'Arthroscopy: The Journal of Arthroscopic and Related Surgery' and 'Arthroscopy Techniques' cover the newest research in arthroscopy and sports medicine.
Soaking ACL tendon grafts with vancomycin before implantation is associated with a nearly 15 times decrease in odds of infection compared with grafts not soaked in vancomycin.
Patients With Knee Osteoarthritis Who Receive Platelet-Rich Plasma or Bone Marrow Aspirate Concentrate Injections Have Better Outcomes Than Patients Who Receive Hyaluronic Acid: Systematic Review and
Anatomic MPFL reconstruction and tibial tuberosity transfer in adolescents with patella alta and elevated tibial tuberosity-trochlear groove distance in the treatment of recurrent patellar dislocation resulted in improved knee function.
#PatellarDislocation
Centralization Saturday...Meniscal extrusion is a challenging problem. Techniques have emerged to combat extrusion and outcome studies are now coming to fruition. See tonight's post for an editorial response.
@DrKrych
@MayoClinicSport
#orthotwitter
Discoid Lateral Meniscus (DLM):
In pts w DLM, surgical mgmt of any kind correlated w ⬆️ valgus and ⬆️ lateral compartment OA (40.3% after operative mgmt and only 7.1% of nonop DLM). Surgically treated non-DLM pts showed progression in 17.2%.
ACL Failure:
Knee hyperextention > 6.5° demonstrated an OR of 14.56 for graft rupture in a series of 457 pts, with ROC sensitivity 78.1%, specificity of 76.7%, and AUC 0.842.
Superior capsule reconstruction (SCR) with biceps tendon improves clinical and radiologic outcomes in patients with irreparable rotator cuff tears.
#shoulder
#rotatorcuff
PODCAST Episode 234: Management of Patellar Tendinopathy
Justin W. Arner , Christopher C. Kaeding, James P. Bradley
Arthroscopy Published online: December 18, 2023
Featuring:James P. Bradley MD | Podcaster: Justin W. Arner, MD
Combined Reconstruction of the Anterolateral Ligament in Patients With Anterior Cruciate Ligament Injury and Ligamentous Hyperlaxity Leads to Better Clinical Stability and a Lower Failure Rate Than Isolated Anterior Cruciate Ligament Reconstruction
Rotator Cuff Ripstop:
The load-sharing rip-stop uses 2 medial ⚓️ and 1 rip-stop tape independently secured with 2 lateral ⚓️. It improves ultimate LTC by 1.7x vs single-row and shows 53% healing of large/ massive tears vs 11% healing w single-row.
ACL reconstruction:
Cortical suspensory button location may impact femoral fixation strength… another factor to consider when drilling the femoral tunnel, and a potential argument for outside-in drilling.
@LsuOrtho
@OchsnerHealth
#orthotwitter
The Addition of Either an Anterolateral Ligament Reconstruction or an Iliotibial Band Tenodesis Is Associated With a Lower Failure Rate After Revision Anterior Cruciate Ligament Reconstruction: A Retrospective Comparative Trial
Tendon fixation using suture tape using a locking Krackow technique best maintains fixation strength under cyclic loading vs. high-tensile suture & whip stitch configurations.
@LanceLeClereMD
; Editorial Commentary by Dr. Barber
Subacromial Sunday...What is your preferred technique to treat irreparable cuff tears? This infographic summarizes many of the available treatments. Tonight's post features an ATech video proposing another.
@nuellesportsMD
@DrRobHartzler
#orthotwitter
"The arthroscopic Bristow procedure took less operative time and showed a lower rate of early moderate to severe glenohumeral OA, better range of motion, and a higher rate of RTS."
Patients demonstrate a reduced incidence of pain (92.7% to ~9.1%) and increased bone defect fill (84.4 to 97.4%) over 2 yrs following removal of locking plates used for medial opening wedge HTO.
Meniscus ramp lesions were found in 11.8% of ACL tears. Sensitivity / specificity of 4 MRI grades were defined. Type 3 grades were most accurate overall, Type 1 and 2 highly sensitive but nonspecific.
@WAHealth
@NorthBristolNHS
#orthotwitter
#arthroscopy
The BicepsLink Technique” for Massive Rotator Cuff Tear: Superior Capsular Reconstruction Using the Long Head of Biceps Tendon plus Margin Convergence Repair
What is the optimal technique for knee anterolateral stabilization along with Anterior Cruciate Ligament Reconstruction: Anterolateral Ligament Reconstruction vs Modified Lemaire Lateral Extra-Articular Tenodesis ?
Don't wait too long! Surgical delay >6 months reduces the likelihood of a medial meniscal tear being repairable in the setting of primary ACLR, while a delay >12 months increases risk of cartilage and meniscal injury. . Editorial:
This study demonstrated 25.9% rate of overlap for combined LMPR repair and ACLR, compared with 0% for MMPR repair with ACLR.
@NuelleSportsMD
@SDeFrodaMD
Players, who underwent ACLR, that return to soccer have a significantly higher risk of sustaining further ACL injury.
A 10-year FU study. ⚽⚽⚽
Outstanding research by
@MankanF
and team
Just published. Link below
⬇️
Arthroscopic Bankart repair vs. conservative Rx in first-time dislocators; should we be stabilizing early? Article by Dr. Eoghan Hurley &
@MichaelAlaiaMD
's group at
@nyulangone
and editorial commentary by
@drprovencher
at
@SPRIVail
Three doses of PRP therapy may be more effective than one dose of Platelet-Rich Plasma (PRP) in the Treatment of Knee Osteoarthritis: A Systematic Review and Meta-analysis
The October 2021 Infographic is quite a treat! Restoration of Labral Function in Primary Hip Arthroscopy From Labral Repair to Labral Reconstruction
@MaldonadoMD_
@BenjaminDombMD
For severe patellar instability with fixed and habitual dislocation, consider a 4-in-1 Quadricepsplasty. See the video technical guide from Drs. Parikh and Hire in Arthroscopy Techniques:
NSAIDs do not affect healing rate after arthroscopic rotator cuff repair, but they do significantly improve postoperative pain and functional outcomes. No significant difference was seen in pain or functional outcomes with the use of COX-2 inhibitors.
#NSAIDs
#Rotatorcuff
Arthroscopic Humeral Avulsion of the Glenohumeral Ligament (HAGL) Repair Utilized Accessory Posterior Portal in the Beach-Chair Position
#shoulder
#arthroscopy
Have a case coming up requiring a posterior approach to the shoulder, or simply just want to brush up on your anatomy? Here's an article describing the location of important neurovascular structures and defining the surgical safe zones.
@drprovencher
Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging
@thekneedoc
@JayMoran25
@MichaelAlaiaMD
@jachahla
Repairing Complete Radial Tears of the Lateral Meniscus: Arthroscopic All-Inside Double Vertical Cross-Suture Technique is Effective and Safe At 2-Year Minimum Follow-Up.
Tibial tubercle–trochlear groove/trochlear width provides the best indicator for diagnosing a lateralized tibial tubercle in patients with patellar instability.
#patellar
#instability
#knee