Review
Orthopedics
David P. Trofa, Ian S. Hong, Cesar D. Lopez, Allison J. Rao, Ziqing Yu, Susan M. Odum, Claude T. Moorman, Dana P. Piasecki, James E. Fleischli, Bryan M. Saltzman
Summary: This systematic review and meta-analysis evaluated the outcomes of osteochondral autograft and allograft transplantation for the treatment of symptomatic cartilage defects of the knee. The results showed favorable patient-reported outcomes and graft survival rates for both techniques, with no significant differences between autograft and allograft in terms of patient-reported outcome percentage change and graft failure.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Qing-xin Han, Yi Tong, Lei Zhang, Jin Sun, Jia Ma, Xiaohua Liu, Sheng Zhang, Bo Jiang, Yan Li
Summary: This study systematically analyzed the postoperative outcomes of osteochondral autologous transplantation (OAT) and microfracture (MF) procedures. The results showed that patients in the OAT group had quicker return to sports, even returning to pre-injury level of activity, compared to the MF group. OAT was found to be better than MF procedure according to Lysholm score, Tegner score, ICRS score, and the rate of failure.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Review
Orthopedics
Filippo Migliorini, Nicola Maffulli, Alice Baroncini, Jorg Eschweiler, Matthias Knobe, Markus Tingart, Hanno Schenker
Summary: This study compared allografts and autografts for treating talar osteochondral defects and found that at the last follow-up, autografts had better MOCART and AOFAS scores compared to allografts, with lower rates of revision surgery and failure.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2022)
Article
Orthopedics
Nir Altschuler, Kenneth R. Zaslav, Berardo Di Matteo, Seth L. Sherman, Andreas H. Gomoll, Scott A. Hacker, Peter Verdonk, Oliver Dulic, Jenel M. Patrascu, Andrew S. Levy, Dror Robinson, Elizaveta Kon
Summary: The study compared the clinical outcomes of an aragonite-based osteochondral implant with a control group in patients with knee joint surface lesions. The implant group showed superior results in terms of clinical outcomes, defect fill, and failure rate compared to the control group.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Martyn Snow, Lee Middleton, Samir Mehta, Andrew Roberts, Richard Grey, James Richardson, Jan Herman Kuiper, ACTIVE Consortium
Summary: This study compared the long-term outcomes of autologous chondrocyte implantation (ACI) versus alternative forms of surgical cartilage management in patients with failed previous treatment. The results showed that there was no significant difference in Lysholm scores between ACI and alternative management after 5 years, indicating that both methods were equally effective. However, ACI had more adverse events compared to the alternatives.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Review
Medicine, General & Internal
Jaromir Jarecki, Marcin Krzysztof Wasko, Wojciech Widuchowski, Agnieszka Tomczyk-Warunek, Magdalena Wojciak, Ireneusz Sowa, Tomasz Blicharski
Summary: This review provides an overview of the commonly used clinical methods for treating articular cartilage defects, with a specific emphasis on recent clinical trials. Currently, no single method fully satisfies the requirements for effective cartilage healing while remaining easily applicable during surgical procedures. However, there are several available options and the choice of treatment should take into consideration factors such as the location and size of the cartilage lesion, patient preferences, and whether it is chondral or osteochondral in nature. Promising future directions include tissue engineering, stem cell therapies, and the development of pre-formed scaffolds from hyaline cartilage, offering hope for improved outcomes.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Baptiste Picart, Pierre Emmanuel Papin, Camille Steltzlen, Philippe Boisrenoult, Nicolas Pujol
Summary: This study compared the functional outcomes after osteochondral autograft transfer (OAT) for significant symptomatic femoral condyle defect in stable or stabilised knees (concomitant ACL reconstruction). The results showed that the outcome was the same in both groups, indicating that treatment by osteochondral autograft transfer yields equivalent functional results in stable or stabilised knees.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2021)
Review
Surgery
Long Pang, Pengcheng Li, Tao Li, Yinghao Li, Jing Zhu, Xin Tang
Summary: Comparing the clinical outcomes of arthroscopic ACL repair and autograft ACL reconstruction for proximal ACL ruptures, this study found that both procedures had similar rates of failure, complications, reoperation, functional scores, and satisfaction. However, ACL repair had a higher rate of hardware removal and might be associated with greater knee laxity.
FRONTIERS IN SURGERY
(2022)
Article
Orthopedics
Rongmao Shi, Gang Wang, Zhian Chen, Libo Yuan, Tianhua Zhou, Hongbo Tan
Summary: This study compared the effectiveness of autologous dual-tissue transplantation (ADTT) and osteochondral autograft transplantation (OAT) for treating osteochondral defects in a porcine model. The results showed that at 2 months postoperatively, the OAT group had significantly better outcomes than the ADTT group. At 4 months postoperatively, the OAT group tended to have better outcomes than the ADTT group. Therefore, ADTT may be an alternative procedure to OAT for treating osteochondral defects.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Orthopedics
Dean Wang, Danyal H. Nawabi, Aaron J. Krych, Kristofer J. Jones, Joseph Nguyen, Ameer M. Elbuluk, Nadja A. Farshad-Amacker, Hollis G. Potter, Riley J. Williams
Summary: In this nonrandomized, retrospective comparison study, activity level and MRI appearance following treatment of cartilage lesions with the biphasic synthetic scaffold were superior to microfracture over time.
Article
Orthopedics
Oliver B. Hansen, Stephanie K. Eble, Karan Patel, Taylor N. Cabe, Carolyn Sofka, Jonathan T. Deland, Mark C. Drakos
Summary: The study compared the efficacy of osteochondral autologous transplantation (OAT) augmented with extracellular matrix and bone marrow aspirate concentrate (ECM-BMAC) to debridement with ECM-BMAC in treating medium-sized osteochondral lesions of the talus. Results showed that OAT patients had higher MRI scores, lower rates of cysts and edema, and lower need for revision surgery and therapeutic injections compared to debridement patients.
FOOT & ANKLE INTERNATIONAL
(2021)
Article
Orthopedics
E. T. Hurley, S. K. Stewart, J. G. Kennedy, E. J. Strauss, J. Calder, A. Ramasamy
Summary: The management of symptomatic osteochondral lesions of the talus (OLTs) is challenging, with various treatment options available but limited high-level evidence. Further large scale prospective studies and systematic reviews are needed to determine the optimal treatment for these lesions.
BONE & JOINT JOURNAL
(2021)
Review
Orthopedics
R. Garrett Steinmetz, J. Jared Guth, Matthew J. Matava, Matthew Smith, Robert H. Brophy
Summary: This study aimed to investigate whether there are significant differences in indications, techniques, patient variables, and outcome scores of knee articular cartilage surgery based on the geographic location of published studies. The majority of high-level evidence for such procedures comes from Europe, and there are regional variations in patient characteristics, lesion location, mechanism of injury, and failure rate.
Article
Orthopedics
Stephen G. Crowley, Anthony Pedersen, Thomas A. Fortney, Hasani W. Swindell, Bryan M. Saltzman, Charles A. Popkin, David P. Trofa
Summary: The aim of this study is to assess the variability of postoperative rehabilitation protocols used by orthopedic surgery residency programs for osteochondral autograft transplantation (OAT) and osteochondral allograft transplantation (OCA) of the knee. The study found significant differences in the inclusion of rehabilitation components and timing among the published protocols.
Article
Orthopedics
Tyler B. Hall, Max J. Hyman, Neeraj M. Patel
Summary: This study compared the rate of reoperation among children and adolescents undergoing osteochondral autograft (OAU) or osteochondral allograft (OAL) transfer for knee injuries. The findings showed that the overall reoperation rate was similar for OAU and OAL, but the rate was higher for open OAU procedures compared to open OAL procedures.
Article
Orthopedics
Kevin Jurgensmeier, Sara E. Till, Yining Lu, Alexandra M. Arguello, Michael J. Stuart, Daniel B. F. Saris, Christopher L. Camp, Aaron J. Krych
Summary: This study developed a machine learning model to identify risk factors and quantify overall risk of secondary meniscus injury after primary ACL reconstruction. The machine learning models outperformed traditional prediction models and identified multiple risk factors. These models can help guide patient expectations and potentially improve clinical outcomes.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Orthopedics
Erick M. Marigi, Rena F. Hale, Christopher D. Bernard, Nathaniel Bates, Michael J. Stuart, Timothy E. Hewett, Aaron J. Krych
Summary: This study investigated the relationship between functional and isokinetic testing at 6 months following primary ACL reconstruction (ACLR) as risk factors for second anterior cruciate ligament (SACL) injuries. The results indicated that patients with certain elevated isokinetic scores in the injured limb at 6 months after ACLR had a higher rate of subsequent ACL injuries than those who had lower peak torque.
JOURNAL OF KNEE SURGERY
(2023)
Article
Orthopedics
Martin Husen, Goran S. van der Weiden, Roel J. H. Custers, Keshav Poudel, Michael J. Stuart, Aaron J. Krych, Daniel B. F. Saris
Summary: This study investigated the long-term clinical outcomes and patient-reported outcome measures of skeletally immature and mature patients treated with surgery for unstable osteochondritis dissecans (OCD). The results showed that surgical treatment of OCD can achieve favorable outcomes and the healing rate is not influenced by the skeletal maturity status. However, a lateral femoral condylar lesion location is associated with an increased risk of failure.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Martin Husen, Todd A. Milbrandt, Veeraj Shah, Aaron J. Krych, Michael J. Stuart, Daniel B. F. Saris
Summary: This study assessed the outcomes of medial patellofemoral ligament (MPFL) reconstruction using allograft tendon in skeletally immature patients. It found that the procedure was safe and effective for treating patellar instability, regardless of patellar height and trochlear dysplasia. The study also identified a decrease in failure rates when MPFL reconstruction was performed together with a tibial tubercle osteotomy.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Simon Lee, Aaron J. Krych, Annalise M. Peebles, Danielle Rider, Travis J. Dekker, Justin W. Arner, Justin J. Ernat, Ryan J. Whalen, Matthew T. Provencher
Summary: This study aimed to describe the clinical presentation, examination, and surgical outcomes of patients with humeral avulsions of the glenohumeral ligament (HAGL) lesions. The results showed that both arthroscopic and open repair techniques were effective in reducing pain and instability in patients.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Jacob F. Oeding, Elyse J. Berlinberg, Yining Lu, Erick M. Marigi, Kelechi R. Okoroha, Christopher L. Camp, Jonathan D. Barlow, Aaron J. Krych
Summary: The purpose of this study was to evaluate the cost-effectiveness of three isolated meniscal repair (IMR) treatment strategies: platelet-rich plasma (PRP)-augmented IMR, IMR with a marrow venting procedure (MVP), and non-augmented IMR. The results showed that IMR with biological augmentation (MVP or PRP) resulted in a higher number of quality-adjusted life-years (QALYs) and lower costs than non-augmented IMR, suggesting that biological augmentation is cost-effective. However, IMR with an MVP was determined to be the overall cost-effective treatment strategy in young adult patients with isolated meniscal tears based on the willingness-to-pay threshold.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2023)
Article
Orthopedics
Ayoosh Pareek, Chad W. Parkes, Andreas H. Gomoll, Aaron J. Krych
Summary: This study compared the 2-year freedom from arthroplasty rates in subjects with medial knee osteoarthritis (OA) and subchondral insufficiency fracture of the knee (SIFK) when treated with an implantable shock absorber (ISA) versus non-surgical treatment. The results showed that the ISA group had a significantly higher rate of avoiding arthroplasty compared to the non-surgical treatment group within a 2-year period.
Article
Orthopedics
Cecilia Mitchell, Abhinav Lamba, Kelechi R. Okoroha, Kostas J. Economopoulos, Robert J. Spinner, Aaron J. Krych
Summary: This study aimed to report the outcomes, satisfaction scores, and complications of patients who underwent surgical treatment for snapping proximal hamstring. A total of 20 patients were included, with 100% achieving resolution of snapping. Post-operative functional scores and patient satisfaction significantly improved compared to pre-operative scores. At a minimum 2-year follow-up, patients demonstrated complete resolution of snapping, high patient-reported outcomes and satisfaction, and no reported complications.
JOURNAL OF HIP PRESERVATION SURGERY
(2023)
Article
Orthopedics
Martin Husen, Devin P. Leland, Heath P. Melugin, Keshav Poudel, Mario Hevesi, Bruce A. Levy, Aaron J. Krych
Summary: This study evaluated the long-term outcomes of hip arthroscopy in patients with femoroacetabular impingement (FAI) and compared the results with a nonoperative cohort. The study found a lower rate of osteoarthritis progression in the operative group. Male sex, increased age at initial diagnosis, presence of cam morphology, and increased initial arthritic joint changes were identified as risk factors for failure.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Aaron J. Krych, Abhinav Lamba, Allen S. Wang, Alexander M. Boos, Christopher L. Camp, Bruce A. Levy, Michael J. Stuart, Mario Hevesi
Summary: This study provides a long-term follow-up on the natural progression and prognosis of nonoperatively treated medial meniscus posterior root tears (MMPRTs). The results show poor clinical and radiographic outcomes with nonoperative treatment at long-term follow-up.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Abhinav Lamba, Charles L. Holliday, Erick M. Marigi, Anna K. Reinholz, Ryan R. Wilbur, Bryant M. Song, Mario Hevesi, Aaron J. Krych, Michael J. Stuart, Bruce A. Levy
Summary: Arthroscopic intervention for AF after ACLR can successfully improve knee ROM and pain. Patients who underwent either early or late surgery obtained satisfactory motion and function, although improved PROs were observed when the intervention occurred within 3 months of the primary procedure.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Abhinav Lamba, Alexander M. Boos, Kelechi R. Okoroha, Michael J. Stuart, Bruce A. Levy, Aaron J. Krych, Mario Hevesi
Summary: Isolated labral debridement is associated with high rates of reoperation and failure, but satisfactory outcome scores were observed in patients without subsequent surgery.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Erick M. Marigi, Aliya G. Feroe, John-Rudolph H. Smith, Michael J. Stuart, Mario Hevesi, Christopher L. Camp, Aaron J. Krych
Summary: This study assessed the outcome of patellofemoral stabilization surgery in competitive wrestlers with recurrent patellar instability (RPI). The results showed that MPFL reconstruction may be a more durable surgical treatment option compared to other PFSS procedures, with lower rates of RPI and failure.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Quinn J. J. Johnson, Mohamed S. S. Jabal, Alexandra M. M. Arguello, Yining Lu, Kevin Jurgensmeier, Bruce A. A. Levy, Christopher L. L. Camp, Aaron J. J. Krych
Summary: The purpose of this study was to determine the incidence of reoperation after anterior cruciate ligament reconstruction and identify predictive factors using machine learning methods. The results showed that machine learning models outperformed traditional statistics and identified several predictive factors, including systemic inflammatory disease, distal tear location, concomitant medial collateral ligament repair, higher pain score, hamstring autograft, tibial fixation via radial expansion device, younger age, and concomitant meniscal repair.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Review
Orthopedics
Mark T. Langhans, Abhinav Lamba, Daniel B. F. Saris, Patrick Smith, Aaron J. Krych
Summary: This review examines the pathophysiology, diagnosis, treatment, and future directions for investigation regarding meniscus extrusion. Meniscus extrusion leads to altered knee biomechanics and accelerated knee joint degeneration. Techniques such as meniscus centralization and meniscotibial ligament repair have shown promising biomechanical, animal model, and early clinical results.
CURRENT REVIEWS IN MUSCULOSKELETAL MEDICINE
(2023)