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Physical Activity, Diagnostics and Treatment in Knee Injury

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Guest Editor
Department of Orthopaedics and Traumatology, Hacettepe Universitesi, Ankara 06800, Turkey
Interests: shoulder; knee; arthroplasty; sports medicine; elbow

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Guest Editor
Orthopedic Arthroscopic Surgery International (O.A.S.I.) Bioresearch Foundation, 20-133 Milan, Italy
Interests: shoulder; knee; arthroplasty; sports medicine
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Special Issue Information

Dear Colleagues,

Knee injuries, including ligament, meniscal, and cartilage injuries, are the most common injury in the musculoskeletal system. Moreover, they unavoidably lead to knee joint destruction.

Novel treatment methods have been developed, such as meniscal repairs, meniscal allografts and scaffolds, ligament reconstruction, and cartilage reconstruction, which aim to mitigate the impact of knee injuries in terms of cartilage damage and the progression of osteoarthritis.

This Special Issue is devoted to presenting the link between physical activity and knee injuries, as well as new trends in diagnostics and conservative and operative treatments. We would like to invite basic research scientist to introduce recent advancements in the field of knee injury pathology. It is well known that a multidisciplinary approach is essential for patients with such lesions.

For this Special Issue, entitled “Physical Activity, Diagnostics, and Treatment in Knee Injury”, we would like to invite authors to submit original papers, review articles, systematic reviews, and metanalyses related to the topic of knee injuries.

Dr. Jan Zabrzyński
Prof. Dr. Gazi Huri
Dr. Dawid Szwedowski
Guest Editors

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Keywords

  • knee
  • injury
  • arthroscopy
  • ligaments
  • meniscus
  • sport injury
  • ACL
  • MCL
  • cartilage injury
  • knee instability
  • cartilage repair
  • knee MRI
  • meniscus MRI

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Published Papers (2 papers)

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Research

9 pages, 1760 KiB  
Article
Smoking Has No Influence on Outcomes after Repair of the Medial Meniscus in the Hypo and Avascular Zones—A Pilot Study
by Jan Zabrzyński, Łukasz Paczesny, Agnieszka Zabrzyńska, Gazi Huri, Kamil Graboń, Tomasz Pielak, Jacek Kruczyński and Łukasz Łapaj
Int. J. Environ. Res. Public Health 2022, 19(23), 16127; https://doi.org/10.3390/ijerph192316127 - 2 Dec 2022
Cited by 3 | Viewed by 2027
Abstract
Complete loss of the meniscus inevitably leads to knee joint degeneration. Smoking is an important factor predicting poor outcome in orthopedics; however, data about its role in meniscus surgery are inconclusive. Smoking could be an important negative factor in isolated meniscus repair. The [...] Read more.
Complete loss of the meniscus inevitably leads to knee joint degeneration. Smoking is an important factor predicting poor outcome in orthopedics; however, data about its role in meniscus surgery are inconclusive. Smoking could be an important negative factor in isolated meniscus repair. The aim of this paper was to determine the influence of smoking on functional outcomes after isolated all-inside medial meniscus repair. This study included 50 consecutive patients with isolated, traumatic tear of the medial meniscus who underwent knee joint arthroscopy between 2016 and 2019. All-inside arthroscopic repair of the medial meniscus was performed in each case. All patients followed a uniform, postoperative rehabilitation protocol for 8 weeks. The follow-up examination was based on the functional scores at 3 and 6 months postoperatively. According to smoking status there were 17 smokers and 33 non-smokers. The mean number of cigarettes smoked per day was 11, for a mean of 7.4 years, and the mean pack-years index value was 4.9. There was no correlation between smoking years, number of cigarettes smoked per day, pack-years index, and functional outcomes. The arthroscopic inspection of the knee joints revealed cartilage lesions (≤IIº) in eight subjects, suggesting the secondary pathology to the meniscus tear. In this study, we found no evidence of an association between smoking indices and functional outcomes after all-inside repair of chronic medial meniscus tear. The nature of the chronic meniscal tear could be smoking-resistant owing to the poor blood supply to the sites in which these specific lesions occur. Full article
(This article belongs to the Special Issue Physical Activity, Diagnostics and Treatment in Knee Injury)
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10 pages, 1234 KiB  
Article
Tibial Spine Height Measured by Radiograph Is a Risk Factor for Non-Contact Anterior Cruciate Ligament Injury in Males: A Retrospective Case-Control Study
by Shixin Nie, Jiaxing Chen, Hua Zhang, Pei Zhao and Wei Huang
Int. J. Environ. Res. Public Health 2022, 19(23), 15589; https://doi.org/10.3390/ijerph192315589 - 24 Nov 2022
Cited by 1 | Viewed by 1871
Abstract
Various anatomic abnormalities are implicated in non-contact anterior cruciate ligament (ACL) injury, but researchers rarely deal with the relation between tibial spine height and ACL injury. We conducted a retrospective case-control study to include 96 patients with and without non-contact ACL injuries. Tibial [...] Read more.
Various anatomic abnormalities are implicated in non-contact anterior cruciate ligament (ACL) injury, but researchers rarely deal with the relation between tibial spine height and ACL injury. We conducted a retrospective case-control study to include 96 patients with and without non-contact ACL injuries. Tibial plateau width (TPW), medial and lateral tibial spine height (MTSH and LTSH), and tibial spine width (TSW) were measured by radiographs. The parameters were compared among subgroups. Binary regression mode, receiver operating characteristic curves, and the area under the curve (AUC) were used to evaluate the specific correlation of the parameters with ACL injury. As a result, we found that the ratio of LTSH/TPW was larger in ACL-injured patients than in ACL-intact controls (p = 0.015). In the study group, LTSH/TPW (p = 0.007) and MTSH/TPW (p = 0.002) were larger in males than in females. The ratio of LTSH/TPW had an AUC of 0.60 and a significant OR of 1.3 for ACL injury in males, but not in females. In conclusion, LTSH was larger in patients with ACL injury and is a risk factor for ACL injury in males. The impact of increased LTSH on the impingement between the grafts and lateral tibial spine during ACL reconstruction warrants further investigation. Full article
(This article belongs to the Special Issue Physical Activity, Diagnostics and Treatment in Knee Injury)
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