What's New — Knee — December 2025¶
112 new articles published this month.
Themes: ACL Reconstruction Techniques and Outcomes · Patellofemoral Instability and Alignment · Arthroplasty: Alignment, Robotics, and Outcomes · Injury Prevention, Rehabilitation, and Biologics · Periprosthetic Infection and Complex Trauma
Digest generated 2026-04-16 00:45:51+00:00.
Highlights¶
ACL Reconstruction Techniques and Outcomes¶
Recent literature extensively evaluates surgical strategies for anterior cruciate ligament (ACL) injuries, focusing on graft selection, augmentation, and long-term joint health. Studies compare repair versus reconstruction, highlighting that repair may preserve meniscal repairability [110], while reconstruction with lateral extra-articular tenodesis (LET) reduces long-term osteoarthritis risk [42] and improves rotational stability [76]. Graft choices are scrutinized, with quadriceps tendon emerging as a viable option [14] and hamstring graft size predicting re-tear risk [98]. Furthermore, the role of remnant preservation is supported by improved 10-year survival rates [76], and the impact of concomitant meniscal treatment on revision rates varies by sport [56]. These findings collectively refine the decision-making process for primary ACL surgery to optimize return to sport and joint longevity [8, 9, 60, 73].
Patellofemoral Instability and Alignment¶
This cluster addresses the diagnosis, biomechanics, and surgical management of patellofemoral instability and maltracking. Research identifies that chronic lateral tracking is driven by quadriceps external rotation rather than vastus medialis wasting [19], and new metrics like the patellar tendon–lateral trochlear ridge distance aid in differentiating instability from pain [53]. Surgical outcomes for medial patellofemoral ligament (MPFL) reconstruction are analyzed, noting that adding lateral retinacular release does not alter patellar height [58] and that females face higher recurrent dislocation rates [75]. Additionally, functional deficits persist in adolescents post-MPFL reconstruction [111], while trochleoplasty outcomes remain robust even with severe cartilage lesions or high BMI [4]. These studies emphasize the complexity of restoring normal patellofemoral kinematics.
Arthroplasty: Alignment, Robotics, and Outcomes¶
Advancements in total knee arthroplasty (TKA) and unicompartmental knee arthroplasty (UKA) are dominated by the integration of robotics and functional alignment principles. Robotic systems improve surgical accuracy [105] and allow for favorable outcomes with functional alignment, even in complex deformities like hyperextension [108]. Studies compare cementless versus cemented fixation, finding no difference in early outcomes [92], and investigate the impact of tourniquet use on cement penetration [41]. The safety of converting UKA to TKA is confirmed to be comparable to primary TKA regarding infection risk [49], while prior manipulation under anesthesia increases re-revision risk [51]. Furthermore, AI-driven tools are enhancing preoperative planning and diagnostic precision [38, 40], and patient satisfaction with AI-generated information is high [45].
Injury Prevention, Rehabilitation, and Biologics¶
A significant portion of research focuses on preventing ACL injuries, addressing the gap between evidence and implementation [6], and the critical role of adherence in prevention program success [21]. Rehabilitation strategies are evolving, with proprioceptive training showing benefits for functional recovery [27] and deep learning models aiding in image analysis for diagnosis [39]. Biologic therapies remain a topic of intense debate; while platelet-rich plasma (PRP) shows superiority over hyaluronic acid for osteoarthritis pain [66], it does not improve outcomes after ACL reconstruction [65]. Other biologics like bone marrow aspirate concentrate [37] and minced cartilage [50] are being evaluated for cartilage lesions. Additionally, the management of meniscal pathology, including centralization and repair, is linked to improved stability and outcomes [69, 106].
Periprosthetic Infection and Complex Trauma¶
This theme covers critical management issues in periprosthetic joint infections (PJI) and complex trauma. Studies detail the specific challenges of polymicrobial infections, requiring tailored antibiotic and surgical strategies [91], and evaluate the efficacy of continuous negative pressure therapy in acute PJI management [24]. In the realm of trauma, the management of multiligament knee injuries is refined, with posterior cruciate ligament involvement predicting inferior outcomes [2] and return to sport/work rates being documented [102]. Diagnostic challenges in foot and ankle trauma, such as Jones and navicular fractures in elite athletes, are addressed through international consensus [13, 15], alongside Lisfranc injury management [16]. These articles provide essential guidance for high-stakes clinical scenarios.
Articles by Theme¶
ACL Reconstruction Techniques and Outcomes (11)¶
8. Bouchard MD, Haque O, Cruickshank M, et al. Ten‐year outcomes of combined ACLR and lateral extra‐articular tenodesis: A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70231
This systematic review evaluated long-term outcomes, including graft failure and osteoarthritis development, following combined anterior cruciate ligament reconstruction and lateral extra-articular tenodesis. The key finding was that the addition of lateral extra-articular tenodesis is associated with lower failure and instability rates compared to isolated reconstruction over a mean follow-up of nearly 16 years. Clinically, this supports the consideration of combined procedures for high-risk patients to enhance long-term joint stability and potentially delay osteoarthritis.
9. Annibaldi A, Monaco E, Ciccarelli G, et al. Return to sport and clinical outcomes after arthroscopic anterior cruciate ligament repair versus reconstruction: A systematic review and meta‐analysis. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70233
This systematic review and meta-analysis compared return to sport (RTS) outcomes between arthroscopic ACL repair and reconstruction across nine studies involving 819 patients. The key finding revealed a significantly higher RTS rate in the ACL repair group (75.3%) compared to the reconstruction group (66.5%). Clinically, these results suggest that ACL repair may offer superior functional return rates for athletes, warranting further consideration in surgical decision-making.
14. Pineda T, Cavaignac E, Neri T, et al. Rectus femoris tendon: An emerging option in ACL reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70242
This article reviews the ongoing search for the ideal graft in ACL reconstruction and introduces the rectus femoris tendon as an emerging alternative. It discusses the limitations of current graft options and positions the rectus femoris tendon as a promising new contender to balance biomechanical performance with donor-site morbidity. This emerging option may offer surgeons a viable alternative to address the unmet needs of graft selection in ACL reconstruction.
42. Gkekas NK, Stamiris D, Koutalos AA, et al. Combining ACL Reconstruction with Lateral Extra-Articular Tenodesis Reduces Long-Term Osteoarthritis Risk Versus Isolated ACL Reconstruction. Journal of Bone and Joint Surgery 2025. doi:10.2106/jbjs.25.00907
A systematic review and meta-analysis evaluated the long-term impact of adding lateral extra-articular tenodesis (LET) to anterior cruciate ligament reconstruction on the development of osteoarthritis. The results demonstrated that combining LET with ACL reconstruction significantly reduces the risk of moderate-to-severe radiographic osteoarthritis in the lateral compartment compared to isolated reconstruction. Clinically, this supports the routine use of LET augmentation in high-risk patients to mitigate long-term joint degeneration.
56. Wållgren JO, Pruneski JA, Ferré‐Aniorte A, et al. The management of lateral meniscus pathology does not affect anterior cruciate ligament revision rates in football players, but affect rates in other athletes: Long‐term data from the Swedish Knee Ligament Registry. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70216
Using long-term registry data, this study investigated whether the management of concomitant lateral meniscus pathology affects anterior cruciate ligament (ACL) revision rates across different athlete populations. While meniscus treatment did not influence revision rates in football players, it significantly impacted revision rates in non-football pivoting and nonpivoting athletes. These findings suggest that meniscal management strategies should be tailored specifically to the patient's activity level to optimize ACL graft longevity.
60. Bernat‐Salles L, Bulle S, Sonnery‐Cottet B, et al. Determinants of return to performance and recovery time in elite alpine skiers after ACL surgery. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70220
A prospective cohort study analyzed determinants of return to performance and recovery time in 71 elite alpine skiers following anterior cruciate ligament surgery. The findings indicated that 79% of skiers returned to their pre-injury competitive level, with specific demographic and functional factors influencing the time required for return. These results provide clinicians with predictive metrics to better counsel elite athletes on realistic recovery timelines and performance expectations.
73. Ruelos VC, Pescatore SM, Tansey PJ, et al. Surgical Reconstruction After Anterior Cruciate Ligament Injury Is Associated With Reduced Odds of Future Total Knee Arthroplasty at Mid- to Long-Term Follow-Up. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.028
This study evaluated the long-term impact of surgical reconstruction for anterior cruciate ligament (ACL) injuries on the need for future total knee arthroplasty. The key finding indicates that patients who underwent reconstruction had significantly reduced odds of requiring knee replacement at mid- to long-term follow-up compared to non-surgical management. Clinically, this supports early surgical intervention as a strategy to preserve joint integrity and delay or prevent osteoarthritis progression.
76. Yoon KH, Bae BS, Lee SJ, et al. Remnant Preservation Improves 10-Year Graft Survival and Rotational Stability in Anatomic Single-Bundle Hamstring Anterior Cruciate Ligament Reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.031
The study compared 10-year outcomes of anatomic single-bundle hamstring ACL reconstruction with and without remnant preservation. Results demonstrated that preserving the ACL remnant significantly improved graft survival rates and rotational stability over the decade-long follow-up period. Clinicians should consider remnant preservation as a viable technique to enhance long-term graft durability and functional stability in ACL reconstruction.
98. Mancino F, Walgrave SL, Parker SC, et al. Proximal graft size predicts anterior cruciate ligament re-tear after hamstring reconstruction: A minimum 2-year follow-up in a high-volume center. Journal of ISAKOS 2025. doi:10.1016/j.jisako.2025.101027
This study investigated the relationship between proximal graft size and anterior cruciate ligament (ACL) re-tear rates following hamstring reconstruction in a high-volume center. The key finding indicates that smaller proximal graft diameters are a significant predictor of graft failure within a minimum two-year follow-up period. Clinically, this suggests that surgeons should prioritize ensuring adequate proximal graft dimensions to reduce re-injury risks in hamstring grafts.
106. Seki R, Nakamura T, Ozeki N, et al. Additional lateral meniscus centralization reduces residual anterolateral rotatory instability after anterior cruciate ligament reconstruction and lateral meniscus repair. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70200
This study investigated whether adding lateral meniscus centralization to anterior cruciate ligament reconstruction (ACLR) and meniscus repair improves control of anterolateral rotatory instability (ALRI). Quantitative assessment revealed that centralization significantly reduced tibial acceleration during pivot shift testing compared to ACLR and repair alone. The findings indicate that centralization is a critical adjunctive step for stabilizing rotational laxity in knees with combined ACL and lateral meniscus injuries.
110. Ateş G, Delice Ç, Korkut SB, et al. Saving the meniscus through early intervention: The impact of primary ACL repair on tear complexity and repairability. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70206
This study assessed functional outcomes and patient-reported measures in children and adolescents two years after medial patellofemoral ligament (MPFL) reconstruction compared to healthy controls. Despite good clinical scores, the surgical group demonstrated significantly impaired functional hop performance and lower patient-reported outcomes than their healthy peers. The results indicate that while MPFL reconstruction restores stability, full functional recovery in young athletes may remain incomplete at the two-year mark.
Patellofemoral Instability and Alignment (7)¶
3. Gaudes C, Eggeling L, Rinaldi VG, et al. Underestimation of tibial tuberosity–trochlear groove distance in conventional knee magnetic resonance imaging compared to full‐extension imaging. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70237
This retrospective cohort study compared tibial tuberosity–trochlear groove (TT–TG) distance measurements obtained from conventional knee MRI with those from full-extension whole-leg rotational MRI. The study found that conventional MRI significantly underestimates the TT–TG distance by approximately 4.8 mm compared to full-extension imaging. Clinically, this indicates that full-extension imaging is necessary for accurate preoperative planning in patellar instability cases to avoid misdiagnosis or inappropriate surgical correction.
4. Dippmann C, Siersma V, Lavard P, et al. Severe cartilage lesions and increased Body‐Mass‐Index are not associated with inferior outcome following patello‐femoral stabilising surgery with Bereiter trochleoplasty: A subgroup analysis of the Copenhagen trochleoplasty cohort. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70252
This subgroup analysis examined whether severe cartilage lesions or elevated body mass index influence clinical outcomes following Bereiter trochleoplasty for patello-femoral instability. The study found that neither severe cartilage lesions nor a BMI greater than 30 were associated with inferior postoperative scores or higher re-dislocation rates. These results suggest that these factors should not be considered absolute contraindications for trochleoplasty, allowing for broader patient selection in surgical management.
19. Talbot S, Baré J, Zordan R, et al. Chronic lateral patella tracking is strongly associated with quadriceps external rotation in relation to the femoral shaft and not with wasting of the vastus medialis. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70251
This study investigated the anatomical causes of chronic lateral patella tracking in 176 patients using CT scans to measure quadriceps alignment and muscle volume. The findings demonstrated that lateral tracking is strongly associated with quadriceps external rotation relative to the femoral shaft, rather than vastus medialis atrophy. This suggests that surgical or rehabilitative interventions should target rotational deformities of the quadriceps mechanism instead of focusing solely on muscle strengthening.
53. Pacala R, Schmidt S, Dennis ER, et al. Diagnostic value of the patellar tendon–lateral trochlear ridge distance and the patellar tendon–trochlear groove angle in differentiating lateral patellar instability from malalignment‐induced patellofemoral pain. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70213
This study evaluated the diagnostic utility of the patellar tendon–lateral trochlear ridge distance and patellar tendon–trochlear groove angle in distinguishing lateral patellar instability from malalignment-induced patellofemoral pain. Results showed that both measurements were significantly greater in patients with lateral patellar instability compared to those with pain alone. These metrics may serve as valuable radiographic tools for differentiating between these two distinct patellofemoral pathologies.
58. Fauré F, Erard J, Festa E, et al. Adding lateral retinacular release to medial patellofemoral ligament reconstruction reconstruction has no effect on patellar height: A prospective randomised controlled trial. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70218
A prospective randomized controlled trial evaluated whether adding lateral retinacular release (LRR) to medial patellofemoral ligament (MPFL) reconstruction affects patellar height in patients with recurrent patellar dislocation. The study found no significant difference in patellar height between patients receiving isolated MPFL reconstruction and those receiving MPFL reconstruction with LRR. Clinically, this suggests that LRR can be omitted to avoid potential complications without compromising patellar height outcomes.
75. Meade BK, Feingold CL, Lin EH, et al. Females Experience Higher Rates of Recurrent Dislocation Following Medial Patellofemoral Ligament Reconstruction: A Systematic Review. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.030
This systematic review analyzed recurrence rates of patellar dislocation following medial patellofemoral ligament (MPFL) reconstruction, specifically stratifying outcomes by sex. The analysis revealed that females experience significantly higher rates of recurrent dislocation compared to males after the procedure. This finding suggests that female patients may require more aggressive surgical techniques or tailored rehabilitation protocols to mitigate the risk of failure.
111. Nielsen TG, Kristensen PK, Lind M. Functional hop performance remains impaired in children and adolescents 2 years after medial patella femoral ligament reconstruction compared to matched healthy controls. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70208
Précis unavailable.
Arthroplasty: Alignment, Robotics, and Outcomes (19)¶
25. Syrikas I, Karikis I, Desai N, et al. Patients with previous anterior cruciate ligament reconstruction achieve equally good outcomes after total knee arthroplasty: A Swedish registry‐based study of 7755 patients. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70240
This Swedish registry study compared patient-reported outcomes one year after total knee arthroplasty between patients with prior anterior cruciate ligament reconstruction and matched controls. The key finding was that patients with a history of ACL reconstruction achieved equally good satisfaction, pain relief, and functional scores as those without prior knee surgery. Clinically, this suggests that previous ACLR should not be considered a contraindication or a negative prognostic factor for TKA outcomes.
26. Hu W, Nie Y, Li Y, et al. A modified minimally invasive subvastus approach shows superior early postoperative clinical outcomes compared to the medial parapatellar approach in total knee arthroplasty for osteoarthritis patients: a comparative study. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09428-8
This comparative study evaluated early postoperative clinical outcomes between a modified minimally invasive subvastus approach and the traditional medial parapatellar approach in total knee arthroplasty. The results demonstrated that the modified subvastus approach yielded superior early clinical outcomes compared to the medial parapatellar technique. These findings support the adoption of the modified subvastus approach to enhance early recovery in osteoarthritis patients undergoing TKA.
31. Hovmark AB, Petersen ET, Jürgens‐Lahnstein JH, et al. Similar tibial and femoral component fixation of mobile‐bearing and fixed‐bearing lateral unicompartmental knee arthroplasty: A radiostereometry study with 5‐year follow‐up. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70238
This radiostereometry study compared the fixation stability of mobile-bearing and fixed-bearing lateral unicompartmental knee arthroplasty over a 5-year follow-up period. The results showed no significant difference in tibial or femoral component migration between the two bearing designs, indicating similar fixation stability. Clinically, this supports the use of either mobile or fixed-bearing designs for lateral UKA without compromising implant longevity based on early migration patterns.
35. Huang L, Lin X, Zheng L, et al. Postoperative serum albumin drop predicts complications in primary total knee arthroplasty: a retrospective cohort study using XGBoost algorithm. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09380-7
Précis unavailable.
38. Lee DW, Song DS, Lee YS, et al. Deep learning‐derived orthogonal minimum joint space width improves radiographic assessment of knee osteoarthritis severity and progression. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70227
This study evaluated a novel deep learning-derived metric, orthogonal minimum joint space width, for assessing knee osteoarthritis severity and progression. The AI-derived metric demonstrated superior discriminative ability and longitudinal responsiveness compared to conventional fixed-location measurements. This advancement suggests that automated, orthogonal measurements could provide more accurate monitoring of disease progression in clinical trials and practice.
40. Yu H, Dong J, Wang L, et al. AI-Driven CT-MRI Image Fusion and Segmentation for Automatic Preoperative Planning of ACL Reconstruction. Journal of Bone and Joint Surgery 2025. doi:10.2106/jbjs.25.00485
This study developed and validated an AI-driven system that fuses CT and MRI images to automate preoperative planning for ACL reconstruction. The system accurately identified tunnel insertion sites and optimized positioning, achieving high precision in simulated and clinical validation settings. This technology offers the potential to standardize surgical planning, reduce operative time, and improve the accuracy of tunnel placement in ACL reconstruction.
41. Peng F, Cao J, Zhu X, et al. Effect of Tourniquet Use on 3D Cement Penetration and Mid-Term Implant Stability in Primary Total Knee Arthroplasty. Journal of Bone and Joint Surgery 2025. doi:10.2106/jbjs.25.00536
This prospective randomized controlled trial compared tourniquet use strategies in primary total knee arthroplasty using 3D MAR-CT analysis to quantify cement penetration and assess mid-term implant stability. The study found that tourniquet use significantly increased 3D cement penetration metrics without compromising mid-term stability or increasing radiolucent lines. These findings suggest that tourniquet use may enhance cement interdigitation without adverse effects on implant fixation, challenging previous assumptions based on 2D imaging.
45. Jiang Y, Zhu J, Lin Y, et al. High patient and surgeon satisfaction with ChatGPT-generated responses to real patient questions regarding total knee arthroplasty. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06451-2
This study assessed patient and surgeon satisfaction with responses generated by ChatGPT to real-world questions about total knee arthroplasty. The results indicated high satisfaction levels from both groups regarding the quality and relevance of the AI-generated information. This suggests that large language models could serve as effective, accessible tools for patient education and preoperative counseling in orthopedic practice.
48. Giovanoulis V, Vasiliadis AV, Andriollo L, et al. Functional alignment in robotic total knee arthroplasty provides favourable outcomes and minimal early revisions: A systematic review and meta‐analysis. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70226
A systematic review and meta-analysis evaluated functional outcomes and early revision risks of robotic-assisted total knee arthroplasty performed using functional alignment principles. The analysis of 5,155 knees demonstrated favorable functional outcomes and low early aseptic revision rates with a mean follow-up of 2.5 years. These findings support the safety and efficacy of functional alignment in robotic TKA, offering a promising personalized approach for improved patient outcomes.
49. Budin M, De Ruyter M, Lum ZC, et al. Periprosthetic joint infection risk is comparable between unicompartmental knee arthroplasty to total knee arthroplasty conversion and primary total knee arthroplasty: A systematic review and meta‐analysis. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70228
This systematic review and meta-analysis compared periprosthetic joint infection (PJI) rates between unicompartmental knee arthroplasty (UKA) to total knee arthroplasty (TKA) conversions and primary TKAs. The study found no statistically significant difference in PJI rates between the two cohorts. Clinically, this suggests that conversion from UKA to TKA does not inherently carry a higher infection risk than performing a primary TKA.
51. Plancher KD, Schwartz E, Mannina C, et al. Manipulation under anaesthesia and/or lysis of adhesions prior to revision total knee arthroplasty increases the risk of subsequent revision. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70211
This retrospective study utilized a large database to determine if prior manipulation under anesthesia (MUA) or lysis of adhesions (LOA) increases the risk of re-revision in patients undergoing revision total knee arthroplasty for arthrofibrosis. The analysis revealed that patients with prior MUA/LOA had a significantly higher incidence of re-revision at five years compared to those without such history. Consequently, surgeons should exercise caution regarding prior adhesive procedures when planning revision TKA for arthrofibrosis.
52. Müller D, Pohlig F, Schloßmacher B, et al. Reduced postoperative inflammation and blood loss after robotic arm‐assisted unicompartmental compared with total knee arthroplasty: A propensity score‐matched analysis. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70212
A propensity score-matched analysis evaluated systemic inflammation and blood loss in patients undergoing robotic arm-assisted unicompartmental knee arthroplasty (raUKA) versus robotic arm-assisted total knee arthroplasty (raTKA). The study found that raUKA resulted in significantly lower C-reactive protein levels and reduced perioperative blood loss compared to raTKA. These results suggest that raUKA offers distinct biological advantages regarding reduced postoperative inflammation and blood loss.
54. Nakamura Y, Ogawa H, Ota Y, et al. Smaller medial component gaps at deep flexion are associated with better patient‐reported outcomes after robotic‐assisted cruciate‐retaining total knee arthroplasty using an anatomically designed implant. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70214
This retrospective study examined the relationship between intraoperative medial gap patterns and patient-reported outcomes in robotic-assisted cruciate-retaining total knee arthroplasty. It found that smaller medial component gaps at deep flexion were associated with superior postoperative functional scores and satisfaction. These findings highlight the importance of optimizing medial gap balance during deep flexion to enhance patient outcomes.
90. Bertram W, Lamb J, Nijjher J, et al. Reasons for cancellation of total knee arthroplasty surgery in NHS hospitals in the UK. The Bone & Joint Journal 2025. doi:10.1302/0301-620x.107b12.bjj-2024-1597.r2
This study analyzed 9,403 cancellations of total knee arthroplasty across six UK NHS hospitals, finding that institutional factors accounted for the majority of delays. Most cancellations occurred two to 14 days prior to surgery, with significant financial and patient wellbeing impacts. The findings suggest that improving hospital scheduling and resource allocation is essential to reduce avoidable cancellations and associated costs.
92. Sauder N, Sharma A, Murrietta AJ, et al. No difference in early outcomes between cementless and cemented primary total knee arthroplasties. The Bone & Joint Journal 2025. doi:10.1302/0301-620x.107b12.bjj-2025-0146.r1
This study compared early outcomes between cementless and cemented primary total knee arthroplasties using robust metrics like MCID and PASS in a propensity-matched cohort. The analysis revealed no significant difference in early patient-reported outcomes or time to achieve meaningful clinical improvement between the two fixation methods. Clinicians can therefore consider cementless options without concern for inferior early functional recovery compared to cemented implants.
105. Möller A, Kasabji F, Fischer M, et al. Improved surgical accuracy in total knee arthroplasty using the ROSA® knee system: A randomised‐controlled unblinded trial. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70197
This randomized controlled trial compared robotic-assisted total knee arthroplasty (RATKA) using the ROSA system against conventional TKA to evaluate surgical precision and patient outcomes. The study found that RATKA significantly reduced the frequency of extreme malalignment compared to conventional techniques, while patient-reported outcomes remained comparable between groups. These results suggest that robotic assistance improves implant positioning accuracy without necessarily altering short-term functional recovery metrics.
107. Shatrov J, Mounir Boudali A, Abe K, et al. Patellar obliquity causes altered patellofemoral biomechanics in total knee replacement: An in vitro study. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70201
Using a cadaveric model, this in vitro study examined how asymmetric patellar resections causing obliquity affect patellofemoral kinematics and contact forces. Medial-thick obliquity was found to increase medialization, internal rotation, and central ridge pressure compared to neutral or lateral-thick configurations. The results imply that precise, symmetric patellar resection is essential to maintain normal biomechanics and prevent potential complications in total knee replacement.
108. Lambers A, Lee S, Langton K, et al. Knee hyperextension is a sign of through‐range laxity and may be effectively managed without routine joint line distalisation in a robotic functional alignment workflow. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70203
This retrospective analysis evaluated a robotic functional alignment workflow for managing hyperextension deformities in total knee arthroplasty without routine joint line distalization. The study demonstrated that hyperextending knees could achieve balanced gaps through tibial under-resection alone, resulting in superior flexion range of motion compared to controls. This suggests that hyperextension may be effectively managed by addressing soft tissue laxity rather than altering the joint line height.
109. Hajiaghajani S, Farsani AS, Aminizadeh S, et al. There is no standardised measurement approach for medial proximal tibial angle after unicompartmental knee arthroplasty: A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70204
This systematic review assessed the variability and reliability of medial proximal tibial angle (MPTA) measurement techniques following unicompartmental knee arthroplasty. The analysis revealed significant heterogeneity in reporting methods, with many studies failing to specify their measurement approach due to the presence of the prosthetic component. The authors conclude that a standardized measurement protocol is urgently needed to ensure accurate assessment of tibial alignment in post-UKA patients.
Injury Prevention, Rehabilitation, and Biologics (15)¶
5. Królikowska A, Prill R, Patt T, et al. Sex differences and gender factors in anterior cruciate ligament injury prevention: A call for purpose‐driven strategies. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70257
This editorial argues that current anterior cruciate ligament (ACL) injury prevention strategies fail to adequately address the distinct biological sex factors and gendered social barriers faced by female athletes. The authors propose a purpose-driven framework that integrates neuromuscular priorities with context-sensitive communication and resource allocation. The clinical implication is a call to move beyond male-derived evidence to implement equitable, sex- and gender-responsive prevention programs.
6. Prill R, Królikowska A, Ostoijc M, et al. The implementation gap in anterior cruciate ligament prevention programs—From evidence to everyday practice. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70258
This article highlights the significant gap between robust evidence supporting neuromuscular training for ACL prevention and its limited real-world implementation in sports settings. It identifies barriers such as time constraints and lack of confidence among coaches, while proposing implementation science frameworks to bridge this divide. The clinical implication is that successful reduction of ACL injuries requires systematic strategies to translate existing evidence into sustained, everyday practice.
7. Bensa A, Piano A, Fumagalli GA, et al. Safety profile comparison of intra‐articular corticosteroids, hyaluronic acid, platelet‐rich plasma, and cell‐based injections for knee osteoarthritis: A systematic review and meta‐analysis by the ESSKA Orthobiologics Initiative. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70230
This systematic review and meta-analysis compared the safety profiles of intra-articular corticosteroids, hyaluronic acid, platelet-rich plasma, and cell-based therapies for knee osteoarthritis. The analysis of over 76,000 patients revealed generally low rates of adverse events across all treatment modalities, with no single therapy demonstrating a significantly superior safety profile. These findings support the use of any of these injectable options based on efficacy and patient preference rather than safety concerns alone.
12. Achenbach L, Huppertz G, Müller K, et al. Knee‐ABC 2 reduces acute, severe and overuse knee injuries. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70236
This cluster-randomized trial investigated the efficacy of the Knee-ABC 2 injury prevention program in reducing knee injuries among handball athletes across 69 teams. The intervention group experienced a significantly lower incidence of acute, severe knee injuries compared to the control group. Implementing this program is clinically recommended to effectively reduce the burden of acute and severe knee injuries in handball populations.
21. Kayaalp ME, Celik H, Ostojic M, et al. Adherence as the key to anterior cruciate ligament injury prevention programme success: From efficacy to effectiveness. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70256
This review identifies adherence as the critical determinant of success for ACL injury prevention programs, noting that efficacy in trials does not translate to effectiveness without high compliance. Evidence indicates that only athletes adhering to at least 75% of sessions achieve significant risk reduction, while barriers like time constraints and lack of supervision hinder real-world implementation. The authors emphasize that improving coach buy-in, integrating exercises into regular practice, and utilizing digital tools are essential to bridge the gap between program design and actual injury prevention.
27. Zhang W, Zhang D, Liu J. The effect of Proprioceptive Neuromuscular Facilitation (PNF) therapy on functional recovery in patients with knee joint injury: a systematic review and meta-analysis. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09407-z
This systematic review and meta-analysis evaluated the impact of proprioceptive neuromuscular facilitation (PNF) therapy on functional recovery in patients with knee joint injuries. The analysis of 13 randomized controlled trials revealed that PNF therapy provides significant benefits for functional recovery compared to control interventions. Consequently, PNF is recommended as an effective therapeutic strategy to improve functional outcomes in the rehabilitation of knee injuries.
37. Migliorini F, Pilone M, Simeone F, et al. Progress in the clinical use of bone marrow aspirate concentrate for knee osteoarthritis: an expert opinion. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06509-1
This expert opinion reviews the current evidence regarding the clinical use of bone marrow aspirate concentrate (BMAC) for knee osteoarthritis. While BMAC shows promise in improving functional outcomes and attenuating inflammation, the review notes conflicting data regarding its superiority over other orthobiologics. Clinicians should consider patient selection carefully, as standardized indications for BMAC efficacy remain to be fully established.
39. Abedeen A, Smith R, Hirschmann MT, et al. Synthetic computed tomography from magnetic resonance imaging: An editorial on deep learning approaches for hip and knee image translation. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70229
This editorial discusses the emerging application of deep learning to generate synthetic computed tomography (CT) images from magnetic resonance imaging (MRI) for hip and knee care. The authors highlight the potential benefits of reducing radiation exposure and consolidating imaging for preoperative planning and morphological assessment. The piece calls for collaborative research to validate the clinical reliability and reproducibility of these synthetic imaging techniques.
50. Runer A, Leuthard L, Hoheisel L, et al. Minced cartilage implantation provides comparable outcomes to autologous chondrocyte implantation (ACI) for knee cartilage lesions: A matched‐pair analysis. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70210
Researchers conducted a matched-pair analysis comparing short-term patient-reported outcomes and revision rates between minced cartilage implantation (MCI) and autologous chondrocyte implantation (ACI) for knee cartilage lesions. Both treatment groups demonstrated statistically significant improvements in functional scores and pain relief at 24 months post-surgery. These findings indicate that MCI offers comparable clinical efficacy to ACI, providing a potentially simpler alternative for cartilage repair.
65. Pinho PVP, Defante ML, Oliveira GM, et al. Platelet-Rich Plasma and Its Analogs Do Not Clinically Improve Functional Outcomes 1 Year After Anterior Cruciate Ligament Reconstruction: A Meta-analysis of Randomized Controlled Trials. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.06.031
This meta-analysis of randomized controlled trials evaluated the efficacy of platelet-rich plasma and its analogs following anterior cruciate ligament reconstruction. The study found no clinically significant improvement in functional outcomes at one year post-surgery compared to controls. Consequently, the routine use of these biologics for enhancing functional recovery after ACL reconstruction is not supported by current evidence.
66. Li Y, Xing H, Wei C, et al. Platelet-Rich Plasma Is More Effective Than Hyaluronic Acid Injections for Osteoarthritis of the Knee: A Meta-analysis Based on Randomized, Double-Blinded, Controlled Clinical Trials. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.06.033
Researchers conducted a meta-analysis of randomized, double-blinded, controlled trials to compare platelet-rich plasma against hyaluronic acid injections for knee osteoarthritis. The findings indicated that platelet-rich plasma provides superior clinical outcomes compared to hyaluronic acid. This suggests platelet-rich plasma may be a more effective therapeutic option for managing knee osteoarthritis symptoms.
69. Tokumoto Y, Nakagawa Y, Nakamura T, et al. Combined Medial Meniscus Repair, Centralization, and High Tibial Osteotomy Are Associated With Improved Clinical, Radiological, and Arthroscopic Outcomes in Patients With Posterior Root Tears and Varus Alignment. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.003
This systematic review identified and synthesized multiple intrinsic and extrinsic factors contributing to anterior cruciate ligament injuries in skiers. The analysis highlighted a complex interplay of biomechanical, equipment, and environmental risks that elevate injury probability. Understanding these multifactorial risks is essential for developing targeted prevention programs and safety guidelines for the skiing population.
77. Suarez-Ahedo C. Editorial Commentary: Should Platelet-Rich Plasma Be the New Standard? Reframing Biologic Strategies for Knee Osteoarthritis. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.035
This editorial commentary critically examines the current evidence regarding platelet-rich plasma (PRP) as a potential standard of care for knee osteoarthritis. The author argues that while biologic strategies show promise, current data is insufficient to universally recommend PRP as the new standard treatment. The piece calls for more rigorous, high-quality randomized trials to definitively establish the efficacy and role of PRP in clinical practice.
85. Shybut TB. Editorial Commentary: Current Evidence Does Not Support Routine Augmentation of Anterior Cruciate Ligament Reconstruction With Platelet-Rich Plasma, but the Pursuit of Biologic Enhancements to Improve Anterior Cruciate Ligament Surgical Outcomes Should Continue. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.021
This editorial concludes that current evidence does not justify the routine use of platelet-rich plasma augmentation during ACL reconstruction. However, it encourages continued investigation into biologic enhancements to improve surgical outcomes. Clinically, surgeons should avoid routine PRP use while remaining open to emerging data that may validate specific biologic applications.
104. Zhuang X, Sui C, Han X, et al. Spatiotemporal dynamics of brain function network during proprioception rehabilitation after anterior cruciate ligament reconstruction: A randomized trial. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70196
A randomized trial examined the spatiotemporal dynamics of brain functional networks during proprioception rehabilitation after anterior cruciate ligament reconstruction (ACLR). The study found that intensive proprioceptive training induced specific changes in brain network connectivity, particularly in sensorimotor and cognitive control regions, correlating with improved proprioceptive function. These findings suggest that neuroplastic changes in the brain are a critical component of successful proprioceptive recovery post-ACLR.
Periprosthetic Infection and Complex Trauma (7)¶
2. Hunter CDR, Sternbauer J, Kammerlander C, et al. Posterior cruciate ligament involvement leads to inferior outcomes in multiligament knee injuries involving the medial collateral ligament: A systematic review and meta‐analysis. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70232
This systematic review and meta-analysis evaluated postoperative outcomes in multiligament knee injuries involving the medial collateral ligament, specifically comparing cases with and without posterior cruciate ligament involvement. The key finding was that the presence of posterior cruciate ligament injury leads to significantly inferior patient-reported outcomes compared to injuries limited to the medial collateral ligament. This suggests that the presence of posterior cruciate ligament damage should be a critical factor in surgical planning and prognostic counseling for multiligament knee injuries.
13. Balboni JM, Semelsberger SD, Boggiano VJ, et al. Jones fractures in elite athletes—2025 international foot and ankle sports consensus and systematic review. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70241
This study established an international consensus and systematic review to guide the management of Jones fractures in elite athletes. The consensus strongly favors open reduction internal fixation for stress-type fractures, which yielded a mean return to sport time of 13.3 weeks with a low complication rate. These guidelines provide a standardized, evidence-based approach to optimize treatment outcomes and return-to-sport timelines for athletes with Jones fractures.
15. Webber KJ, Boggiano VJ, Balboni JM, et al. Navicular fractures in elite athletes—2025 international foot and ankle sports consensus and systematic review. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70243
This international consensus and systematic review aimed to standardize the diagnosis, treatment, and return-to-sport protocols for navicular fractures in elite athletes. The process established 34 consensus statements covering workup, operative versus nonoperative management, and rehabilitation strategies. These recommendations provide a unified framework to improve clinical decision-making and patient outcomes for athletes suffering from navicular injuries.
16. Semelsberger SD, Boggiano VJ, Webber K, et al. Diagnostic evaluation and nonoperative management of Lisfranc injuries in athletes. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70244
This study utilized a modified Delphi process and systematic review to establish evidence-based guidelines for the diagnosis and nonoperative management of Lisfranc injuries in athletes. Experts reached strong consensus on diagnostic mechanisms, physical examination findings, and imaging protocols, including the use of bilateral weight-bearing radiographs and CT or MRI. These guidelines offer a standardized approach to identifying and managing Lisfranc injuries, potentially improving early detection and treatment success in high-performance athletes.
24. Alayed H, Hsu AHS, Wu K, et al. The effect of post-operative continuous negative pressure therapy after debridement, antibiotics, and implant retention for acute periprosthetic joint infection. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06355-1
This study investigated the efficacy of post-operative continuous negative pressure therapy following debridement, antibiotics, and implant retention for acute periprosthetic joint infections. The research assessed whether this adjunctive therapy improves infection control rates and implant survival compared to standard care alone. The results offer evidence to guide the use of negative pressure therapy in the management of complex joint infections.
91. Margaryan D, Dos Santos MV, Perka C, et al. Polymicrobial periprosthetic joint infections of the hip and knee. The Bone & Joint Journal 2025. doi:10.1302/0301-620x.107b12.bjj-2024-1656.r2
This retrospective study evaluated 39 patients with polymicrobial periprosthetic joint infections, identifying Staphylococci and Gram-negative bacilli as the most common pathogens. Patients underwent two-stage or multistage exchange with standardized antibiotic protocols, and long-term outcomes were assessed using consensus criteria. The results provide evidence-based guidance for managing complex polymicrobial infections and optimizing surgical and antibiotic strategies.
102. Trøan I, Bere T, Holm I, et al. Return to sport and work after multiligament knee injury. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70175
A retrospective cohort study compared patient-reported outcomes following total knee arthroplasty using the Xperience system versus standard irrigation techniques. The research found that the specific irrigation method did not significantly alter patient-reported outcomes or recovery metrics in the short term. This suggests that standard irrigation protocols remain effective, and the Xperience system offers no distinct advantage in patient-reported recovery metrics.
Other articles this month¶
1. Sagara M, Majjad A, Taoubane L, et al. High prevalence of depression in symptomatic knee osteoarthritis: a cross-sectional study on risk factors and therapeutic implications. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09453-7
This cross-sectional study investigated the prevalence of depression and associated risk factors in patients with symptomatic knee osteoarthritis. The research identified a high prevalence of depression within this population, suggesting a strong comorbidity between the two conditions. Clinically, these findings imply that routine screening for depression should be integrated into the management of knee osteoarthritis to improve overall patient outcomes.
10. Ahn JH, Son D. Improved graft positioning and reduced extrusion using the bone‐plug technique compared to the bone‐bridge technique in lateral meniscal allograft transplantation: A comparative magnetic resonance imaging‐based study. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70234
This retrospective study compared the bone-plug and bone-bridge techniques for lateral meniscal allograft transplantation using MRI and clinical outcomes in 72 patients. The bone-plug technique demonstrated significantly less meniscal extrusion, better graft positioning, and shorter operative times than the bone-bridge technique. These findings indicate that the bone-plug technique may improve graft stability and surgical efficiency in lateral meniscal allograft transplantation.
11. Manske R, Jack B, Karson D, et al. Quadriceps strength and power recovery following anterior cruciate ligament reconstruction with quadriceps tendon bone autograft: A 6‐ and 12‐month analysis. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70235
This prospective study evaluated quadriceps strength and power recovery at 6 and 12 months following ACL reconstruction using quadriceps tendon bone autograft. While the operative leg showed significant improvements over time, strength and power remained consistently lower than the nonoperative leg at both time points. Clinically, this highlights the persistent deficit in quadriceps function post-ACLR, emphasizing the need for targeted rehabilitation protocols to address long-term strength asymmetries.
17. Fukuda W, Yokoyama S, Kataoka Y, et al. Kinematic association between single‐leg squat and hop landing in female athletes following anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70246
This cross-sectional study analyzed kinematic correlations between single-leg squats and hop landings in 15 female athletes following ACL reconstruction. Results revealed extremely strong positive correlations between the two tasks for knee valgus and hip kinematics, indicating that squat mechanics reliably predict landing mechanics. Clinically, single-leg squats serve as a valid, accessible screening tool for assessing dynamic knee valgus risk in this population.
18. Ostojic M, Weinberger DG, Slujo BB, et al. Weight‐bearing after ACL reconstruction with or without concomitant injuries: Defining the limits of early mobilisation and safe rehabilitation. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70248
This editorial challenges the universal application of early weight-bearing after ACL reconstruction, arguing that it must be stratified based on concomitant injuries and patient-specific factors. It proposes a traffic-light decision model to guide weight-bearing protocols, suggesting that complex cases with steep tibial slopes or meniscal repairs require protected loading to protect the graft. The authors conclude that while early mobilization is safe for isolated ACL injuries, a tailored approach is essential for complex reconstructions to prevent graft failure.
20. Vandenrijt J, van der List JP, Hoogeslag RAG, et al. Expert‐based studies benefit from formal consensus methodology and balanced expert representation: Reconsidering the role of primary ACL repair. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70254
This article argues that expert-based studies on primary ACL repair require formal consensus methodologies and balanced expert representation to ensure validity. It highlights the limitations of current literature driven by individual expert opinion and calls for structured approaches to define the appropriate role of primary repair. The authors suggest that rigorous consensus building is necessary to establish evidence-based guidelines for this evolving surgical technique.
22. Chen Z, Wu H, Xing D, et al. The melorheostosis with severe knee and ankle deformity treated by total knee arthroplasty with V-Y quadricepsplasty: a case report and literature review. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09450-w
This case report describes the successful treatment of a rare melorheostosis case presenting with severe knee and ankle deformities using total knee arthroplasty combined with V-Y quadricepsplasty. The procedure addressed the complex soft tissue contractures and bony deformities associated with the condition, restoring function in a challenging clinical scenario. The authors review the literature to highlight the surgical considerations and outcomes for managing such severe deformities.
23. Widhalm K, Durstberger S, Putz P. Effects of visual real-time feedback during decline walking on gait parameters: a crossover randomized trial. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09437-7
This randomized crossover trial evaluated the impact of visual real-time feedback on gait parameters during decline walking. The study aimed to determine if immediate visual cues could correct abnormal biomechanics associated with decline walking, which is often linked to knee pathology. The findings provide insights into the potential of biofeedback interventions for improving gait mechanics in specific walking conditions.
28. Chudasama VD. The overlay ACI technique: Good old wine in new bottle. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70198
This article discusses the 'overlay ACI technique' as a novel application of established principles in cartilage repair. The author argues that while the technique represents a new iteration, it fundamentally relies on the enduring efficacy of older methods. The piece serves as a conceptual overview rather than a report of new empirical data.
29. Oehme S, Jung T. Response to Letter to the Editor: “The overlay ACI technique: Good old wine in new bottle”. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70199
This response addresses a letter to the editor regarding the 'overlay ACI technique' and its classification as a new application of old concepts. The authors clarify their position on the technique's innovation and its relationship to existing cartilage repair methodologies. The exchange highlights ongoing academic discourse regarding the evolution of surgical techniques in orthopaedics.
30. Diniz P, Yokoe T, Öttl FC, et al. Reasoning‐optimised large language models reach near‐expert accuracy on board‐style orthopaedic exams: A multi‐model comparison on 702 multiple‐choice questions. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70222
This study compared the accuracy, calibration, and cost of seven large language models, including those with advanced reasoning capabilities, on 702 orthopaedic board-style multiple-choice questions. The key finding was that reasoning-optimized models achieved near-expert accuracy, significantly outperforming standard models like GPT-4. This suggests that advanced LLMs are becoming viable tools for medical education and potentially for assisting in clinical decision-making.
32. Zhang L, Xiong X, Zhang M, et al. Discriminative efficacy and comparative analysis of functional performance tests for lower-limb injuries in Chinese elite female basketball athletes: a pilot cross-sectional study. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09398-x
This pilot cross-sectional study assessed the discriminative efficacy of various functional performance tests for lower-limb injuries in Chinese elite female basketball athletes. The research aimed to identify which tests best differentiate between injured and uninjured athletes within this specific population. The findings provide a basis for selecting appropriate screening tools to monitor injury risk and recovery in elite female basketball players.
33. Sim JA, Kim HS, Lee DK, et al. Influence of articular incongruency on coronal alignment after surgical fixation of lateral tibial plateau fractures. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09400-6
This study investigated how articular incongruency affects coronal alignment following surgical fixation of lateral tibial plateau fractures. The research likely identified a correlation between residual joint surface mismatch and postoperative malalignment. Clinically, these findings emphasize the need for precise articular reduction to prevent long-term alignment issues and potential joint degeneration.
34. Chu Y, Shi J, Lin S, et al. Correlation between tibial eminence fractures and morphology of femur condyles and tibial slopes in male patients: a retrospective case-control study. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09406-0
This retrospective case-control study examined the relationship between tibial eminence fractures and the morphological characteristics of femoral condyles and tibial slopes in male patients. The analysis likely revealed specific anatomical risk factors, such as steeper slopes or distinct condylar shapes, associated with these fractures. Understanding these correlations can aid in injury mechanism analysis and potentially inform preventive strategies or surgical planning for high-risk anatomies.
36. Alzobi O, Mohajer B, Fleuriscar J, et al. Thigh Muscle Changes in the ACL-Deficient Knee. Journal of Bone and Joint Surgery 2025. doi:10.2106/jbjs.25.00641
This longitudinal cohort study analyzed thigh muscle changes in non-operatively managed ACL-deficient individuals using deep learning on MRI data over four years. The study found that ACL-deficient knees exhibit significant muscle atrophy and increased adipose infiltration compared to intact knees, even without reconstruction. These findings highlight the necessity of targeted rehabilitation to mitigate chronic neuromuscular deterioration in conservatively treated patients.
43. Ma H, Sun G, Guan J, et al. Letter to the editor regarding “microbiologic analysis of 140 patients undergoing revision total knee arthroplasty due to periprosthetic joint infection and aseptic loosening: droplet digital PCR analysis”. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06316-8
This letter to the editor critiques or comments on a previous study regarding microbiologic analysis of revision total knee arthroplasty patients using droplet digital PCR. While specific findings are not detailed in the provided text, the correspondence likely addresses methodological considerations or clinical interpretations of the original microbiological data. The implication involves refining diagnostic accuracy for periprosthetic joint infections through advanced molecular techniques.
44. Liu C, Hu S, Chang S, et al. Intra-osseous and coverage fixation for inferior pole fracture of the patella: a comparative finite element analysis and retrospective cohort study. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06527-z
This study combined finite element analysis with a retrospective cohort to compare intra-osseous and coverage fixation methods for inferior pole patellar fractures. The research aimed to determine biomechanical stability and clinical outcomes associated with each fixation technique. The findings likely guide surgical decision-making by identifying which method offers superior stability and functional recovery for this specific fracture pattern.
46. Pineda T, Piercecchi A, Jacquet C, et al. Reliable pain and function outcomes but limited sport performance after high tibial osteotomy for medial knee osteoarthritis in the grey zone between osteotomy and unicompartmental replacement. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70223
A retrospective multicentre cohort study evaluated mid-term outcomes of high tibial osteotomy in patients with medial knee osteoarthritis falling within the 'grey zone' between osteotomy and unicompartmental replacement. While the procedure yielded reliable pain relief and functional scores, it resulted in limited return to high-level sports performance. The clinical implication is that high tibial osteotomy is a viable option for pain management in borderline cases but may not fully restore pre-injury athletic capabilities.
47. de Roy L, Teixeira GQ, Ahrens M, et al. Gait alterations increase friction of degenerated articular cartilage: A tribological study. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70225
This tribological study investigated how gait alterations associated with osteoarthritis affect the frictional properties of porcine articular cartilage under various loading conditions. The results showed that gait changes, particularly those involving altered stance phase loading and reduced speed, significantly increase friction coefficients in degenerated cartilage. This highlights the mechanical role of abnormal gait patterns in accelerating cartilage wear and suggests gait rehabilitation as a potential strategy to reduce joint friction.
55. El Kayali MKD, Bürck LV, Gwinner C, et al. Posterior tibial slope measurement on lateral radiographs shows increased variability, reduced repeatability and risk of misclassification in osteoarthritic versus nonosteoarthritic knees. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70215
The study compared the variability and repeatability of medial posterior tibial slope measurements on lateral radiographs between osteoarthritic and non-osteoarthritic knees. It found that osteoarthritic knees exhibited significantly higher measurement variability and a greater risk of misclassification compared to non-osteoarthritic knees. Clinicians should be aware of these limitations when relying on radiographic slope measurements for surgical planning in osteoarthritic patients.
57. Li K, Liu J, Wang D, et al. Towards global integration: China's evolving role in joint replacement and sports medicine. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70217
This article discusses China's evolving role and increasing integration into the global landscape of joint replacement and sports medicine. It highlights the nation's growing contributions to research, technology, and clinical practice in these fields. The piece implies that China is becoming a pivotal partner in advancing global orthopedic standards and collaboration.
59. Jud L, Kölle M, Neopoulos G, et al. Significant changes of the mechanical medial proximal tibial angle in dependence of internal and external rotation of the hinge axis in slope correcting infratuberositary tibial deflexion osteotomy. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70219
This study utilized 3D bone models to simulate tibial deflexion osteotomies and investigated how internal and external rotation of the hinge axis influences the mechanical medial proximal tibial angle. The results demonstrated that rotating the hinge axis by as little as 5 degrees causes significant unintended changes in the postoperative angle, whereas a perpendicular orientation preserves the preoperative alignment. The clinical implication is that surgeons must strictly orient the osteotomy perpendicular to the coronal plane to avoid unintended coronal corrections.
61. Matthews AH, Redman H, Evans JP, et al. What factors are important to patients when considering a revision total knee replacement in a network model of care? An exploratory qualitative analysis. BMC Musculoskeletal Disorders 2025. doi:10.1186/s12891-025-09354-9
This exploratory qualitative study interviewed patients to identify key factors influencing their decision-making regarding revision total knee replacement within a regional network care model. Patients prioritized returning to normality, faith in surgical expertise, and the trade-off between traveling further for better care versus the burden of travel for shorter hospital visits. The findings suggest that while centralizing care improves outcomes, logistical challenges for patients must be carefully managed to maintain patient satisfaction and access.
62. Moon H, Jung M, Choi C, et al. Increased Meniscal Extrusion at 1 Year After Surgery Is Associated With a Lower Likelihood of Substantial Mid-Term Patient-Perceived Improvement After Medial Meniscal Root Tear Repair. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.04.058
This study investigated the relationship between meniscal extrusion and patient-perceived improvement following medial meniscal root tear repair. The key finding was that increased meniscal extrusion at one year post-surgery is associated with a lower likelihood of substantial mid-term clinical improvement. Clinically, monitoring meniscal extrusion may serve as a prognostic indicator for long-term patient satisfaction after repair.
63. Zhang Z, Shi W, Ma Y, et al. Male Sex, Younger Age, Lower Body Mass Index, Athletes, Shorter Time From Injury to Surgery, and Non-contact Injury Are Associated With Achieving the Thresholds for Substantial Clinical Benefit for Patient-Reported Outcome Measures After Primary Anterior Cruciate Ligament Reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.05.016
This research identified specific patient characteristics associated with achieving thresholds for substantial clinical benefit after primary anterior cruciate ligament reconstruction. Male sex, younger age, lower body mass index, athletic status, shorter time from injury to surgery, and non-contact injury mechanisms were all positively associated with better outcomes. These factors can help surgeons set realistic expectations and tailor rehabilitation strategies for individual patients.
64. Song J, Lee B, Kim J, et al. Knee Joint Line Obliquity Continues to Regress Beyond 1 Year and Stabilizes at 3 Years After Open Wedge High Tibial Osteotomy Without Correlation to Clinical Outcome. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.06.005
This study examined the long-term progression of knee joint line obliquity following open wedge high tibial osteotomy, finding that it continues to regress beyond one year and stabilizes at three years. Crucially, the study found no correlation between the degree of this regression and clinical outcomes. This suggests that while radiographic changes persist, they do not necessarily impact the patient's functional recovery or satisfaction.
67. DiCosmo MB, DiCosmo AM, DeSarno MJ, et al. Posterior Tibial Slope Measurement With the Axis Estimate Method Is Not Inferior to the Established Proximal Anatomic Axis Method, and Both Differ From Cortical-Based Measurements. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.06.036
This study compared the accuracy of the axis estimate method against the established proximal anatomic axis method for measuring posterior tibial slope. Results showed the axis estimate method is not inferior to the standard method, though both differ significantly from cortical-based measurements. Clinicians can confidently utilize the axis estimate method as a reliable alternative for preoperative planning.
68. Trivellas A, Williams C, Therien AD, et al. Female Athletes May Have a Greater Challenge in Returning to Sport After Contemporary Cartilage Procedures in the Knee: A Systematic Review and Meta-analysis. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.06.037
A systematic review and meta-analysis examined return-to-sport rates following contemporary knee cartilage procedures, specifically analyzing gender differences. The data revealed that female athletes face significantly greater challenges in returning to sport compared to their male counterparts. These findings highlight a need for tailored rehabilitation strategies to address the specific barriers faced by female athletes.
70. Kim K, Lee S, Kim J. The Presence or Absence of Cartilage Regeneration Following Medial Open-Wedge High Tibial Osteotomy Does Not Predict Long-Term Outcomes. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.004
Précis unavailable.
71. Pettinari F, Carrozzo A, Guo DJ, et al. Hamstring Anterior Cruciate Ligament Reconstruction With Anterolateral Ligament Reconstruction Is Associated With Fewer Reoperations Than Bone−Patellar Tendon−Bone Plus Modified Lemaire Tenodesis—A Matched-Pair Analysis From the SANTI Study Group Database. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.016
Précis unavailable.
72. Bhatt AM, Lucido MF, Patton CD, et al. Multiple Intrinsic and Extrinsic Factors Increase the Risk of Anterior Cruciate Ligament Injury in Skiers: A Systematic Review. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.027
Précis unavailable.
74. Elias TJ, Haneberg E, Kaplan DJ, et al. Establishing the Minimum Clinically Important Difference, Patient Acceptable Symptomatic State, and Substantial Clinical Benefit After Isolated Medial Patellofemoral Ligament Reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.029
Researchers established the Minimum Clinically Important Difference, Patient Acceptable Symptomatic State, and Substantial Clinical Benefit thresholds for patients undergoing isolated medial patellofemoral ligament (MPFL) reconstruction. The study provides validated outcome metrics to better interpret patient-reported improvements after surgery. These benchmarks will help clinicians determine when a patient has achieved a meaningful recovery and guide shared decision-making regarding postoperative goals.
78. Chen P, Tsai SHL, Yang C, et al. 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. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.07.042
A systematic review and meta-analysis assessed the impact of knee brace application on thigh muscle strength and knee range of motion following anterior cruciate ligament (ACL) reconstruction. The pooled data showed no significant difference in muscle strength or range of motion between patients who wore braces and those who did not. These results suggest that routine postoperative bracing may not be necessary for preserving muscle function or joint mobility after ACL reconstruction.
79. Erickson BJ. Editorial Commentary: How to Pass Go After Medial Patellofemoral Ligament Reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.004
This editorial commentary discusses the critical factors influencing success rates and the management of failures following medial patellofemoral ligament (MPFL) reconstruction. The author highlights the importance of precise surgical technique and patient selection to minimize the risk of recurrent instability. The commentary serves as a guide for surgeons to optimize outcomes and navigate the complexities of patellar stabilization procedures.
80. Brockmeyer M. Editorial Commentary: The Ideal Combination of Anterior Cruciate Ligament Reconstruction and Lateral Extra-articular Procedures Has Yet to Be Determined, But We Are Getting Closer. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.006
The commentary reviews the evolving evidence regarding the combination of anterior cruciate ligament (ACL) reconstruction with lateral extra-articular procedures (LEP). While the ideal patient population and specific techniques for this combined approach remain to be fully defined, recent studies suggest improved rotational stability. Surgeons are encouraged to consider LEP in high-risk patients, though further research is needed to standardize indications and techniques.
81. Daniel AV, Thompson GP, Levy BA. Editorial Commentary: Let’s Finally Agree That Anterior Cruciate Ligament Reconstruction Lowers the Risk of Total Knee Arthroplasty When Compared With Nonoperative Treatment. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.008
This editorial argues that anterior cruciate ligament (ACL) reconstruction significantly reduces the long-term risk of total knee arthroplasty compared to nonoperative management. The authors advocate for a consensus on this protective effect to guide treatment decisions. Clinically, this supports prioritizing surgical reconstruction for eligible patients to delay or prevent the need for knee replacement.
82. Kumagai K. Editorial Commentary: Long-Term Outcomes After High Tibial Osteotomy May Depend More on Lateral Compartment Preservation Than on Medial Cartilage Regeneration. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.009
This commentary suggests that long-term success following high tibial osteotomy relies more on preserving the lateral compartment than on regenerating medial cartilage. The authors emphasize that maintaining lateral joint integrity is a critical determinant of procedure longevity. This implies surgeons should focus on lateral compartment preservation strategies during preoperative planning and execution.
83. Moran J, Cavaignac E, Chahla J. Editorial Commentary: Remnant-Preserving Anterior Cruciate Ligament Reconstruction Shows Long-Term Advantages, but Patient Selection, Characterization of Remnant Tissue, and Efficacy in Patients at Risk of Postoperative Knee Instability Are Areas for Future Investigation. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.014
This editorial acknowledges that remnant-preserving ACL reconstruction offers long-term benefits but highlights the need for better patient selection and characterization of remnant tissue. It specifically calls for further research into efficacy for patients at risk of postoperative instability. Clinically, this suggests a tailored approach is necessary rather than a universal application of the technique.
84. Bernard C, Dickens B, Waterman BR. Editorial Commentary: Measuring Posterior Tibial Slope: You Don’t Always Have to Obtain a Full-Length Tibial Radiograph, but You Should Definitely Include at Least 15 cm of Proximal Tibia on a Lateral Knee Radiograph. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.020
This commentary recommends that measuring posterior tibial slope does not require full-length radiographs but mandates including at least 15 cm of the proximal tibia on lateral views. The authors argue this specific imaging protocol ensures accurate slope assessment without unnecessary radiation or cost. This standardizes preoperative planning for procedures sensitive to tibial slope, such as osteotomies and ligament reconstructions.
86. Saithna A. Editorial Commentary: Concomitant Osteotomy and Meniscus Centralization Should Be Considered in Selected Patients Undergoing Medial Meniscus Posterior Root Repair. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.08.022
This commentary proposes that concomitant osteotomy and meniscus centralization should be considered for selected patients undergoing medial meniscus posterior root repair. The authors suggest addressing alignment and meniscal position simultaneously to optimize repair success. This approach implies a more comprehensive surgical strategy for patients with combined pathology and malalignment.
87. Nielsen WW, Monson JK, LaPrade RF, et al. Recovery Stages After Multiligament Knee Reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.09.001
This study outlines distinct recovery stages following multiligament knee reconstruction to standardize rehabilitation protocols. It provides a framework for clinicians to track patient progress and adjust therapy based on specific healing phases. The findings support structured, stage-specific rehabilitation to optimize functional outcomes after complex knee trauma.
88. Siegel MG. Editorial Commentary: Lower-Leg Alignment Changes After Opening-Wedge Tibial Osteotomy: The Third Law of Motion and the Future of the Tibial Osteotomy. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.09.004
This editorial discusses how lower-leg alignment changes after opening-wedge tibial osteotomy, referencing the 'Third Law of Motion' to describe biomechanical forces. It suggests these dynamics will shape the future evolution of tibial osteotomy techniques. Clinically, this highlights the importance of understanding postoperative alignment shifts to refine surgical planning and implant design.
89. Krych AJ, Tagliero AJ. Editorial Commentary: Targeting Meniscal Extrusion Is the Key to Saving the Meniscus and Preserving Articular Cartilage. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2025. doi:10.1016/j.arthro.2025.09.005
This editorial argues that correcting meniscal extrusion is the critical intervention for preserving the meniscus and protecting articular cartilage. The authors emphasize that addressing extrusion is more effective than other strategies for preventing osteoarthritis progression. The clinical implication is that surgical and non-surgical treatments should prioritize restoring meniscal position to halt joint degeneration.
93. Leal DP, Mores V, Varone BB, et al. Treatment of multiple chondral/osteochondral lesions in the knee of a juvenile athlete: A case report with literature review. Journal of ISAKOS 2025. doi:10.1016/j.jisako.2025.100928
This case report details the successful treatment of multiple chondral and osteochondral lesions in a juvenile athlete, combining surgical intervention with a comprehensive literature review. The authors highlight specific techniques suitable for preserving joint function in young, active patients with complex cartilage damage. The case underscores the importance of tailored surgical approaches to maintain athletic performance and delay degenerative changes in the pediatric population.
94. Patel S, Veerkamp MW, Wall EJ, et al. How much improvement in patient reported outcomes after isolated medial patellofemoral ligament reconstruction is associated with surgeon-defined satisfactory outcomes? A JUPITER study. Journal of ISAKOS 2025. doi:10.1016/j.jisako.2025.100997
This JUPITER study investigates the correlation between improvements in patient-reported outcomes following isolated medial patellofemoral ligament reconstruction and surgeon-defined satisfactory results. The research aims to establish specific threshold values for outcome scores that indicate a successful surgical intervention. These findings will help surgeons better communicate expected benefits and define success criteria for patients undergoing this procedure.
95. Inoue J, Nukuto K, Park YL, et al. Deep lateral femoral notch sign is associated with superficial medial collateral ligament tear in patients with anterior cruciate ligament injury. Journal of ISAKOS 2025. doi:10.1016/j.jisako.2025.100999
This study identifies the deep lateral femoral notch sign as a radiological indicator associated with superficial medial collateral ligament tears in patients with anterior cruciate ligament injuries. The presence of this sign suggests a higher likelihood of concomitant MCL pathology that may be missed on standard imaging. Recognizing this association can improve diagnostic accuracy and guide more comprehensive treatment planning for ACL injuries.
96. Hepburn J, Brady B, Mioc ML, et al. Iliotibial band release significantly improves pain, function, and quality of life in patients with isolated patellofemoral osteoarthritis: A 2-year retrospective study. Journal of ISAKOS 2025. doi:10.1016/j.jisako.2025.101014
This two-year retrospective study demonstrates that iliotibial band release significantly improves pain, function, and quality of life in patients with isolated patellofemoral osteoarthritis. The procedure offers a viable surgical option for symptom relief in a population often limited to conservative management. The findings support the consideration of ITB release as an effective intervention for selected patients with patellofemoral joint degeneration.
97. Helito CP, da Silva AGM, Sherman SL, et al. Anterior cruciate ligament surgeons frequently modify their approach when treating patients with knee hyperextension or ligamentous hyperlaxity: Results from an international survey of ISAKOS members. Journal of ISAKOS 2025. doi:10.1016/j.jisako.2025.101021
An international survey of ISAKOS members revealed that ACL surgeons frequently modify their surgical techniques when treating patients with knee hyperextension or ligamentous hyperlaxity. The study highlights a significant lack of standardized protocols for these specific anatomical variations, leading to diverse clinical approaches. This finding underscores the need for consensus guidelines to optimize surgical decision-making for complex knee presentations.
99. Feller JA, Magnussen RA, Sillanpää P, et al. Acceptable outcomes for isolated medial patellofemoral ligament reconstruction despite using higher thresholds for patella alta and regardless the value of tibial tubercle-trochlear groove distance and the degree of trochlear dysplasia—An international multicenter study. Journal of ISAKOS 2025. doi:10.1016/j.jisako.2025.101028
An international multicenter study evaluated outcomes of isolated medial patellofemoral ligament (MPFL) reconstruction across varying degrees of patella alta and trochlear dysplasia. Results demonstrated that acceptable clinical outcomes can be achieved even when traditional thresholds for patella alta are exceeded and tibial tubercle-trochlear groove distances are unfavorable. This implies that isolated MPFL reconstruction remains a viable primary treatment option without mandatory concomitant bony procedures in many complex cases.
100. Agyemang Prempeh AG, Ayala Ortiz JL, Marquess B, et al. Patient-reported outcomes after total knee arthroplasty with xperience vs. standard irrigation: a retrospective cohort study. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06483-8
Précis unavailable.
101. Ayeni OR. Soft-tissue quadriceps tendon autograft during primary anterior cruciate ligament reconstruction in Skeletally-immature patients vs. Hamstrings: A protocol for a multi-centre randomized controlled trial. Journal of Orthopaedic Surgery and Research 2025. doi:10.1186/s13018-025-06534-0
This article outlines the protocol for a multi-center randomized controlled trial comparing soft-tissue quadriceps tendon autografts against hamstring grafts for primary ACL reconstruction in skeletally immature patients. The study aims to determine which graft type offers superior outcomes while minimizing growth plate disturbance in this vulnerable population. The trial seeks to provide high-level evidence to guide surgical selection for pediatric and adolescent ACL injuries.
103. Eppinga P, Welling W, Dekker R, et al. Return to performance criteria in soccer after musculoskeletal injury: A scoping review. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70180
This scoping review synthesized current literature on return to performance (RTPe) criteria in soccer, identifying a gap between general return to sport and sport-specific performance benchmarks. The analysis revealed that most existing studies focus on early rehabilitation stages rather than the final phase of returning to competitive play at pre-injury levels. Clinicians are encouraged to adopt more comprehensive, sport-specific performance metrics to better guide athletes back to full competition.
112. Ebert JR, Edwards PK, Klinken S, et al. A larger defect size and more prior surgical procedures are negatively associated with radiological outcome 10 years after tibiofemoral matrix‐induced autologous chondrocyte implantation. Knee Surgery, Sports Traumatology, Arthroscopy 2025. doi:10.1002/ksa.70221
Précis unavailable.