Earlier Initiation of Supervised Physical Rehabilitation Is Not Associated with Decreased Arthrofibrosis After Isolated Arthroscopic Anterior Cruciate Ligament Reconstruction.

Purpose: To identify if timing of supervised physical rehabilitation initiation after isolated arthroscopic anterior cruciate ligament reconstruction (ACLR) is associated with 1) diagnosis of arthrofibrosis and 2) surgical intervention for arthrofibrosis within 12 months after surgery.

Methods: Outpatient isolated arthroscopic ACLR procedures in 2017-2020 were identified from the Merative MarketScan Database. The cohort was limited to those aged 18-64 who initiated supervised physical rehabilitation 0-30 days postoperatively and had continuous enrollment in the database for 12 months before and after surgery.

Modified Bridge-Enhanced Anterior Cruciate Ligament Repair.

Historically, the treatment of anterior cruciate ligament (ACL) injuries shifted from primary repair to reconstruction because the native, intrasynovial location of the ACL precluded the formation of a fibrin-rich clot needed for ligament healing. However, increasing attention has been paid to augmenting the biological environment surrounding the ACL to facilitate its healing after arthroscopic repair. The bridge-enhanced ACL restoration implant uses resorbable collagen mixed with autologous blood to provide a biological scaffold for tissue healing.

Short-Term Clinical Outcomes of High Tibial Osteotomy with the iBalance HTO System.

Purpose: High tibial osteotomy (HTO) is an invaluable tool in the treatment of a variety of conditions in active patients with varus malalignment of the knee. The polyetheretherketone (PEEK) iBalance HTO system has been designed to make the osteotomy safer, more reproducible, and avoid metal hardware related complications. The purpose of this study was to evaluate short-term outcomes in patients who underwent an open wedge high tibial osteotomy with the iBalance HTO system.