Objective To critically evaluate the current basic science, translational, and clinical data regarding bone marrow aspirate concentrate (BMAC) in setting of focal cartilage defects knee describe indications future research questions surrounding utility BMAC for treatment these lesions. Design A literature search was performed using PubMed Ovid MEDLINE databases studies English (1980-2017) keywords, including [“bone aspirate” “cartilage”], [“mesenchymal stem cells” “mesenchymal...

There is a paucity of literature regarding the outcomes adjacent-plug osteochondral allograft transplantation (OCA) for irregular or ovoid lesions and multifocal OCA multicompartmental, focal lesions.To quantify survival multiplug larger, high-grade chondral with "snowman" technique versus that multicompartmental bipolar OCA.Case series; Level evidence, 4.All patients who underwent primary, large unicondylar, (eg, patellofemoral condylar, bicondylar), defects (ie, patellofemoral) minimum...

To define patient demographics, preoperative, and intraoperative surgical variables associated with successful or failed repair of bucket-handle meniscal tears.All patients who underwent arthroscopic a meniscus tear at single institution between May 2011 July 2016 minimum 6-month follow-up were retrospectively identified. Patient demographic, preoperative (including imaging), operative collected evaluated. A Kaplan-Meier curve was generated to demonstrate survivorship.In total, 75 (78 knees)...

Background: Biceps tenodesis can be used to treat both superior labral anterior and posterior (SLAP) tears degenerative biceps pathologies in the setting of rotator cuff pathology or as stand-alone techniques. Research has shown that arthroscopic comparable outcomes open with benefit being less invasive. Indications: Surgical indications for intra-articular long head (LHB) include SLAP tear, failed repair, partial-thickness LHB instability, tenosynovitis, clinical examination consistent...

Background: Microfracture is an effective surgical treatment for full-thickness cartilage defects of the knee; however, little known regarding long-term outcomes after microfracture in shoulder. Purpose: To present clinical patients undergoing articular glenohumeral joint. Study Design: Case series; Level evidence, 4. Methods: Sixteen consecutive (17 shoulders) were retrospectively reviewed who underwent arthroscopic humeral head and/or glenoid surface, with or without additional procedures...

Articular cartilage lesions of the tibial plateau are an uncommonly encountered clinical entity, and they have been comparatively less well studied than femoral condyle or patellofemoral defects. The management these is complicated by challenging geometry, difficult surgical approach, proximity to important anatomic structures, thus, treating previously established methods, such as osteochondral allograft transplantation autograft transfer, can be a technically endeavor. These remain readily...

The rise in consumer-centric health insurance plans has increased the importance of patient choosing a provider. There is paucity studies that examine how patients select an orthopaedic sports medicine physician.

✓ Bow hunter stroke, which is characterized by transient vertebrobasilar ischemia brought on head turning, an unusual condition usually caused structural abnormalities at the craniocervical junction. The authors present a case in compression of left vertebral artery (VA) C4–5 level was laterally herniated intervertebral disc. A 56-year-old man presented with 6-month history dizziness and syncope when he turned his 45° or more to left. Transcranial Doppler (TCD) ultrasonography demonstrated...

An increasingly consumer-centric health insurance market has empowered patients to select the providers of their choice. There is a lack studies investigating rationale by which foot and ankle surgeon. In present study, 824 consecutive new seeking treatment from 3 foot-ankle surgeons were consecutively administered an anonymous questionnaire prior first appointment. It included rating importance 15 factors regarding specialist selection on 1 10 scale, with designated " Very important" Not...

Surgical strategies for knee joint preservation are numerous, with the procedure(s) of choice a given patient dependent on status articular cartilage, meniscus, overall alignment, and ligamentous stability. For patients large, isolated, osteochondral defects cartilage femoral condyle, allograft transplantation (OCA) is often performed in an effort to reduce pain improve function. Similarly, appropriately indicated symptomatic meniscus deficiency, (MAT) excellent surgical solution. Often...

To determine the impact of training on a virtual reality arthroscopy simulator both and cadaveric performance in novice trainees.A randomized controlled trial 28 participants without prior arthroscopic experience was conducted. All received demonstration how to use ArthroVision Virtual Reality Simulator were then receive either no (control group, n = 14) or fixed protocol simulation (n 14). took pretest simulator, completing 9 tasks ranging from camera-steadying probing structures. The group...

Background Tobacco carcinogens have adverse effects on bone health and are associated with inferior outcomes following orthopedic procedures. The purpose of this study was to assess the impact tobacco use has readmission complication rates shoulder arthroplasty. Methods 2016–2018 National Readmissions Database queried identify patients who underwent anatomical, reverse, hemi-shoulder ICD-10 codes Z72.0 × (tobacco disorder) F17.2 (nicotine dependence) were used define “tobacco-users.”...

Background Citation analyses have been used to understand the impact that a group of publications has on its field. As techniques and indications reverse total shoulder arthroplasty (RTSA) continue expand, it is important identify articles can orient readers history, evolution, current status body RTSA literature. The purpose this study was analyze 50 most-cited related RTSA. Methods Various Boolean queries were searched Clarivate Analytics Web Science. Information collected included author...