KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY

Lumbopelvic hyperlordosis is linked to higher femoral head coverage, lower femoral anteversion and younger age at periacetabular osteotomy
Fischer M, Nonnenmacher L, Nitsch A, Mühler MR, Möller A, Hofer A and Wassilew GI
The dynamic alignment of the lumbar spine, pelvis and femur is increasingly studied in hip preservation surgery. However, the interaction between lumbopelvic alignment, acetabular and femoral morphology and its influence on patients' preoperative symptom burden remains poorly understood. The aim of this study was to evaluate whether lumbopelvic malalignment affects osseous hip morphology and exacerbates preoperative patient-reported joint functionality in patients undergoing periacetabular osteotomy (PAO).
Clinical SANTI classification of arthrogenic muscle inhibition has an excellent inter-rater and intra-rater reliability in preoperative and post-operative anterior cruciate ligament rupture
Le Guen A, Bérard E, Ben-Roummane H, Lacaze K, Richaud T, Sonnery-Cottet B and Cavaignac E
Arthrogenic muscle inhibition (AMI) is a reflexive shutdown of the quadriceps muscles following a knee injury or surgery that presents with or without hamstring contracture. This complication can be classified according to the SANTI classification, but the reproducibility of this clinical classification has not yet been demonstrated.
Functional alignment in robotic-assisted total knee arthroplasty for valgus deformity achieves safe coronal alignment and excellent short-term outcomes
Gregori P, Koutserimpas C, Giovanoulis V, Batailler C, Servien E and Lustig S
Functional alignment (FA) in total knee arthroplasty (TKA) prioritizes soft tissue balancing and anatomical restoration without systematic correction to neutral alignment. Most studies have focused on varus deformity, with little evidence available about FA in valgus deformity. The hypothesis of the present study was that FA in robotic-assisted TKA for valgus deformity would demonstrate correction of the coronal alignment and yield satisfactory short-term outcomes.
Return to preinjury pivoting sports after anterior cruciate ligament reconstruction is different between males and females, as are the patient-reported reasons
Ebert JR, Kneebone L, Edwards P, Radic R and D'Alessandro P
To investigate return to sport (RTS) after anterior cruciate ligament reconstruction (ACLR), differences based on sex and concomitant meniscal repair, and identify reasons why patients do not RTS.
Embracing the opportunities of 2025: Shaping the future of KSSTA
Hirschmann MT, Herbst E, Milano G and Musahl V
Welcoming Dr. Hany Bedair as an Associate Editor for KSSTA
Hirschmann MT, Herbst E, Milano G and Musahl V
Stress radiography of medial knee instability provides a reliable correlation with the severity of injury and medial joint space opening-A robotic biomechanical cadaveric study
Briese T, Holz M, Peez C, Raschke MJ, Deichsel A, Herbst E, Herbort M and Kittl C
The medial collateral ligament (MCL), and posterior oblique ligament (POL) are the primary valgus stabilisers of the knee, and clinical examinations in grading valgus instability can be inherently subjective. Stress radiography of medial-sided knee injuries provides objective diagnosis and was analysed in this study. We hypothesised that (1) medial joint space opening would increase cutting the superficial MCL (sMCL), POL and anterior cruciate ligament (ACL); (2) isolated deep MCL (dMCL) injury would not increase medial joint space opening; (3) medial joint space opening would increase at higher flexion angles.
Higher bone cement volume in total knee arthroplasty lowers the risk of postoperative radiolucent lines
Keintzel M, Smolle MA, Staats K, Böhler C, Windhager R, Koutp A, Leithner A, Donner S, Perka C, Reiner T, Renkawitz T, Leica A, Sava M, Hirschmann M and Sadoghi P
>The aim of this multicenter study was to analyze the potential impact of patient demographics and cementation technique towards the development of radiolucent lines (RLLs) in primary total knee arthroplasty (TKA). It was hypothesized that cementation techniques, including higher cement volume, double-layer cementation technique and hardening in full extension, reduce RLL incidence by improving stability, whereas demographic factors such as age, BMI and smoking may increase RLL risk by affecting bone quality and mechanical loading.
No difference in ACL revision rates between hamstring and patellar tendon autograft in patients with ACL-R and a concurrent meniscal injury irrespective of meniscal treatment
Högberg J, Petersson L, Zsidai B, Horvath A, Cristiani R, Samuelsson K and Hamrin Senorski E
The aims of this study were to compare (1) the rate of anterior cruciate ligament (ACL) revision and (2) subjective knee function using the Knee injury and Osteoarthritis Outcome Score (KOOS) between isolated ACL reconstruction (ACL-R) and ACL-R and concurrent meniscal injury, based on graft selection and meniscal treatment.
In functionally aligned total knee arthroplasty, femoral component rotation follows the transepicondylar axis to achieve flexion balance
Moore J, Van de Graaf VA, Wood JA, Chen DB and MacDessi SJ
In functionally aligned (FA) total knee arthroplasty (TKA), femoral component rotation (FCR) is personalised to optimise flexion gap balance. As axial malalignment has been attributed to patellofemoral complications, this study assessed FA FCR in relation to the surgical transepicondylar axis (TEA) and early implant survivorship.
Improved outcomes of proximal hamstring avulsion surgery in patients both under and over 50 years, with greater gains in the younger group: A matched comparative study of the PHAS cohort
Lefèvre N, Moussa MK, Alban Bouché P, Valentin E, Gerometta A, Khiami F, Grimaud O, Meyer A, Bohu Y and Hardy A
To evaluate the functional outcomes of surgical treatment for proximal hamstring avulsion injuries in patients aged over 50 years and to compare the results across another matched group of patients under 50.
Return to competition after ACL reconstruction: Factors influencing rates and timing in Swedish football players
Sandon A, Kvist J, Hedevik H and Forssblad M
To investigate the rate and timing for return to football league games after anterior cruciate ligament reconstruction (ACLR) in Swedish players, examining associations with sex, age, level, graft and additional ACL surgery.
Combined use of cleft and truncated triangle signs helps improve the preoperative MRI diagnosis of lateral meniscus posterior root tears in patients with ACL injuries
Yoshihara A, Mouton C, Siboni R, Nakamura T, Sekiya I, Koga H, Seil R and Nakagawa Y
This study aimed to investigate whether combining the analysis of different magnetic resonance imaging (MRI) signs enhances the diagnostic accuracy of lateral meniscus posterior root tears (LMPRTs) in patients with anterior cruciate ligament (ACL) injuries. We hypothesised that analysing the cleft, ghost and truncated triangle signs and lateral meniscus extrusion (LME) measurement together would improve the preoperative MRI-based diagnosis of LMPRTs.
Higher hospital volume reduces early failure rates in single-stage revision TKR for infection: An analysis of the United Kingdom National Joint Registry and National Administrative Databases
Matthews AH, Gray WK, Evans JP, Knight R, Evans JT, Lamb SE, Briggs T, Porteous A, Sabah SA, Alvand A, Price A and Toms AD
Revision knee replacement (RevKR) for infection is rare but increasing. It is hypothesised that higher hospital volume reduces adverse outcomes. The aim was to estimate the association of surgical unit volume with outcomes following first, single-stage RevKR for infection.
Heterogeneity in the use of osseous risk factors and limited use of relevant patient-reported outcome measurements in studies investigating treatment of patellar dislocation: A scoping review
Rahdi E, Malmberg CAE, Witten A, Jørgensen TS, Yahya R, Blønd L, Hölmich P and Barfod KW
The treatment of patellar dislocation is tailored based on the presence or absence of osseous risk factors. The purpose of this scoping review was to investigate whether existing research addresses patient differences by mapping the use of osseous risk factors and patient-reported outcome measures (PROMs) in studies investigating the treatment of patellar dislocation.
Kneeling tolerance when using quadriceps tendon autograft for anterior cruciate ligament reconstruction is superior to hamstring tendon autograft
Calvert ND, Ebert JR and Radic R
To investigate kneeling tolerance in patients undergoing hamstring (HT) versus quadriceps (QT) anterior cruciate ligament reconstruction (ACLR) and investigate correlation with patient-reported outcome measures (PROMs).
Slope changing osteotomies in the knee: Time to go Infra
Ollivier M, Seil R, Kley K and Hirschmann MT
Patients with jumping sign exhibit rotational and bony structural abnormalities consistent with high-grade J-sign in recurrent patellar dislocation
Wang D, Liu Y, Sun J, Fu Q, Lv C, Yue T, Tang Z, Zhang Z and Zhang H
To propose a new sign of patellar maltracking in recurrent patellar dislocation (RPD) and compare the differences in lower limb rotational and bony structural abnormalities among the different signs.
Preventing burnout in orthopaedic surgeons: The power of research engagement
Nau T and Hirschmann MT
Young age and return to play increase the likelihood of subsequent ACL reconstruction in football players: Data from the Swedish National Knee Ligament Registry
Fältström A, Forssblad M and Sandon A
To compare football players who have undergone one anterior cruciate ligament (ACL) reconstruction (ACLR) with those who have undergone a subsequent ACLR (revision or contralateral) regarding (1) demographics, (2) football-related factors and (3) injury-specific data.
High failure rate in meniscal repair when preceding anterior cruciate ligament reconstruction: An analysis of two-stage surgery for concomitant ACL injury and traumatic meniscus tear
López Personat A, Cristiani R, Stålman A, Wänman J and Von Essen C
To investigate the failure rate, predictive factors associated with failure and clinical outcomes after a two-stage surgery; meniscus repair followed by subsequent anterior cruciate ligament (ACL) reconstruction (ACLR).