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Arthroscopy: the Journal of Arthroscopic & related Surgery

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https://www.readbyqxmd.com/read/30424945/concentrated-bone-marrow-aspirate-may-decrease-postoperative-cyst-occurrence-rate-in-autologous-osteochondral-transplantation-for-osteochondral-lesions-of-the-talus
#1
Yoshiharu Shimozono, Youichi Yasui, Eoghan T Hurley, Rebecca A Paugh, Timothy W Deyer, John G Kennedy
PURPOSE: To clarify if the use of concentrated bone marrow aspirate (CBMA) would affect both postoperative functional outcomes and magnetic resonance imaging (MRI) outcomes compared with those of autologous osteochondral transplantation (AOT) alone; in addition, to assess the efficacy of CBMA reducing the presence of postoperative cyst formation following AOT in the treatment of osteochondral lesions of the talus. METHODS: Fifty-four (92%) of 59 eligible patients who underwent AOT between 2004 and 2008 were retrospectively assessed at a minimum of 5-year follow-up...
November 10, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30414700/invention-versus-gold-standard-a-hands-on-research-pearl-on-study-design-and-statistical-concerns
#2
Jüri Kartus, Mark Cote
This article points out what is important to consider when planning to perform and analyze a commonly seen study involving a comparison of an innovation with something established. A hands-on guide on how to perform this type of research trial and how to choose proper statistical methods is given.
November 7, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30396801/femoral-contact-forces-in-the-anterior-cruciate-ligament-deficient-knee-a-robotic-study
#3
Peter Z Du, Keith L Markolf, Daniel V Boguszewski, David R McAllister
PURPOSE: To measure contact forces (CFs) at standardized locations representative of clinical articular cartilage defects on the medial and lateral femoral condyles during robotic tests with simulated weightbearing knee flexion. METHODS: Eleven human knees had 20-mm-diameter cylinders of native bone/cartilage cored from both femoral condyles at standardized locations, with each cylinder attached to a custom-built load cell that maintained the plug in its precise anatomic position...
November 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30396800/autograft-or-allograft-irradiated-or-not-a-contrast-between-autograft-and-allograft-in-anterior-cruciate-ligament-reconstruction-a-meta-analysis
#4
ShuaiYi Wang, Chi Zhang, YouZhi Cai, XiangJin Lin
PURPOSE: To compare the clinical outcomes and adverse events associated with irradiated and nonirradiated allografts in anterior cruciate ligament (ACL) reconstruction. METHODS: PubMed, Web of Science, and EMBASE were searched for randomized controlled trials from January 1990 to March 2018 to compare autograft with allograft in ACL reconstruction. Both objective and subjective outcomes of the function and adverse events were meta-analyzed. Two comparisons were summarized: (1) autograft and nonirradiated allograft and (2) autograft and irradiated allograft...
November 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30396799/the-influence-of-pain-in-other-major-joints-and-the-spine-on-2-year-outcomes-after-hip-arthroscopy
#5
Natalie L Leong, Ian M Clapp, William H Neal, Edward Beck, Charles A Bush-Joseph, Shane J Nho
PURPOSE: To determine whether patients who have pain in other major joints or the spine have poorer postsurgical outcomes than patients without comorbid orthopaedic pain. METHODS: We performed a review of a prospectively maintained institutional surgical registry of patients who underwent hip arthroscopy between January 1, 2012, and July 16, 2015, by a single surgeon, with a minimum of 2 years of postoperative follow-up. A musculoskeletal morbidity (MSM) score was assigned to each patient preoperatively based on the presence of pain in other joints and the spine (grade 1, hip only; grade 2, hip and other major joints without spine; grade 3, hip with spine; and grade 4, hip and other major joints with spine)...
November 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30396798/extra-articular-lateral-hinge-fracture-does-not-affect-the-outcomes-in-medial-open-wedge-high-tibial-osteotomy-using-a-locked-plate-system
#6
Kang-Il Kim, Gi Beom Kim, Hwan Jin Kim, Sang Hak Lee, Wan-Keun Yoon
PURPOSE: To compare the radiologic and clinical outcomes in patients with and without lateral hinge fractures (LHFs) during medial open-wedge high tibial osteotomy (MOWHTO) using a locked plate system, as well as to assess whether LHFs could affect the midterm outcomes. METHODS: From May 2008 to November 2015, 164 knees underwent MOWHTO using a locked plate system for the treatment of knee osteoarthritis. LHFs were recognized by radiographs during or after the high tibial osteotomy and were not additionally treated...
November 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30396797/opioid-overprescription-after-knee-arthroscopy-and-related-surgery-in-adolescents-and-young-adults
#7
Frances A Tepolt, Jennifer Bido, Stephanie Burgess, Lyle J Micheli, Mininder S Kocher
PURPOSE: The purpose of this study was to compare the number of opioids prescribed with the amount of pain medication required after knee arthroscopy and related surgery in adolescent and young adult patients to determine the effectiveness of current pain-control practices at a single institution. The secondary purpose was to determine what demographic or surgical factors are associated with increased opioid intake. METHODS: Adolescent and young adult patients who underwent knee arthroscopy and related surgery, including ligament reconstruction or tibial tubercle osteotomy, between May and August 2016 were provided pain-control logbooks in which they were asked to maintain a record of daily pain medication intake...
November 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30396796/measurement-of-glenoid-bone-loss-with-3-dimensional-magnetic-resonance-imaging-a-matched-computed-tomography-analysis
#8
Bryan G Vopat, Wenli Cai, Martin Torriani, Matthew L Vopat, Murali Hemma, Gordon J Harris, Kati Schantz, Matthew T Provencher
PURPOSE: To compare the measurement of glenoid bone surface area (GBSA) and glenoid bone loss (GBL) between 3-dimensional computed tomography (3D CT) and an autosegmentation approach for 3D magnetic resonance imaging (MRI) of patients with recurrent shoulder instability. METHODS: Eight subjects (2 women and 6 men; age range, 15-72 years [mean, 44 ± 19 years]) were consecutively enrolled who had both CT and MRI of the shoulder for clinical shoulder instability...
November 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30392806/comparison-of-en-masse-versus-dual-layer-suture-bridge-procedures-for-delaminated-rotator-cuff-tears
#9
Hiroyuki Nakamizo, Ryosuke Horie
PURPOSE: To compare clinical outcomes between 2 suturing procedures, conventional en masse suture bridging (EMSB) and dual-layer suture bridging (DLSB), for delaminated rotator cuff tears. METHODS: From January 2011 through December 2015, 98 consecutive cases with delaminated rotator cuff tears were included in this study (52 with EMSB and 46 with DLSB). The mean age was 65.0 ± 8.9 years (range, 38-85 years). The mean follow-up period was 28.0 ± 6.3 months (range, 24-40 months)...
November 1, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30392805/outcomes-after-limited-or-extensive-bursectomy-during-rotator-cuff-repair-randomized-controlled-trial
#10
Ji-Hoon Nam, Sanghyun Park, Hwa-Ryeong Lee, Sae Hoon Kim
PURPOSE: To evaluate the effects of extensive bursectomy (EB) and limited bursectomy (LB) during arthroscopic rotator cuff repair. METHODS: In the EB group (n = 39), subacromial bursae were thoroughly removed from anterior to posterior and lateral to medial. In the LB group (n = 39), bursectomy was minimized to allow torn cuff visualization and tendon repair. Visual analog scale pain scores, passive forward flexion, external rotation at the side (ER), and internal rotation at the back were measured at 5 weeks and 3, 6, and 12 months after surgery...
November 1, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30389128/superior-capsular-reconstruction-reverses-profound-pseudoparalysis-in-patients-with-irreparable-rotator-cuff-tears-and-minimal-or-no-glenohumeral-arthritis
#11
Stephen S Burkhart, Robert U Hartzler
PURPOSE: The purpose of the study was to investigate the rate and magnitude of return of active forward elevation (aFE) of the arm for patients with severe preoperative elevation dysfunction (less than 45° of aFE and termed profound pseudoparalysis) and massive, irreparable (or partially reparable) rotator cuff tears without arthritis treated with arthroscopic superior capsular reconstruction (SCR). METHODS: The period for this retrospective study was October 2014 to October 2016...
October 30, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30301634/return-to-golf-after-arthroscopic-management-of-femoroacetabular-impingement-syndrome
#12
Brian R Waterman, Gift Ukwuani, Ian Clapp, Philip Malloy, William H Neal, Shane J Nho
PURPOSE: To investigate if patients who reported playing golf before arthroscopic hip surgery for femoroacetabular impingement syndrome were able to return to playing golf postoperatively. METHODS: The study was a retrospective analysis of all consecutive patients undergoing hip arthroscopy for femoroacetabular impingement syndrome between 2012 and 2014. Inclusion criteria required that a patient (1) reported playing golf before the surgery, (2) had a minimum 2-year follow-up, and (3) completed patient-reported outcome measures...
October 6, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30301633/loop-length-change-of-an-adjustable-length-femoral-cortical-suspension-device-in-anatomic-rectangular-tunnel-anterior-cruciate-ligament-reconstruction-with-a-bone-patellar-tendon-bone-graft-and-associated-clinical-outcomes
#13
Masashi Kusano, Arisa Kazui, Ryohei Uchida, Tatsuo Mae, Takayuki Tsuda, Yukiyoshi Toritsuka
PURPOSE: To evaluate loop length changes of an adjustable femoral cortical suspensory fixation device and assess the clinical results after anatomic rectangular tunnel anterior cruciate ligament (ART-ACL) reconstruction with a bone-tendon-bone (BTB) graft. METHODS: The study included 50 patients who underwent ART-ACL reconstruction with a BTB graft fixed using the adjustable-length device BTB TightRope for femoral fixation between July 2013 and December 2014. Computed tomography examinations were performed at 1 and 12 weeks after the surgery...
October 6, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30301631/primary-anterolateral-ligament-rupture-in-patients-requiring-revision-anterior-cruciate-ligament-reconstruction-a-retrospective-magnetic-resonance-imaging-review
#14
James B Carr, Baris Yildirim, Dustin Richter, Brian E Etier, Mark W Anderson, Jennifer Pierce, David R Diduch
PURPOSE: To compare the initial rate of anterolateral ligament (ALL) injury at the time of anterior cruciate ligament (ACL) rupture in patients who subsequently experienced ACL reconstruction graft failure versus patients who did not experience subsequent ACL reconstruction graft failure. METHODS: Our institution's electronic medical record database was queried for patients who underwent primary ACL reconstruction and then experienced subsequent ACL graft rupture...
October 6, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30301630/type-viii-slap-repair-at-midterm-follow-up-throwers-have-greater-pain-decreased-function-and-poorer-return-to-play
#15
Mitchell S Fourman, Justin W Arner, Steve Bayer, Dharmesh Vyas, James P Bradley
PURPOSE: To evaluate and compare midterm outcomes and return to play (RTP) of throwers and nonthrowers who underwent type VIII SLAP repair. METHODS: With 4-year minimum follow-up, stability, pain, range of motion (ROM), Kerlan-Jobe Orthopaedic Clinic (KJOC), and American Shoulder and Elbow Surgeons (ASES) scores; surgical satisfaction; and RTP were compared between throwing and nonthrowing athletes who underwent repair of type VIII SLAP lesions between 2003 and 2014...
October 6, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30301629/bacterial-deoxyribonucleic-acid-is-often-present-in-failed-revision-anterior-cruciate-ligament-reconstructions
#16
Joshua S Everhart, Alex C DiBartola, Devendra H Dusane, Robert A Magnussen, Christopher C Kaeding, Paul Stoodley, David C Flanigan
PURPOSE: To determine whether bacterial DNA will be detectable by polymerase chain reaction (PCR) in torn graft tissue at the time of revision anterior cruciate ligament reconstruction (ACLR). METHODS: A total of 31 consecutive revision ACLR cases from 1 center from 2014-2016 were recruited. No patients had clinical signs of infection on presentation. Torn graft tissue was obtained in revision cases and subjected to clinical culture and PCR analysis with a universal bacterial primer...
October 6, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30301628/which-technique-is-better-for-treating-patellar-dislocation-a-systematic-review-and-meta-analysis
#17
Dong-Yeong Lee, Young-Jin Park, Sang-Youn Song, Sun-Chul Hwang, Jin-Sung Park, Dong-Geun Kang
PURPOSE: To clarify the discrepancy in surgical options and present evidence to treat patellar dislocation by evaluating which of the techniques yields better improvement in stability and functional recovery for patellar dislocation. METHODS: The MEDLINE, Embase, Cochrane Central Register of Controlled Trials, Web of Science, and Scopus electronic databases were searched for relevant articles comparing the outcomes of medial patellofemoral ligament (MPFL) treatment published up until August 2017...
October 6, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30301627/preoperative-and-intraoperative-predictors-of-long-term-acceptable-knee-function-and-osteoarthritis-after-anterior-cruciate-ligament-reconstruction-an-analysis-based-on-2-randomized-controlled-trials
#18
Eric Hamrin Senorski, David Sundemo, Eleonor Svantesson, Ninni Sernert, Jüri-Toomas Kartus, Jón Karlsson, Kristian Samuelsson
PURPOSE: To determine preoperative predictors of long-term acceptable knee function and the development of osteoarthritis (OA) in long-term follow-up after anterior cruciate ligament (ACL) reconstruction. METHODS: This study is a long-term follow-up of 2 previous randomized controlled trials that included 193 patients who underwent unilateral ACL reconstruction with ipsilateral hamstring tendon or patellar tendon autografts. Patients who suffered multiligament injuries, major meniscal injuries, chondral lesions requiring surgical treatment, or had a previous ACL reconstruction were excluded...
October 6, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30301626/hip-arthroscopy-in-patients-ages-50-years-or-older-minimum-5-year-outcomes-survivorship-and-risk-factors-for-conversion-to-total-hip-replacement
#19
Itay Perets, Edwin O Chaharbakhshi, Brian Mu, Lyall Ashberg, Muriel R Battaglia, Leslie C Yuen, Benjamin G Domb
PURPOSE: To report minimum 5-year outcomes and risk factors for conversion to total hip arthroplasty (THA) in patients ≥50 years old undergoing hip arthroscopy to treat labral tears and femoroacetabular impingement (FAI). METHODS: Data were prospectively collected on patients who underwent hip arthroscopy to treat labral tears and FAI between February 2008 and January 2012. The inclusion criteria were ≥50 years old at surgery, arthroscopic treatment for both labral tears and FAI, and preoperative patient-reported outcome (PRO) scores for modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific Subscale (HOS-SSS), and Visual Analog Scale (VAS)...
October 6, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30297156/outcomes-after-arthroscopic-rotator-interval-closure-for-shoulder-instability-a-systematic-review
#20
REVIEW
Ryan P Coughlin, Garrett S Bullock, Ajaykumar Shanmugaraj, Timothy C Sell, Grant E Garrigues, Leila Ledbetter, Dean C Taylor
PURPOSE: (1) To systematically assess the clinical outcomes of arthroscopic rotator interval closure (RIC) procedures for shoulder instability and (2) to report the different technical descriptions and surgical indications for this procedure. METHODS: Two independent reviewers searched 4 databases (PubMed, Embase, Web of Science, and Cochrane) from database inception until October 15, 2017. The inclusion criteria were studies that reported outcomes of shoulder stabilization using arthroscopic RIC as an isolated or adjunctive surgical procedure...
October 5, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
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