Comparing Suture Anchor and Transosseous Methods for Patellar Fixation in Medial Patellofemoral Ligament Reconstruction: A Systematic Review and Meta-analysis.

Background: Two commonly used techniques for securing the tendon graft to the patella in medial patellofemoral ligament (MPFL) reconstruction include the suture anchor (SA) method and the transosseous (TO) method. This study aimed to compare the outcomes in groups of patients who underwent SA and TO methods for patellar fixation in MPFL reconstruction.

Methods: A systematic review was carried out.

Arthroscopic-Assisted Reduction and Internal Fixation With Bone Allograft in Closed Tibial Plateau Fracture.

Tibial plateau fractures, though rare, are critical due to their impact on weightbearing and joint function. The gold standard for surgical treatment is open reduction and internal fixation (ORIF), aiming to restore the tibial plateau's anatomy and address any concurrent injuries. However, ORIF involves extensive soft tissue dissection, posing risks such as infections, neurovascular injury, and long-term joint stiffness.

Superficial band of the quadriceps tendon harvested with a minimally invasive technique provides adequate graft dimensions: a cadaveric study.

Introduction: This study explored a minimally invasive technique for harvesting the superficial band of the quadriceps tendon. By using a conventional graft tendon stripper, the procedure aims to obtain the full length of tendon fibers necessary for anterior cruciate ligament (ACL) reconstruction. The study aimed to determine if this technique can produce grafts of sufficient length and diameter.

Short graft, short tunnel ACL reconstruction with single hamstring and internal brace leads to comparable outcomes to conventional double hamstring technique: A retrospective study.

Purpose: The purpose of our study was to compare (1) ACL graft healing, (2) patient-reported outcome, and (3) complications after short graft (length < 65 mm), short tunnel (femoral tunnel < 20 mm) single hamstring ACL reconstruction with an internal brace (SGST-ACLR) technique and double hamstring autograft conventional ACL reconstruction (CON-ACLR) technique at minimum 2-year follow-up.

Methods: A retrospective cohort of patients underwent arthroscopic ACL reconstruction using a hamstring graft, with a minimum 2-year follow-up. Graft healing was evaluated at 1 year using a magnetic resonance imaging scan, with the mean signal-to-noise quotient ratio (SNQ) measured from three areas: proximal, middle, and distal to the ACL graft.

No difference in patient-reported outcomes between operative and non-operative management of proximal hamstring injuries, but return to sports is higher in operative treatment: A systematic review and meta-analysis.

Purpose: This study aimed to compare the patient-reported outcome score, return-to-sports rate, knee flexion strength and complications of operative and non-operative treatments for proximal hamstring tendon avulsions.

Methods: A comprehensive search of PubMed, Ovid and Scopus was conducted to identify clinical comparative studies with Levels 1-3 evidence on operative versus non-operative management for proximal hamstring tendon avulsions. Studies were included if they reported post-treatment clinical outcomes and met inclusion criteria: comparative design, English language, full-text availability, and patient-reported outcomes.

Intra-articular injections of platelet-rich plasma combined with hyaluronic acid versus platelet-rich plasma alone in the treatment of knee osteoarthritis: a systematic review and meta-analysis.

Purpose/aim: This study aimed to evaluate the efficacy and safety of platelet-rich plasma (PRP) combined with hyaluronic acid (HA) compared to PRP alone in treating knee osteoarthritis (OA).

Methodology: A systematic review and meta-analysis were conducted according to the 2020 Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. PubMed, Scopus, and Cochrane Library databases were searched for studies comparing PRP + HA to PRP alone in knee OA patients.

The reliability of deep learning models in assessing the shoulder arthroscopic field's visual clarity in relation to bleeding.

Background: The clarity of visualization in shoulder arthroscopy is significantly influenced by intraoperative bleeding. This study aims to develop deep learning models to classify the visual clarity of arthroscopic shoulder images and evaluate their reliability compared to rater assessment.

Methods: We retrospectively reviewed videos from 113 shoulder arthroscopies, using 63 patients' videos to create a 3750-image training dataset and 50 patients' videos to evaluate the reliability and agreement of the trained models.

Intravenous Tranexamic Acid Is Marginally Inferior to Epinephrine Irrigation for Visual Clarity During Arthroscopic Rotator Cuff Repair: A Double-Blind, Randomized Controlled Trial.

Purpose: To compare the effects of intravenous tranexamic acid (TXA) versus epinephrine (EPN)-diluted irrigation on visual clarity, surgical outcomes, and safety during arthroscopic rotator cuff repair.

Methods: This study randomized 82 patients (aged 64.9 ± 9.

Comparable clinical outcomes between patients aged over and under 60 ​years undergoing medial meniscus posterior root repair using a soft suture anchor technique: A preliminary retrospective cohort study.

Objectives: This study aimed to evaluate whether functional outcome scores in patients over 60 years of age improve after arthroscopic medial meniscus posterior root repair using a soft suture anchor. Additionally, it aimed to compare postoperative outcomes between patients over 60 years and those under 60 years of age.

Methods: A retrospective cohort study of 30 patients who underwent medial meniscus posterior root repair between June 2019 and February 2023.

Enhancing ACL reconstruction: augmented hamstring allograft with high-strength sutures for superior graft stability.

The conventional autograft technique for anterior cruciate ligament (ACL) reconstruction poses challenges such as donor site morbidity and postoperative pain. This technique introduces an augmented allograft technique using high-strength sutures to enhance graft stability and healing. The method involves preparing a semitendinosus and gracilis allograft.

Anterior-Horn Repair Using Conventional All-Inside Repair Device and Standard Arthroscopic Portals for Bucket-Handle Medial Meniscal Tear.

The bucket-handle tear, characterized by its oblique longitudinal and vertical pattern, poses challenges in meniscal repair, particularly when addressing the anterior horn. Although conventional outside-in techniques are common, all-inside approaches face limitations. This article proposes an alternative technique using the Infinity AIM all-inside repair device (ConMed, Utica, NY), which allows deployment after increasing the bend in the device's tip.

Lower revision rate of cemented humeral stem reverse total shoulder arthroplasty compared to cementless humeral stem in proximal humerus fractures: a systematic review and meta-analysis.

Introduction: This study aimed to compare the clinical outcomes of cemented versus cementless reverse total shoulder arthroplasty (rTSA) for the treatment of proximal humeral fractures (PHFs), with a focus on revision rates, tuberosity union, scapular notching, range of motion, and functional scores.

Materials And Methods: A systematic review and meta-analysis were conducted, incorporating data from studies comparing cemented and cementless rTSA for PHFs. Key outcomes analyzed included revision rates, tuberosity union rates, scapular notching, range of motion, and functional scores.

Efficacy of peri-articular and peri-hamstring injections for post-operative pain management in anterior cruciate ligament reconstruction with hamstring autograft: a double-blinded, randomized controlled trial.

Objectives: This study aimed to evaluate the efficacy of combining multimodal cocktail drug local injection with adductor canal block versus adductor canal block alone for postoperative pain management following anterior cruciate ligament (ACL) reconstruction with hamstring autograft.

Methods: A randomized controlled trial was conducted with 40 patients undergoing ACL reconstruction. Participants were assigned to two groups: one received a multimodal cocktail drug injection into the peri-articular and peri-hamstring regions combined with an adductor canal block (study group), while the other received only the adductor canal block (control group).

Two-Posteromedial Portal Arthroscopic Popliteal Cyst Excision.

The popliteal cyst is a common condition that causes disturbing symptoms. Several arthroscopic techniques are combined to treat the enlargement of communication and decompose the cyst wall, aiming to reduce recurrence. We propose a technique that involves resecting the posteromedial valve mechanism and excising the cyst wall through a 2-posteromedial portal approach.

Maximizing Graft Diameter: Unleashing the Power of Triple-fold Hamstring Autografts for Anterior Cruciate Ligament Reconstruction.

In this article, we explain a simple method to effectively enhance the graft size and maintain the tissue integrity of a hamstring autograft. The triple-fold technique is useful for creating a soft-tissue size and length suitable for anterior cruciate ligament reconstruction.

Cross-Cultural Validity and Reliability of the Thai Version of the Simple Shoulder Test.

Background: The Simple Shoulder Test (SST) is a widely used patient-reported outcome measure for shoulder function. However, there is currently no version of the SST for the Thai population.

Purpose: To cross-culturally adapt and evaluate the reliability and validity of a Thai version of the SST (Thai SST) for patients with shoulder pathologies, using the Thai version of the American Shoulder and Elbow Surgeons (ASES) score as a comparison tool.

Radiofrequency ablation of terminal sensory articular nerves before arthroscopic rotator cuff repair surgery improved early postoperative functional outcomes: A pilot study with 3 ​months follow-up.

Introduction: Chronic shoulder pain caused by a rotator cuff tear is commonly treated with arthroscopic rotator cuff repair surgery (ARCR). However, ARCR may be associated with moderate-to-severe postoperative pain, and poorly controlled pain can result in delayed functional recovery and the development of frozen shoulder. Terminal sensory articular nerve radiofrequency ablation (RFA) has been shown to be clinically effective in patients with severe refractory shoulder pain from multiple etiologies.

Suture anchor and transtibial pullout refixation of the posterior medial meniscus root tears restore tibiofemoral contact pressure and area to intact meniscus levels.

Purpose: To compare the load distributed to the medial tibial articular cartilage after refixation of posterior medial meniscus root tears between the suture anchor and transtibial pullout techniques in posterior medial meniscus root tears.

Methods: Twelve Thiel's embalmed human cadaveric knees are used and divided into three groups (four knees in each group): (1) intact meniscus (IM), (2) fixation with suture anchor technique (SA) and (3) fixation with transtibial pullout technique (TP). Each group applies an axial compression load up to 1500 N by Instron E 10000 at two knee flexion angles (0° and 60°).

Reduced retear rates yet similar clinical outcomes following arthroscopic partial repair of large and massive irreparable rotator cuff tears with biceps augmentation compared to repairs without biceps augmentation: A systematic review and meta-analysis.

Purpose: To compare the clinical outcomes between arthroscopic partial rotator cuff repair with biceps augmentation (BA) and partial repair (PR) without BA.

Methods: This systematic review included studies comparing outcomes of arthroscopic repair for large to massive irreparable rotator cuff tears with and without the BA. The focus was on postoperative clinical results and retear rates.

The Posteromedial Approach for Harvesting Hamstring Autografts Results in Fewer Incidents of Saphenous Nerve Injury Compared to the Conventional Anteromedial Approach: A Systematic Review and Meta-Analysis.

Background: The hamstring autograft can be harvested using various skin incisions, such as vertical, transverse, and oblique incisions, and from different localizations, including anteromedial and posteromedial harvest sites. The aim of this study was to compare studies on the anteromedial and posteromedial approaches for hamstring autograft harvest in terms of clinical outcomes, saphenous nerve injury, infection, operative time, graft length, incision length, range of motion, and patient satisfaction.

Methods: Following the 2020 Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines, a search was conducted in PubMed and Scopus, focusing on studies comparing anteromedial and posterior approaches for hamstring harvest.

Arthroscopic Humeral Avulsion of the Glenohumeral Ligament (HAGL) Repair Utilized Accessory Posterior Portal in the Beach-Chair Position.

Shoulder instability, often associated with both soft tissue and bone lesions, can result in shoulder pain and dysfunction. To address this, the combined procedure of a Bankart repair in conjunction with humeral avulsion of the glenohumeral ligament (HAGL) repair aims to minimize failure rates in a single procedure. While HAGL repair is imperative for preventing recurrent instability, there remains a lack of consensus on the optimal surgical technique.

Systematic review and meta-analysis of studies comparing cyst wall preservation against cyst wall resection during arthroscopic popliteal cyst decompression.

Introduction: The optimal arthroscopic management for popliteal cyst decompression remains uncertain, with ongoing debate between preserving the cyst wall or completely removing it. The purpose of this study is to compare the outcomes and complications of arthroscopic popliteal cyst decompression with cyst wall preservation and cyst wall resection.

Methods: A systematic review adhering to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines was conducted.

Posterolateral Intra-/Extra-articular Tenodesis Technique: A Technique for Lateral Tenodesis of the Knee.

Posterolateral tenodesis is necessary for restoring biomechanics in posterolateral instability of the knee. We propose a technique that provides the tenodesis effect to both intra- and extra-articular aspects of the knee. We call it the posterolateral intra-/extra-articular tenodesis technique, which is a technique for posterolateral reconstruction.