Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
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Editorial Comment
Editorial Commentary: To Screw or to Sew--Which Is Better for Arthroscopic Biceps Tenodesis?
As the popularity of arthroscopic biceps tenodesis continues to grow, surgeons must choose between performing a soft-tissue tenodesis and performing a bony tenodesis. Although there is no difference in visual analog scale, Constant, or American Shoulder and Elbow Surgeons scores at greater than 2 years' follow-up, elbow flexion strength index and fixation failure rates favor bony tenodesis, important factors to consider when deciding which procedure to perform.
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Randomized Controlled Trial
Epinephrine Diluted Saline-Irrigation Fluid in Arthroscopic Shoulder Surgery: A Significant Improvement of Clarity of Visual Field and Shortening of Total Operation Time. A Randomized Controlled Trial.
To determine the influence of epinephrine saline irrigation in therapeutic shoulder arthroscopy procedures on the clarity of arthroscopic view. Three subgroups were analyzed; (1) Bankart/SLAP repairs; (2) rotator cuff repairs; and (3) subacromial procedures without rotator cuff repair. Secondary objectives were to evaluate the influence on total operating time and potential cardiovascular adverse reactions. ⋯ Level 1, Randomized controlled trial.
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To determine (1) whether platelet-rich plasma (PRP) injection significantly improves validated patient-reported outcomes in patients with symptomatic knee osteoarthritis (OA) at 6 and 12 months postinjection, (2) differences in outcomes between PRP and corticosteroid injections or viscosupplementation or placebo injections at 6 and 12 months postinjection, and (3) similarities and differences in outcomes based on the PRP formulations used in the analyzed studies. ⋯ Level I, systematic review of Level I studies.
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To compare the clinical outcomes between medial soft-tissue surgery and medial patellofemoral ligament (MPFL) reconstruction for recurrent patellar dislocation without any evident predisposing factors. ⋯ Level IV, Systematic Review.
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To investigate the effects of graft length and thickness on shoulder biomechanics after superior capsule reconstruction. ⋯ Grafts 8-mm thick and attached at 15° to 45° of shoulder abduction (equal to 10° to 30° of glenohumeral abduction) biomechanically restore shoulder stability during superior capsule reconstruction using fascia lata.