Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Audio Summaries

Early Anterior Cruciate Ligament Reconstruction Reduces Long-Term Rates of Secondary Meniscus Surgery: A Systematic Review

Jun 6, 2026

This systematic review investigates how the timing of anterior cruciate ligament reconstruction (ACLR) affects the incidence of secondary meniscus surgeries. The findings indicate that early ACLR significantly reduces the long-term rates of secondary meniscus surgery compared to delayed ACLR, particularly in studies with follow-up durations exceeding five years. The results suggest that earlier intervention may be beneficial in preventing subsequent meniscus injuries.

Serial Magnetic Resonance Imaging Analysis Reveals Acetabular Labral Volume Decreases After Labral Reconstruction and Returns to Native Size

Jun 4, 2026

The authors aimed to investigate the changes in acetabular labral size and signal-to-noise ratio (SNR) on magnetic resonance imaging following labral reconstruction in patients with femoroacetabular impingement syndrome. They found that while labral size decreased postoperatively, it returned to preoperative levels by 6 to 12 months, and SNR improved over the same period. Additionally, a larger graft diameter was associated with better clinical outcomes, including pain reduction.

Editorial Commentary: Magnetic Resonance Imaging Analysis of Labral Volume Can Indicate the Need for Labral Reconstruction and Subsequently Predict the Success of the Procedure

Jun 4, 2026

This editorial commentary explores whether magnetic resonance imaging (MRI) analysis of labral volume can serve as an indicator for the need for labral reconstruction in hip surgeries and predict the success of such procedures. The author emphasizes the importance of measuring labral dimensions preoperatively to guide surgical decisions and postoperatively to assess healing and graft success. Ultimately, the commentary advocates for the routine use of MRI in evaluating labral volume to enhance surgical outcomes in hip arthroscopy.

Editorial Commentary: Older or Tobacco-Using Patients Warrant Discussion of Proximal Femur Fracture After Hip Arthroscopy

Jun 1, 2026

The authors discuss the importance of considering patient-specific risk factors, such as age and tobacco use, when evaluating the likelihood of proximal femur fractures following hip arthroscopy for conditions like femoroacetabular impingement syndrome. They emphasize that while complications are rare, understanding these risks is crucial as the patient population seeking minimally invasive hip preservation procedures continues to grow. The commentary advocates for increased awareness and discussion of these factors to improve patient outcomes.

Platelet-Rich Plasma and Bone Marrow Stimulation in Double-Row Rotator Cuff Repair Does Not Improve Clinical Outcomes but Reduces Retear Rates: A Retrospective Analysis With Propensity Score Matching

Jun 1, 2026

The authors aimed to evaluate the clinical and radiologic outcomes of double-row suture bridge (DRSB) rotator cuff repair with and without augmentation using platelet-rich plasma (PRP) or bone marrow stimulation (BMS). Their findings revealed that while clinical outcomes and range of motion were similar across all groups after two years, the retear rate was significantly lower in the PRP group compared to both the conventional DRSB and BMS groups. This suggests that PRP augmentation may be beneficial in reducing retears without improving overall clinical scores.

Editorial Commentary: Targeted Use of Leukocyte-Poor Platelet-Rich Plasma Reduces Retear Rate More Than Bone Marrow Stimulation in Double-Row Rotator Cuff Repair

Jun 1, 2026

This editorial commentary addresses the effectiveness of leukocyte-poor platelet-rich plasma (PRP) in reducing retear rates in double-row rotator cuff repairs compared to bone marrow stimulation. The authors highlight that while PRP appears to lower retear rates without significantly affecting functional outcomes, the variability in PRP composition necessitates standardized preparation methods. They conclude that targeted use of leukocyte-poor PRP is supported by current evidence, although further research is needed to understand its biological mechanisms and optimize its application.

Increased Risk of Proximal Femur Fracture Following Hip Arthroscopy With Increased Age and Tobacco Use

Jun 1, 2026

The authors aimed to investigate the incidence and risk factors associated with proximal femur fractures following hip arthroscopy. Their analysis of over 100,000 patients revealed that approximately 1% experienced such fractures, with older age and tobacco use identified as significant independent risk factors.

Injuries to Multiple Ligamentous and Capsular Structures Cause Abnormal Knee Hyperextension: A Robotic Study in Human Knees

May 27, 2026

The authors aimed to investigate how injuries to multiple ligamentous and capsular structures contribute to abnormal knee hyperextension in multidirectional knee injuries. Using a robotic system to simulate various injury scenarios in cadaveric knees, they found that significant increases in knee hyperextension occur only when three specific structures—the posteromedial capsule, posterolateral capsule, and lateral collateral ligament—are disrupted, highlighting their critical role in knee stability. This research underscores the importance of these structures in diagnosing and treating knee injuries.

Prophylactic Enoxaparin Reduces Symptomatic Venous Thromboembolism Compared With No Chemoprophylaxis Within 95 Days After Knee Arthroscopy

May 27, 2026

The authors aimed to determine whether prophylactic administration of low-molecular-weight heparin (enoxaparin) after knee arthroscopy reduces the incidence of symptomatic venous thromboembolism (VTE) compared to no pharmacological prophylaxis. Their study found that enoxaparin significantly lowered the risk of symptomatic VTE within 95 days post-surgery, with a hazard ratio of 0.64, indicating a beneficial effect of the prophylactic treatment. Adverse events were infrequent in both groups, suggesting that enoxaparin is a safe option for VTE prevention in this patient population.

Platelet-Rich Products Can Have Variable Effects on Outcomes After Arthroscopic Full-Thickness Rotator Cuff Repair: A Meta-analysis of Randomized Controlled Trials

May 27, 2026

The authors aimed to evaluate the effects of various platelet-rich products on clinical outcomes in patients undergoing arthroscopic full-thickness rotator cuff repair. Their meta-analysis of 15 randomized controlled trials found that these products significantly reduced retear rates and improved certain functional scores, although the clinical significance of these improvements may be limited. They recommend using platelet-rich products with low leukocyte counts and high platelet concentrations, particularly in liquid form and administered via a single intratendinous injection during surgery.