Publications by authors named "Alvin Chao-Yu Chen"

Article Synopsis
  • The study focused on evaluating clinically significant outcome (CSO) thresholds for patient-reported functional scores following rotator cuff surgeries, specifically comparing cases with and without long head of the biceps tendon (LHBT) augmentation.
  • A total of 43 patients who underwent arthroscopic superior capsular reconstruction (SCR) were analyzed based on various patient-reported outcome measures (PROMs) and radiographic data collected between 2016 and 2020.
  • Results indicated differences in patient satisfaction and perceived improvement, with significant functional score differences favoring those who were satisfied; however, there was no notable difference in pain scores between the two groups.
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Background: Lower limb coronal alignment was thought to be a predictive factor for Unicompartmental Knee Arthroplasty (UKA) result. The tibial bony resection and implant position lead to joint line change postoperatively. Analysis was done to find out the correlation between these factors.

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Article Synopsis
  • The ulnar collateral ligament (UCL) is crucial for elbow stability in pitchers, and its reconstruction (UCLR) is common, especially for fastball (FB) performance post-surgery.
  • The study involved 91 MLB pitchers who had UCLR and compared their performance metrics with a control group of non-operated pitchers to see if they maintained similar FB effectiveness.
  • Results indicated significant performance differences in the first year after surgery, particularly in FB usage and pitching metrics, although by the second year, these differences diminished, and recovery times were not significantly impacted by any specific factors.
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Background: Anterior cruciate ligament (ACL) graft failure is influenced by factors such as meniscal tears and tibial plateau slope. Combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction has reduced failure rates; however, its efficacy in high-risk patients remains unclear. This study hypothesized that combined ACL and ALL reconstruction would yield similar clinical outcomes in patients with varying risks of ACL failure.

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Background: We investigated whether double-bundle (DB) anterior cruciate ligament (ACL) reconstruction (ACLR) combined with anterolateral ligament reconstruction (ALLR) improved clinical and radiological outcomes in patients at high risk of ACL failure. The primary outcome was graft failure, and secondary outcomes included knee stability and patient-reported outcome measures (PROMs).

Patients And Methods: Fifty-two patients who underwent DB ACLR combined with ALLR were included in this retrospective cohort study.

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Background: The timing to start passive or active range of motion (ROM) after arthroscopic rotator cuff repair remains unclear. This systematic review and meta-analysis evaluated early versus delayed passive and active ROM protocols following arthroscopic rotator cuff repair. The aim of this study is to systematically review the literature on the outcomes of early active/passive versus delayed active/passive postoperative arthroscopic rotator cuff repair rehabilitation protocols.

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Purpose: Linked component of total elbow arthroplasty (TEA) consisted of bushing and locking pins. Failure of linked components is a rare complication of TEA. This study aims to investigate the mechanism and consequence of failure of the linkage mechanism in TEA surgeries.

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Article Synopsis
  • Periosteum-derived progenitor cells (PDPCs) and adipose-derived stem cells (ADSCs) play crucial roles in bone healing, and co-culturing them can create a microenvironment for studying their interaction.
  • A novel paper-based osteogenesis-on-a-chip platform was developed to facilitate a 3D co-culture model of PDPCs and ADSCs, allowing the study of growth factors and cellular communication.
  • The research utilizes this platform to analyze the effects of various growth factors on PDPC osteogenesis, potentially leading to advancements in bone regeneration therapies.
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This case report describes a new approach to segmental meniscal reconstruction using a peroneal longus autograft in a patient with recurrent traumatic medial meniscus tear and anterior cruciate ligament reconstruction (ACLR) failure. While allograft meniscal transplantation is the preferred method for treating meniscal deficiency, its high cost and various legal regulations have limited its widespread use. Autologous tendon grafts have been proposed as a substitute for allograft meniscus transplantation, but their initial results were poor, leading to little progress in this area.

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Article Synopsis
  • The study investigates how different types of distal radial fractures respond to fixation using a variable-angle volar locking plate (VAVLP), focusing on radiographic outcomes.
  • A total of 46 patients were divided into two groups: extra-articular (21 patients) and intra-articular (25 patients), with various radiographic measurements taken immediately post-surgery and after three months.
  • Results show no significant differences in measured parameters except for one angle, confirming VAVLP's effectiveness in stability and reduced tendon rupture risk, and indicating that post-operative measurements can help predict displacement in intra-articular fractures.
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Background: Transosseous-equivalent suture-bridge (TOE-SB) and independent double-row (IDR) repair techniques were developed to treat rotator cuff tears. The study was designed to prove that both TOE-SB and IDR techniques provided comparable clinical results and retear rate for medium to massive posterosuperior rotator cuff tears, while the surgical time and number of suture anchor used were less in the IDR group.

Study Design: Level of evidence: level III, Retrospective comparative study.

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: To investigate the prognosis of combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction, we used a GNRB (Genourob, Laval, France) arthrometer to measure surgical outcomes. : This retrospective study reviewed patients who underwent combined ACL and ALL reconstruction and had a minimum follow-up of 2 years. Subjective outcomes, namely the International Knee Documentation Committee (IKDC) evaluation form scale scores and Lysholm scores, were evaluated preoperatively and postoperatively.

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Arthroscopic capsular release allows direct visualization and release of inflamed tissues in refractory frozen shoulder. The reticular neural network in the long head of the biceps tendon (LHBT) and nerve endings of the transverse humeral ligament (THL) might be responsible for shoulder pain. We hypothesized that patients with painful refractory frozen shoulder benefited from pan-capsular release, THL release, and LHBT tenodesis.

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Introduction: The best treatment for Rockwood type V acromioclavicular (AC) joint dislocation is unknown.

Hypothesis: Hook plate augmented with suture anchor (HA) may have different clinical and radiological results than hook plate alone (H), and arthroscopically assisted TightRope (TR) techniques in treating acute type V AC joint dislocations.

Material And Methods: This retrospective study included 71 patients with acute type V AC joint dislocations between December 2010 and August 2018.

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A 16-year-old right-handed male pitcher had a first-time right anterior shoulder dislocation during a baseball game. X-ray and MRI revealed no apparent glenoid bone loss or Hill-Sachs lesion, but an anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesion with mild posterolateral decompression of the humerus head. His instability severity index score (ISIS score) was 5 with an on-track lesion.

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Shoulder arthroscopy is a mature and widely used treatment to deal with various shoulder disorders. It enables faster recovery and decreases postoperative complications. However, some complications related to shoulder arthroscopy cannot be neglected because they could be life threatening.

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Purpose: To investigate the preliminary functional and radiographic outcomes after arthroscopic superior capsule reconstruction (SCR) with long head of biceps tendon (LHBT) augmentation for irreparable rotator cuff tears (RCTs).

Methods: Retrospective review of medical records was conducted in patients receiving unilateral SCR with fascia lata autograft and LHBT augmentation for irreparable RCTs between January 2016 and March 2019. LHBT was adopted when the integrity was intact or partial tear was less than 50% in width.

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Background: There is a lack of consensus regarding the optimal technique for revision posterior cruciate ligament (PCL) reconstruction.

Purpose: To evaluate midterm outcomes after revision PCL reconstruction using a single-bundle transtibial autograft.

Study Design: Case series; Level of evidence, 4.

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We present a surgical technique combining arthroscopic-assisted lower trapezius tendon (LTT) transfer with autologous semitendinosus tendon and long head of biceps tendon (LHBT) superior capsule reconstruction (SCR) for massive irreparable posterosuperior rotator cuff tears. The patients are placed in the beach-chair position with the ipsilateral lower leg prepared simultaneously. After both tendons are harvested, 1 limb of a semitendinosus graft is fixed with the LTT via a Krakow suture.

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The objective of this study is to compare the clinical outcomes after arthroscopic hip labral repair in athletes and non-athletes. The design of this study is a retrospective comparative study. The setting of this study is an institutional study.

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Background: Numerous studies have discussed the risk factors for shoulder and elbow injuries in high school baseball players worldwide.

Purpose: To determine the risk factors for pitching-related shoulder and elbow injuries in Taiwanese high school pitchers.

Study Design: Cross-sectional study; Level of evidence, 3.

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Background: Few studies have compared the outcomes of anterior cruciate ligament (ACL) reconstruction between older patients and younger patients.

Purpose: To evaluate the clinical and functional outcomes of ACL reconstruction with autologous hamstring tendon in patients >50 years and <30 years. It was hypothesized that the outcomes would be comparable between these age groups.

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Background: Rotator cuff (RC) tendinopathy is one of the most common causes of shoulder pain. Platelet-rich plasma (PRP) has been frequently used in clinical scenarios, but its efficacy remains inconsistent.

Purpose: To investigate the different responses of human tenocytes from torn RCs to leukocyte-rich PRP (LR-PRP) and leukocyte-poor PRP (LP-PRP) in a 2-chamber coculture device.

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Background: To assess clinical and functional outcomes of patients aged 40 years or older receiving PCL reconstruction surgery.

Methods: All patients older than 40 years with isolated PCL rupture who underwent PCL reconstruction surgery were enrolled into the retrospective study. Associated meniscal injuries, osteochondral lesions, postoperative complications, and the rate of return to the preinjury level of activity were extracted.

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