Orthopedic Literature
Knee lateral extra-articular tenodesis procedures (LEAPS) reduce graft rupture rates when performed at the time of ACL reconstruction. However, in the setting of revision ACL reconstruction, LEAPS is less studied and remains controversial. Many studies support combined procedures (ACL + LEAPS), yet others do not. When the literature comprises small patient cohorts and short follow-up periods, conflicting results often arise. The controversy surrounding may be unnecessarily generated by the publication of low quality studies. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 13, 2024 Category: Surgery Authors: Bertrand Sonnery-Cottet, Celine Fabre, Thais Dutra Vieira, Adnan Saithna Tags: Editorial Commentary Source Type: research

Editorial Commentary: At Present, ChatGPT Cannot Be Relied Upon to Answer Patient Questions and Requires Physician Expertise to Interpret Answers for Patients
ChatGPT is designed to provide accurate and reliable information to the best of its abilities based on the data input and knowledge available. Thus, ChatGPT is being studied as a patient information tool. This artificial intelligence (AI) tool has been shown to frequently provide technically correct information but with limitations. ChatGPT provides different answers to similar questions based on the prompts, and patients may not have expertise in prompting ChatGPT to elicit a best answer. (Prompting large language models has been shown to be a skill that can improve.) Of greater concern, ChatGPT fails to provide sources o...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 12, 2024 Category: Surgery Authors: Eoghan T. Hurley, Bryan S. Crook, Jonathan F. Dickens Tags: Editorial Commentary Source Type: research

Editorial Commentary: Diverse Factors Affect Measurement of Patella Alta: Trochlear Morphology and Sagittal Knee Balance Represent Defining Factors of Patellofemoral Stability
Patella alta is a known risk factor for patellar instability, contributing to increased length changes of the medial patellofemoral complex, and associated with high rates of failure after medial patellofemoral complex reconstruction. Distalization through tibial tuberosity osteotomy (TTO) is a surgical option to address patella alta during patellar stabilization surgery. However, distalization has been shown to have greater complication rates than other types of TTO, and therefore precise indications through proper assessments of patellar height are needed. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 12, 2024 Category: Surgery Authors: Miho J. Tanaka Tags: Editorial Commentary Source Type: research

Diverse Factors Affect Measurement of Patella Alta: Trochlear Morphology and Sagittal Knee Balance Represent Defining Factors of Patellofemoral Stability
Patella alta is a known risk factor for patellar instability,contributes to increased length changes of the medial patellofemoral complex (MPFC), and is associated with high rates of failure of MPFC reconstruction. Distalization through tibial tuberosity osteotomy (TTO) is a surgical option to address patella alta during patellar stabilization surgery. However, distalization has been shown to have greater complications than other types of TTO, and precise indications through proper assessments of patellar height are needed. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 12, 2024 Category: Surgery Authors: Miho J. Tanaka Tags: Editorial Commentary Source Type: research

At Present, ChatGPT Cannot be Relied Upon to Answer Patient Questions and Requires Physician Expertise to Interpret Answers for Patients
ChatGPT is designed to provide accurate and reliable information to the best of its abilities based on the data input and knowledge available. Thus, ChatGPT is being studied as a patient information tool. This artificial intelligence (AI) tool has been shown to frequently provide technically correct information, but with limitations. ChatGPT provides different answers to similar questions based on the prompts, and patients may not have expertise in prompting ChattPT to elicit a best answer. (Prompting large language models has been shown to be a skill that can improve). (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 12, 2024 Category: Surgery Authors: Eoghan T. Hurley, Bryan S. Crook, Jonathan F. Dickens Tags: Editorial Commentary Source Type: research

Concomitant Biceps Tenodesis Does Not Compromise Arthroscopic Rotator Cuff Repair Outcomes
To compare outcomes of patients who underwent rotator cuff repair (RCR) with concomitant biceps tenodesis with those who underwent an isolated RCR. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 11, 2024 Category: Surgery Authors: Samuel Kim, Kyle T. Deivert, Teigen Goodeill, Amanda B. Firoved, Caleb N. Morgan, Katherine S. Worcester, William Kim, Kevin F. Bonner Tags: Original Article Source Type: research

Concomitant Biceps Tenodesis Does Not Compromise Rotator Cuff Repair Outcomes
The purpose of this study was to compare outcomes of patients that underwent rotator cuff repair (RCR) with concomitant biceps tenodesis to those that underwent an isolated RCR. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 11, 2024 Category: Surgery Authors: Samuel Kim, Kyle T. Deivert, Teigen Goodeill, Amanda B. Firoved, Caleb N. Morgan, Katherine S. Worcester, William Kim, Kevin F. Bonner Source Type: research

Meniscus Repair Technique Must be Determined on a Tear-by-Tear Basis: Hybrid Techniques Plus Biologics are Optimal
Bucket-handle meniscus tears alter knee biomechanics and significantly elevate the risk of osteoarthritis when the tissue is not preserved. Consequentially, meniscus repair is preferred whenever possible to optimize load distribution and knee stability, with the overall goal of joint preservation. Bucket-handle meniscus tears have a higher rate of repair failure compared to many other tear patterns, and both the inside-out (IO) and all-inside (AI) techniques are acceptable options, each with distinct advantages and disadvantages. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 11, 2024 Category: Surgery Authors: Daniel J. Stokes, Rachel M. Frank Tags: Editorial Commentary Source Type: research

Micro-Fragmented Adipose Tissue Demonstrates Comparable Clinical Efficacy to Other Orthobiologic Injections in Treating Symptomatic Knee Osteoarthritis: A Systematic Review of Level I to IV Clinical Studies
To perform a systematic review of clinical outcomes in patients who underwent treatment with micro-fragmented aspirated tissue for symptoms of knee osteoarthritis. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 9, 2024 Category: Surgery Authors: Erik Hohmann, Natalie Keough, Rachel M. Frank, Scott Rodeo Tags: Systematic Review Source Type: research

Editorial Commentary: Both 3-Dimensional Magnetic Resonance Imaging and Computed Tomography Are Valuable for Determination of Glenoid and Humeral Bone Loss in Patients With On- and Off-Track Shoulder Instability
Improving the modalities for advanced glenohumeral joint imaging has been an important area to address in the field of orthopaedic surgery. The current gold standard for imaging glenoid and humeral bone loss in patients with shoulder instability, 3-dimensional (3D) computed tomography (CT), provides high-quality 3D images of bones but comes with a cost of extra time, additional imaging because of the need for an additional magnetic resonance imaging (MRI) scan, and exposure to radiation. Three-dimensional MRI is a promising solution that can produce high-contrast images depicting both bony structures and soft tissues. (Sou...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 9, 2024 Category: Surgery Authors: Ryan J. Whalen, Matthew T. Provencher Tags: Editorial Commentary Source Type: research

Micro-Fragmented Adipose Tissue demonstrates comparable clinical efficacy to other orthobiologics injections in treating symptomatic knee osteoarthritis. A systematic review of level I-IV clinical studies.
To perform a systematic review of clinical outcomes in patients who underwent treatment for symptoms with micro-fragmented aspirated fat (MFAT). (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 9, 2024 Category: Surgery Authors: Erik Hohmann, Natalie Keough, Rachel M. Frank, Scott Rodeo Source Type: research

Both 3D MRI and CT are Valuable for Determination of Glenoid and Humeral Bone Loss in Patients With On- And Off-Track Shoulder Instability
Improving the modalities for advanced glenohumeral joint imaging has been an important area to address in the field of orthopaedic surgery. The current gold standard for imaging glenoid and humeral bone loss in patients with shoulder instability, 3D computed tomography (3D-CT), provides high-quality 3D images of bones, but comes with a cost of extra time, additional imaging, due to the need of an additional MRI, and exposure to radiation. 3D magnetic resonance imaging (3D-MRI) is a promising solution that can produce high contrast images depicting both bony structures and soft tissues. (Source: Arthroscopy - Journal of Art...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 9, 2024 Category: Surgery Authors: Ryan J. Whalen, Matthew T. Provencher Tags: Editorial Commentary Source Type: research

Editorial Commentary: Surgical Videos on YouTube Are Not Peer Reviewed and Have Low Educational Value
The rise of online platforms like YouTube for health information has prompted scrutiny over the quality of medical/surgical-related video content. Recent research on YouTube videos regarding anterior cruciate ligament reconstruction (ACLR) with quadriceps tendon autograft shows low educational quality and reliability using established assessment tools. Physicians primarily published content, with longer videos, and physician-generated videos, generally correlating with higher quality. However, YouTube ’s inadequacy as a reliable source for ACLR information underscores the need for alternative educational resources. (Sour...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 8, 2024 Category: Surgery Authors: Nichole M. Perry, John J. Kelly, Bruce A. Levy Tags: Editorial Commentary Source Type: research