Arthroscopy-The Journal of Arthroscopic and Related Surgery最新文献

{"title":"Knee Brace Application Does Not Affect Thigh Muscle Strength and Knee Range of Motion After Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis","authors":"Po-Han Chen M.D. ,&nbsp;Sung Huang Laurent Tsai M.D., M.P.H. ,&nbsp;Cheng-Pang Yang M.D. ,&nbsp;Hao-Che Tang M.D. ,&nbsp;Joe Chih-Hao Chiu M.D., Ph.D. ,&nbsp;Yi-Sheng Chan M.D. ,&nbsp;Chieh-An Chuang M.D.","doi":"10.1016/j.arthro.2025.07.042","DOIUrl":"10.1016/j.arthro.2025.07.042","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the effect of rehabilitative knee bracing on thigh muscle strength, knee mobility, subjective and objective performance, knee stability, and functional test outcomes following anterior cruciate ligament (ACL) reconstruction.</div></div><div><h3>Methods</h3><div>In line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and registered with INPLASY, we included randomized controlled trials and cohort studies comparing knee bracing versus no bracing after ACL reconstruction. Outcome measures were collected preoperatively and at defined study intervals of each study. Primary outcomes were thigh muscle strength and knee mobility, while secondary outcomes included International Knee Documentation Committee score, Tegner score, Lysholm score, visual analog scale for pain, knee anterior laxity, and the 1-legged hop test. Data were collected from multiple databases and analyzed using Comprehensive Meta-Analysis software, with bias assessed via the Cochrane Risk of Bias 2.0 tool and the Newcastle-Ottawa Scale.</div></div><div><h3>Results</h3><div>Fourteen studies with 1,199 patients were included, with follow-up ranging from 2 weeks to 4 years. Knee bracing showed no significant effect on isokinetic flexion (standardized mean difference [SMD] = –0.027; <em>P</em> = .935; 4 studies) or extension torque (SMD = –0.007; <em>P</em> = .980; 4 studies) within 2 years, flexion range of motion within 3 months (SMD = –0.001; <em>P</em> = .997; 4 studies), or extension deficits within 3 months (SMD = 0.355; <em>P</em> = .334; 3 studies) and 2 years (SMD = –0.439; <em>P</em> = .132; 3 studies). Secondary outcomes also showed no significant group differences.</div></div><div><h3>Conclusions</h3><div>This systematic review and meta-analysis demonstrated that rehabilitative bracing after ACL reconstruction did not result in significant differences in thigh muscle strength or knee range of motion compared to nonbracing protocols. On the other hand, no significant differences were observed between the brace and nonbrace groups in terms of stability and functional outcomes.</div></div><div><h3>Level of Evidence</h3><div>Level III, systematic review and meta-analysis of Level I-III studies.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 5321-5331.e23"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Posterior Shoulder Instability in Athletes: Durable Recovery May Be Achievable With Arthroscopic Management","authors":"Jeffrey Kay M.D., M.Sc., F.R.C.S.C.,&nbsp;Olufemi R. Ayeni M.D., Ph.D., F.R.C.S.C.","doi":"10.1016/j.arthro.2025.09.003","DOIUrl":"10.1016/j.arthro.2025.09.003","url":null,"abstract":"<div><div>Posterior shoulder instability, once considered rare, is increasingly recognized in young and athletic populations. Arthroscopic stabilization techniques have shown favorable outcomes with improvements in pain, function, and return to sport. Although most available evidence has been limited to short-term follow-up, emerging data suggest that arthroscopic management offers durable protection against recurrent instability and sustained athletic participation. The challenge remains in accurate diagnosis and patient selection, but advances in surgical technique and rehabilitation continue to refine outcomes. Posterior shoulder instability should no longer be viewed as an uncommon or unpredictable entity; rather, with modern arthroscopic management, it represents a condition where reliable and lasting recovery may be achievable.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 5056-5057"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Favorable Short-Term Outcomes of Matrix-Associated Autologous Chondrocyte Implantation for Osteochondral Lesions of the Talus: A Systematic Review","authors":"Jimmy Wen B.A. ,&nbsp;Burhaan Syed B.S. ,&nbsp;Ubaid Ansari B.S. ,&nbsp;Vince Thomas B.S. ,&nbsp;Mouhamad Shehabat B.S. ,&nbsp;Muzammil Akhtar B.S. ,&nbsp;Daniel Razick B.S. ,&nbsp;Christopher D. Kreulen M.D., M.S.","doi":"10.1016/j.arthro.2025.07.045","DOIUrl":"10.1016/j.arthro.2025.07.045","url":null,"abstract":"<div><h3>Purpose</h3><div>To synthesize the available research on matrix-associated autologous chondrocyte implantation (MACI) for osteochondral lesions of the talus (OLTs) by specifically focusing on clinical outcomes, patient-reported outcomes (PROs), return to activity/sport (RTA/RTS), and rates of complications/revisions.</div></div><div><h3>Methods</h3><div>A search following the guidelines established by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses was performed in three databases for studies including MACI repair for OLTs. Study variables included title, author, publication date, study year, number of patients/ankles, mean age, mean follow-up time, RTA/RTS, PROs, and rates of complications/revisions.</div></div><div><h3>Results</h3><div>In total, 11 studies including 166 patients who underwent MACI with an age range of 17.7 to 45.8 years, a defect size range of 1.21 to 3.4 cm², and a follow-up time of 21.1 to 144 months were included. Lesions treated were classified as Outerbridge III-IV, Hepple 3-4, International Cartilage Repair Society III-IV, or chronic-type lesions. The mean preoperative ranges for American Orthopedic Foot and Ankle Score (AOFAS) (9 studies) and Magnetic Resonance Observation of Cartilage Repair Tissue (1 study) were 36.9 to 70.1 and 62.4, respectively. The mean postoperative ranges for AOFAS (9 studies) and Magnetic Resonance Observation of Cartilage Repair Tissue (4 studies) were 78.3 to 95.3 and 62 to 83.8, respectively. Rates for RTA (1 study) and RTS (3 studies) were 81.8% and 50% to 82.4%, respectively. Complications and revisions ranged from 0% to 59% and 0% to 45%, respectively.</div></div><div><h3>Conclusions</h3><div>MACI for OLTs is associated with improved AOFAS scores and RTA/RTS rates at short-term follow-up. Reported complication and revision rates ranged from 0% to 59% and 0% to 45%, respectively. No included studies reported minimal clinically important difference, patient acceptable symptom state, or substantial clinical benefit metrics, limiting the interpretation of patient-level clinical improvements.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level III and IV studies.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 5492-5502.e1"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Female Sex, Capsular Laxity, and Heightened Beighton Test Score, Femoral Torsion Angle, Neck-Shaft Angle Decrease Whereas Hip Inflammatory Disease and Capsular Repair Increase Hip Capsular Thickness: A Systematic Review [Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 41, No 9 (September), 2025: pp 3776-3788”","authors":"Lin-Yi Shen M.M.,&nbsp;Wei-Xing Li M.M.,&nbsp;Kai-Zhe Chen M.D.,&nbsp;Hong-Yun Li M.D., Ph.D.","doi":"10.1016/j.arthro.2025.11.002","DOIUrl":"10.1016/j.arthro.2025.11.002","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Page 5506"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145718903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arthroscopic Iliac Crest Autograft Glenoid Augmentation Using Tape Cerclage Fixation for Bony Deficiency and Recurrent Anterior Shoulder Instability Improves Functional Outcomes and Achieves High Union Rates With Graft Resorption in Nonloaded Areas","authors":"Abdul-Ilah Hachem M.D. ,&nbsp;Diego Gonzalez-Morgado M.D. ,&nbsp;Gonzalo Barraza M.D. ,&nbsp;Fernando Alvarado M.D. ,&nbsp;Jose Luis Agullo M.D. ,&nbsp;Christina Lorenz M.D. ,&nbsp;Xavier Rius M.D. ,&nbsp;Markus Scheibel M.D.","doi":"10.1016/j.arthro.2025.04.042","DOIUrl":"10.1016/j.arthro.2025.04.042","url":null,"abstract":"<div><h3>Purpose</h3><div><span>To evaluate the clinical outcomes, return-to-sport rate, and graft remodeling after arthroscopic iliac crest </span>bone autograft<span> (ICBA) tape cerclage<span> fixation for glenoid bone loss<span> (GBL) in recurrent anterior shoulder instability.</span></span></span></div></div><div><h3>Methods</h3><div><span><span>Case series of patients with recurrent anterior shoulder instability with GBL ≥15% who underwent arthroscopic ICBA metal-free tape cerclage fixation between February 2019 and March 2022 with a minimum follow-up of 2 years. Range of motion, patient-reported outcomes, return to sport, instability recurrence, and complications were collected preoperatively and at postoperative follow-ups. Graft resorption mapping was assessed by evaluating the distribution of </span>articular surface remodeling on sagittal </span>computed tomography scans. The graft surface was divided in 2 columns: the inner (loaded) column and the outer (nonloaded) column.</div></div><div><h3>Results</h3><div>Twenty-eight patients with a mean age of 29.1 ± 7.9 years and a mean follow-up of 37.6 ± 5.8 months were included. The mean GBL was 18.4% ± 3.4% (range, 15%-25%). External rotation was 4° lower (<em>P</em> &lt; .001) compared to the uninjured side. Patient-reported outcomes significantly improved from baseline to 2-year follow-up (<em>P</em> &lt; .001): Western Ontario Shoulder Instability Index, 37.2 ± 18.7 to 94.9 ± 8.8; Rowe, 30.2 ± 16.4 to 96.1 ± 11.5; Constant-Murley, 83 ± 13.6 to 98.7 ± 3.2; and Subjective Shoulder Value, 43.5 ± 21.3 to 96.5 ± 8.3. Twenty-one patients (88%) returned to their previous sport level at a mean of 4.8 ± 1.7 months. No recurrent instability was reported. The glenoid surface area increased from 81.6% preoperatively to 120.1% immediately postsurgery (<em>P</em> &lt; .001) and decreased to 101.2% at 1 year (<em>P</em> &lt; .001) and to 98.2% at 2 years postoperative (<em>P</em> = .018). Graft resorption mapping showed higher osteolysis of the graft in the nonloaded area compared to the loaded area at 2 years postoperative (94.2% ± 12.9% vs 8.7% ± 15%, respectively, <em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>Arthroscopic glenoid reconstruction using ICBA fixed with tape cerclage is a safe and effective treatment for recurrent anterior shoulder instability with GBL greater than 15% at short-term follow-up. The procedure shows a high union rate, with articular graft surface resorption predominantly affecting nonloaded areas.</div></div><div><h3>Level of Evidence</h3><div>Level IV, retrospective case series.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 4978-4990"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"No Difference in Responders and Nonresponders to Preoperative Intra-articular Corticosteroid Injection Undergoing Hip Arthroscopy for Femoroacetabular Impingement Syndrome at 10 Years: A Matched Analysis","authors":"Eric Y. Hu B.S.,&nbsp;Jose Vega M.D.,&nbsp;Jesus E. Cervantes B.S.,&nbsp;Shane J. Nho M.D., M.S.","doi":"10.1016/j.arthro.2025.07.013","DOIUrl":"10.1016/j.arthro.2025.07.013","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare 10-year patient-reported outcomes (PROs), achievement of clinically significant outcomes (CSOs), and reoperation-free survivorship between patients who responded to intra-articular corticosteroid (IACS) injections and those who had no response to IACS injections after contemporary hip arthroscopy for femoroacetabular impingement syndrome.</div></div><div><h3>Methods</h3><div>Retrospective review of patients undergoing primary hip arthroscopy between January 2012 and August 2014. Patients who received a preoperative IACS injection were divided based on whether they had symptomatic relief (responder group) or no relief (nonresponder group). Groups were propensity matched in a 1:1 ratio based on age, sex, body mass index (BMI), acetabular cartilage grade, and Tönnis grade. Demographics, radiographics, CSOs, and survivorship were compared. PROs were measured preoperatively and up to the 10-year follow-up, which included Hip Outcome Score–Activities of Daily Living, Hip Outcome Score–Sports Subscale, modified Harris Hip Score, and visual analog scale for pain and satisfaction. Survivorship was also compared.</div></div><div><h3>Results</h3><div>Overall, 116 responder patients (age: 36.4 ± 11.4 years, 67.2% female, BMI: 25.4 ± 4.7) were matched to 116 nonresponder patients (age: 36.6 ± 12.8 years; 62.1% female; BMI: 25.4 ± 4.6) (70.4% follow-up). No differences between groups were seen between any demographic or radiographic findings. Preoperatively, the responder group had significantly lower visual analog scale for pain scores compared to the nonresponder group (68.4 ± 17.5 vs 74.4 ± 17.2, <em>P</em> = .006). Otherwise, both groups saw similar outcomes scores for all other PROs preoperatively and at the 2-, 5-, and 10-year follow-up. CSO achievement was also similar between groups, with ≥97.6% of all patients achieving the minimal clinically important difference and ≥78.8% achieving the patient acceptable symptom state for ≥1 PRO. Reoperation survivorship was also similar between groups (<em>P</em> = .62).</div></div><div><h3>Conclusions</h3><div>Response to IACS injection was not associated with differences in 10-year PROs, CSOs, or reoperation rates, despite lower preoperative pain scores in the responder group. While injections remain important tools in the evaluation of femoroacetabular impingement syndrome, our findings suggest that lack of relief after injection does not rule out the potential for successful long-term outcomes after hip arthroscopy.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective, matched case-control study.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 5137-5148.e1"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Stretching the Truth: We Need a Better System to Define Generalized Joint Laxity","authors":"Shane J. Nho M.D., M.S.,&nbsp;Ty L. Monty B.S.,&nbsp;Chandler A. Sparks M.S.","doi":"10.1016/j.arthro.2025.08.013","DOIUrl":"10.1016/j.arthro.2025.08.013","url":null,"abstract":"<div><div>As the indications and utilization of hip arthroscopy continue to grow, understanding outcomes in unique patient populations is a popular area of research. A specific cohort of interest are those with generalized joint laxity, a group in which instability issues may already be present and of concern for hip arthroscopy. The Beighton score, the standardized scale used to measure joint laxity in patients, presents several issues for its use as a diagnostic indicator, including disagreement on cut-offs, limited focus on lower extremity joints, and questionable validity. Hip arthroscopy has outgrown the single-faceted system, with controversial evidence to characterize this complex group of patients.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 5081-5082"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: How to Pass Go After Medial Patellofemoral Ligament Reconstruction","authors":"Brandon J. Erickson M.D.","doi":"10.1016/j.arthro.2025.08.004","DOIUrl":"10.1016/j.arthro.2025.08.004","url":null,"abstract":"<div><div>Medial patellofemoral ligament reconstruction (MPFLR) has been a reliable procedure to allow patients with patellar instability to regain function and minimize subsequent instability. However, although much of the prior literature has focused on recurrent patellar instability as a primary outcome after MPFLR, this may not accurately capture how a patient feels he or she has recovered after surgery. A more nuanced approach, taking into account patient-reported outcome scores, specifically the Kujala score, as well as the minimal clinically important difference, substantial clinical benefit, and patient acceptable symptomatic state, may help orthopaedic surgeons better understand how patients evaluate their outcomes after MPFLR.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 5276-5277"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Arthroscopic Free Bone Blocks With Alternative Fixation Are Likely the Wave of the Future but Further Research Is Necessary Before Widespread Adoption","authors":"Albert Lin M.D. (Editorial Board),&nbsp;Ryan Gilbert B.A.,&nbsp;Luilly Vargas M.D.","doi":"10.1016/j.arthro.2025.08.018","DOIUrl":"10.1016/j.arthro.2025.08.018","url":null,"abstract":"<div><div>Recurrent anterior instability with glenoid bone loss is a difficult problem with several surgical options. The Latarjet technique remains the gold standard for glenoid bone reconstruction in the setting of critical glenoid bone loss, with excellent long-term outcomes. However, this technique has well-known downsides including high rates of complications. Free bone blocks have become popular to overcome these limitations and are more flexible for restoring anatomy. Iliac crest bone autograft is a tried-and-true graft used worldwide, particularly in countries where allograft is cost prohibitive, and has shown great clinical results and instability recurrence rates similar to the Latarjet procedure. However, iliac crest bone autograft has also been associated with high rates of donor site morbidity. Alternative methods of fixation such as cortical buttons and tape cerclage are gaining popularity owing to reported risks of screw fixation, including hardware prominence and osteolysis, with mixed results in the literature compared with screws. In many cases, we believe the issues with screws develop as a result of oversized grafts that eventually remodel to the normal shape of the glenoid, leading to screw “prominence.” Nonetheless, screw fixation remains the gold standard for fixation. As more is learned of the complex interplay between humeral and glenoid bone loss, simply reconstructing the glenoid may not be enough to address the Hill-Sachs lesion (HSL), particularly if remodeling of the glenoid occurs over time. Regardless of technique, glenoid bone reconstruction should be sized to match the native glenoid, potentially followed by treatment of a concomitant HSL. In our practice, for subcritical bone loss (&lt;20%), we use the Pittsburgh Instability Tool score to determine whether to perform anterior Bankart repair with or without remplissage or bone reconstruction. For glenoid bone loss of 20% to 30%, we typically offer an open Latarjet procedure and consider remplissage for off-track or near-track HSLs. For glenoid bone loss of more than 30%, we use the Latarjet procedure if the glenoid native anatomy can be restored. Otherwise, we typically recommend a distal tibial allograft with screw fixation and potentially a remplissage based on the track status of the HSL.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 4991-4994"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recovery Stages After Multiligament Knee Reconstruction","authors":"Warren W. Nielsen M.D. ,&nbsp;Jill K. Monson P.T., O.C.S ,&nbsp;Robert F. LaPrade M.D., Ph.D. ,&nbsp;Andrew G. Geeslin M.D.","doi":"10.1016/j.arthro.2025.09.001","DOIUrl":"10.1016/j.arthro.2025.09.001","url":null,"abstract":"<div><div>Multiligament knee injuries are severe limb-threatening injuries involving a tear of two or more of the major knee ligaments including the anterior cruciate ligament, posterior cruciate ligament, medial collateral ligament, and fibular (lateral) collateral ligament/posterolateral corner. Anatomic reconstructions can help restore joint stability, which is complemented by a postoperative rehabilitation program to maximize knee function. The postoperative recovery will likely be extended compared with single-ligament procedures and usually involves robust precautions. However, it can be started the day after the reconstruction procedure to include initiation of knee motion. The goals are similar to those of single-ligament procedures including gradual recovery of motion, strength, and load capacity; as well as symptom control, restoration of cardiovascular fitness, and long-term joint protection. These are achieved through a protocolized rehabilitation program that involves four phases: recovery phase, transition phase, rebuild phase, and restore phase. Their goals and milestones are incremental to achieve optimal patient outcomes. With a team-based approach to protocolized recovery between the patient, surgeon, and rehabilitation team, patient function and return to activities can be maximized.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 4965-4967"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145718902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}