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

Iliopsoas Tunnel Deepening and Fractional Lengthening Relieve Painful Internal Snapping During Concomitant Primary Hip Arthroscopy for Treatment of Femoroacetabular Impingement: A Propensity Matched Comparison

Mar 24, 2026

The authors aimed to evaluate the outcomes of iliopsoas tunnel deepening (ITD) compared to iliopsoas fractional lengthening (IFL) during hip arthroscopy for patients with femoroacetabular impingement and painful internal snapping. Their findings indicate that both procedures resulted in significant improvements in patient-reported outcomes and resolution of symptoms, with similar rates of revision surgeries and no conversions to arthroplasty. Overall, ITD was found to be an effective alternative to IFL in this patient population.

Editorial Commentary: Eight Is Enough For Hamstring Anterior Cruciate Ligament Autograft Reconstruction

Mar 24, 2026

This editorial commentary discusses whether hamstring autografts with quadrupled diameters greater than 8 mm can achieve revision rates comparable to those of bone-patellar tendon-bone and distal quadriceps tendon autografts in anterior cruciate ligament reconstruction. The authors highlight significant risk factors for ACL revision, including younger age, male sex, higher body mass index, and allograft tissue use, and call for further research to understand discrepancies in revision rates reported in various studies.

Editorial Commentary: Posterior Visualization in Ramp Repair: The Only Path to True Healing

Mar 24, 2026

This editorial commentary by Bertrand Sonnery-Cottet addresses the question of how to achieve optimal healing in meniscocapsular lesions during anterior cruciate ligament reconstruction. The author emphasizes that posterior visualization in ramp repair is essential for effective engagement of meniscotibial structures, leading to improved healing rates and reduced need for secondary procedures, thus establishing it as the gold standard in contemporary surgical practice.

Editorial Commentary: Balancing Pain Relief and Function With Iliopsoas Tendon Treatment and Concomitant Hip Arthroscopy for the Internal Snapping Hip

Mar 24, 2026

This editorial commentary addresses the challenge of effectively treating internal snapping hip (ISH) while balancing pain relief and biomechanical function. The authors explore the evolution of surgical techniques, particularly the potential benefits of iliopsoas tunnel deepening combined with hip arthroscopy, as a less invasive alternative to total tenotomies, which carry higher complication risks. They emphasize the need for future studies to validate the efficacy and safety of this new approach in specific patient populations.

Editorial Commentary: Fourteen-Year Follow-Up Shows High Overall Incidence of Osteoarthritis With Anatomic Single-Bundle and Double-Bundle Anterior Cruciate Ligament Reconstruction: Perform an Anatomic Reconstruction but Also Save the Meniscus!

Mar 23, 2026

The authors examine the long-term outcomes of anatomic single-bundle and double-bundle anterior cruciate ligament reconstructions (ACLRs) in relation to the incidence of post-traumatic osteoarthritis, particularly emphasizing the role of meniscus injuries. They highlight the need for further research on the impact of meniscus repair during ACLR to potentially reduce the high rates of osteoarthritis observed in patients. The commentary suggests that addressing meniscal tears is crucial for improving overall knee health post-surgery.

Increased Preoperative Lateral Anterior Tibial Subluxation by Magnetic Resonance Imaging Is Associated With Increased Knee Laxity After Anatomical Anterior Cruciate Ligament Reconstruction

Mar 22, 2026

The authors aimed to investigate the relationship between preoperative lateral anterior tibial subluxation (ATS) and postoperative knee laxity following anatomical anterior cruciate ligament (ACL) reconstruction. They found that increased preoperative lateral ATS was associated with greater postoperative ATS and residual knee instability, identifying several independent risk factors, including female sex and chronic ACL deficiency. This study highlights the importance of preoperative ATS measurements in predicting clinical outcomes after ACL surgery.

Editorial Commentary: Is High Tibial Osteotomy All We Need? No Differences in Patient-Reported Outcomes in Medial Meniscal Posterior Root Tears With Varus Deformity Between Isolated High Tibial Osteotomy and Osteotomy With Meniscal Centralization and All-Inside Root Repair

Mar 22, 2026

The authors investigate whether isolated high tibial osteotomy (HTO) or a combination of HTO with meniscal centralization and root repair provides better patient-reported outcomes for individuals with medial meniscal posterior root tears and varus deformity. They find that, despite improvements in meniscal healing rates and radiographic outcomes with combined procedures, there is often no significant difference in patient-reported outcomes compared to isolated HTO. This highlights the importance of mechanical unloading through osteotomy, prompting surgeons to consider the trade-offs between surgical complexity and potential benefits to meniscal healing.

Concurrent Arthroscopic Meniscus Centralization With All-Inside Root Repair During Open-Wedge High Tibial Osteotomy Fails to Enhance Clinical Outcomes in Medial Meniscus Posterior Root Tear

Mar 22, 2026

The authors aimed to determine if concurrent arthroscopic meniscus centralization with all-inside root repair during open-wedge high tibial osteotomy (OWHTO) would improve clinical, radiological, and arthroscopic outcomes in patients with medial meniscus posterior root tears compared to isolated OWHTO. Their findings indicated that while the combined procedure reduced medial meniscus extrusion and improved meniscal healing rates, it did not enhance clinical outcomes and was associated with a greater loss of knee flexion, particularly in patients with preoperative hyperflexion.

Open Latarjet Yields a Low 90-Day Complication Rate in Primary and Revision Shoulder Stabilization

Mar 20, 2026

The authors aimed to evaluate the 90-day complication rate following the open Latarjet procedure performed by a single experienced surgeon. Their findings revealed a low cumulative minor complication rate of 4% and no major complications, suggesting that the procedure is safe and effective for treating anterior shoulder instability in both primary and revision cases. This rate is notably lower than traditionally reported complications associated with the procedure.

Midterm Outcomes of Staged Bilateral Hip Arthroscopy for Femoroacetabular Impingement Syndrome Show Comparable Outcomes Between Time Interval More or Less Than 12 Months of Bilateral Procedures

Mar 20, 2026

The authors aimed to evaluate the midterm clinical outcomes of staged bilateral hip arthroscopy for patients with femoroacetabular impingement syndrome and to determine if the interval between surgeries (less than or greater than 12 months) influences these outcomes. The study found significant improvements in patient-reported outcomes after a minimum of five years, with no significant differences in clinical outcomes or revision rates based on the timing of the procedures. Overall, the results suggest that both timing intervals yield comparable benefits in symptom relief and hip function improvement.