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What's New — Knee — July 2026

116 new articles published this month.

Themes: TKA Alignment, Robotics, and Implants · ACL Reconstruction and Ligament Injuries · Patellofemoral Instability and Alignment · Osteotomy, Meniscus, and Cartilage Restoration · TKA Outcomes, Complications, and Patient Factors

Digest generated 2026-08-04 16:10:20+00:00.


Highlights

TKA Alignment, Robotics, and Implants

Recent literature highlights advancements in total knee arthroplasty (TKA) precision and implant longevity. Robotic platforms, including image-based and imageless systems, demonstrate equivalent accuracy in achieving planned femoral rotation [1], while intraoperative 3D scanning offers real-time alignment assessment [16]. The role of large language models in answering TKA clinical questions is comparable across major platforms [17], and bibliometric analyses reveal a paradigm shift toward personalized alignment strategies [88]. Regarding implants, condylar-constrained prostheses show favorable survival in aseptic revisions [13], and femoro-tibial size mismatch does not increase polyethylene wear in fixed-bearing designs [109]. Additionally, posterior condylar offset and joint-line restoration are linked to improved patient-reported outcomes in robotic-assisted TKA [92].

ACL Reconstruction and Ligament Injuries

Studies on anterior cruciate ligament (ACL) reconstruction focus on surgical techniques, risk factors, and outcomes. Increased posterior tibial slope is associated with primary repair failure [10], while lateral extra-articular procedures reduce graft failure rates [24] and adding lateral tenodesis to quadriceps autografts further lowers failure risk [66]. Anatomical factors like the lateral femoral condyle angle predict primary and rerupture injuries [51]. Postoperative recovery is influenced by early extension deficits affecting cartilage degeneration [40] and persistent muscle inhibition [46]. Furthermore, concomitant meniscal repair preserves outcomes without increasing reoperation rates [44], and posterior medial meniscus root repair during ACL reconstruction yields favorable results in nondegenerative cohorts [110].

Patellofemoral Instability and Alignment

Research on patellofemoral instability addresses diagnostic thresholds, surgical outcomes, and anatomical considerations. Patellar height measures are affected by trochlear dysplasia and imaging techniques [8], while sex and height impact tibial tuberosity-trochlear groove distance thresholds [14]. Isolated medial patellofemoral ligament reconstruction (MPFLR) provides similar outcomes in patients with increased TT-TG distances [19] but may reduce patellar height and cause quadriceps dysfunction [18]. Concomitant cartilage restoration does not consistently improve MPFLR outcomes [49]. Biomechanical studies indicate that anteromedializing tibial tubercle osteotomy does not fully restore native pressures in high anteversion models [34], and MRI enables precise quantification of patellar engagement after distalization osteotomies [86].

Osteotomy, Meniscus, and Cartilage Restoration

This theme covers osteotomies, meniscal surgery, and cartilage restoration. High tibial osteotomies are used to correct posterior tibial slope in PCL insufficiency [20], [48], with anterior cortical defects showing consistent remodeling [31]. Meniscal slope and tibial slope are risk factors for meniscal tears [12], and lateral extra-articular procedures may affect meniscal root tension [33]. Meniscal allograft transplantation using bone-bridge techniques improves outcomes [80], while suture-only fixation increases reoperation rates compared to bone plug methods [22]. Saucerization of discoid menisci requires careful residual width management to prevent complications [63], and concomitant alignment or meniscal surgery improves cartilage restoration outcomes [26].

TKA Outcomes, Complications, and Patient Factors

Patient-reported outcomes and complications in TKA are heavily influenced by preoperative factors and surgical details. 'Overall pain' is the strongest predictor of satisfaction [21], while depression predicts worse postoperative function [94]. Obesity and prior bariatric surgery do not necessarily increase reintervention risks [37], [59]. Perioperative management includes dexamethasone reducing VTE risk [104] and periarticular injections providing comparable early recovery to nerve blocks [105]. Tourniquet strategies impact blood loss [98], and cement viscosity influences long-term loosening risks [95]. Revision TKA for aseptic loosening is projected to increase in volume and cost [100], and conversion from patellofemoral arthroplasty has specific survivorship patterns [112].

Articles by Theme

TKA Alignment, Robotics, and Implants (7)

1. Mancino F, Fernandez I, Parker DA, et al. Equivalent accuracy of image‐based and imageless robotic platforms in achieving planned femoral rotation in primary total knee arthroplasty: A CT‐based study. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70553

This study compared the rotational accuracy of image-based and imageless robotic platforms in primary total knee arthroplasty using pre- and postoperative CT scans. The findings demonstrated that both platforms achieved equivalent accuracy in achieving planned femoral rotation within a ±1° margin. Clinically, this suggests that surgeons can choose either robotic platform without compromising rotational precision in TKA.

13. Tyas B, Hewitt C, Deehan D, et al. Condylar‐constrained prostheses are associated with favourable implant survival following first‐time aseptic revision knee arthroplasty: An analysis from the National Joint Registry. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70548

This study assessed MRI-based thresholds for tibial tuberosity to trochlear groove distance in identifying patellar instability, accounting for patient sex and height. The diagnostic threshold for malalignment varied significantly based on whether patients were female or male and their height. These sex- and height-specific thresholds improve the accuracy of MRI-based diagnosis for patellar instability.

16. Rath B, Huber T, Kamper M, et al. Feasibility and accuracy of intraoperative 3D surface scanning to assess femoral component alignment relative to the native distal femoral articular surface in total knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70542

This experimental study evaluated the feasibility and accuracy of intraoperative 3D surface scanning to assess femoral component alignment in total knee arthroplasty. The scanning method provided high-resolution anatomical data with approximately 0.2 mm accuracy, with landmark-based registration proving more precise than marker-based methods. Intraoperative 3D scanning offers a viable tool for real-time alignment verification during surgery.

17. Pujol O, Ferrer R, Coelho A, et al. Four general‐purpose large language models (ChatGPT‐5, Claude 4, Grok 4 and Gemini 2.5) show comparable performance in specialised total knee arthroplasty clinical questions. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70544

This cross-sectional study compared the performance of four large language models in answering specialized total knee arthroplasty questions using a blinded human assessment framework. Gemini 2.5 achieved the highest overall scores, though all four models demonstrated comparable, high-level performance in accuracy and comprehensiveness. These findings suggest that general-purpose LLMs are viable tools for providing reliable, evidence-based information in orthopedic clinical contexts.

88. Micicoi G, Sculco PK, Parker DA, et al. The 100 Most Cited Publications on Alignment in Total Knee Arthroplasty: A Bibliometric Analysis Revealing a Paradigm Shift Toward Personalized Alignment Strategies. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101180

A bibliometric analysis of the 100 most cited publications on alignment in total knee arthroplasty revealed a paradigm shift toward personalized alignment strategies. The review identified evolving trends in the literature that prioritize individualized surgical approaches over traditional mechanical alignment. This insight informs current surgical practices and future research directions in knee arthroplasty alignment.

92. Suhardi VJ, McCormick K, Hepinstall M, et al. Posterior Condylar Offset and Joint-Line Restoration Are Associated with Improved Patient-Reported Outcomes After Robotic-Arm-Assisted Total Knee Arthroplasty. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.06.080

This retrospective analysis of robotic-arm-assisted total knee arthroplasty identified that preserving posterior condylar offset and restoring the joint line are significantly associated with improved patient-reported outcomes. These findings imply that surgeons should prioritize these specific sagittal alignment parameters during robotic TKA to optimize functional recovery and patient satisfaction.

109. Mancino F, Sabharwal N, Greenaway M, et al. Femoro-Tibial Size Mismatch Does Not Increase Polyethylene Wear in Fixed-Bearing Total Knee Arthroplasty: A Retrieval Analysis. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.053

This retrieval analysis investigated whether femoro-tibial size mismatch increases polyethylene wear in fixed-bearing total knee arthroplasty implants. The study found no significant difference in total polyethylene wear between matched and mismatched components, contradicting the hypothesis that mismatch accelerates wear. This suggests that minor size mismatches do not necessarily compromise implant longevity, potentially allowing for greater intraoperative flexibility in component selection.

ACL Reconstruction and Ligament Injuries (8)

10. Arras C, Mueller MM, Conner‐Rilk S, et al. Increased posterior tibial slope is associated with failure after anterior cruciate ligament primary repair. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70543

This retrospective study analyzed whether preoperative posterior tibial slope and notch morphology predict failure after anterior cruciate ligament primary repair. Increased posterior tibial slope was identified as a significant risk factor for graft failure within two to five years post-surgery. Clinicians should consider these anatomical factors when selecting patients for primary repair versus reconstruction.

24. Macciacchera M, Nucci N, Hayes E, et al. Lateral Extra‐articular Procedures Decrease Rates of Graft Failure and Positive Pivot Shift in Primary Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta‐analysis. Arthroscopy 2026. doi:10.1002/arj.70413

This systematic review and meta-analysis evaluated the impact of lateral extra-articular procedures on outcomes following primary anterior cruciate ligament reconstruction. The addition of lateral extra-articular procedures significantly reduced graft failure rates and positive pivot shift findings compared to reconstruction alone. These findings support the routine consideration of lateral extra-articular augmentation to enhance stability and reduce failure risks in primary ACL reconstruction.

40. Allison A, Harrington J, Weaver B, et al. Association of Early Knee Extension Range of Motion Deficits With Cartilage T2 Relaxation Following Anterior Cruciate Ligament Reconstruction. The American Journal of Sports Medicine 2026. doi:10.1177/03635465261462587

This cohort study investigated the association between early knee extension range of motion deficits and cartilage T2 relaxation times following anterior cruciate ligament reconstruction. It found that extension deficits at two months post-surgery were associated with worsening cartilage T2 relaxation times at six months. This suggests that early restoration of full extension is crucial for preserving cartilage health and potentially preventing osteoarthritis.

44. Kekki C, Cristiani R, Stålman A, et al. Concomitant meniscal repair and resection are not associated with ACL reoperation, and successful meniscal repair preserves patient‐reported outcomes: A 2‐year retrospective cohort study. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70516

This retrospective cohort study compared 2-year reoperation rates and patient-reported outcomes between isolated ACL reconstruction and cases with concomitant meniscal repair or resection. The results indicated that concomitant meniscal repair was not associated with increased ACL reoperation rates, and successful repairs preserved favorable patient-reported outcomes. Conversely, failed repairs were linked to inferior outcomes, suggesting that successful meniscal preservation is beneficial.

46. Barrera Uso M, Fayard J, Vieira TD, et al. Early arthrogenic muscle inhibition is the dominant predictor of persistent quadriceps inhibition after total knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70518

This study assessed the prevalence and risk factors for arthrogenic muscle inhibition (AMI) in patients undergoing total knee arthroplasty. It identified pre-operative AMI as the dominant independent predictor of persistent quadriceps inhibition in the early post-operative period, alongside high BMI and long symptom duration. These findings suggest that pre-operative screening for AMI could help identify patients at risk for prolonged muscle dysfunction after surgery.

51. Wang D, Liu J, Du X, et al. Lateral Femoral Condyle Angle Is an Anatomic Risk Factor for Anterior Cruciate Ligament Primary Injury and Secondary Graft Rerupture. Arthroscopy 2026. doi:10.1002/arj.70322

This study assessed the lateral femoral condyle angle (LFCA) as a predictor for primary anterior cruciate ligament (ACL) injury and secondary graft rerupture. Results indicated that a larger LFCA is an independent anatomic risk factor for both primary ACL injuries and subsequent graft failures. Preoperative assessment of LFCA may help identify high-risk patients requiring tailored surgical or preventive strategies.

66. Renfree SP, Brinkman JC, Tummala SV, et al. Adding a Lateral Extra‐articular Tenodesis to Quadriceps Autograft Anterior Cruciate Ligament Reconstruction Reduces Risk of Graft Failure. Arthroscopy 2026. doi:10.1002/arj.70398

This study compared graft failure rates in primary ACL reconstruction using quadriceps tendon autograft with or without a lateral extra-articular tenodesis (LET). The addition of LET significantly reduced the graft failure rate from 29.6% to 14.8% and lowered the residual pivot shift rate. These findings suggest that adding LET improves graft survival and rotational stability in high-risk patients.

110. von Essen C, Sandon A, Barenius B, et al. Posterior Medial Meniscus Root Repair at the Time of Anterior Cruciate Ligament Reconstruction: Clinical Outcomes, Knee Stability, and Reoperations in a Nondegenerative Cohort. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101189

This retrospective cohort study assessed outcomes of posterior medial meniscus root repair performed concurrently with anterior cruciate ligament reconstruction in nondegenerative knees. Patients demonstrated favorable patient-reported outcomes and knee stability at two-year follow-up, with a low reoperation rate. These findings support the routine repair of posterior medial meniscus root tears during ACL reconstruction to preserve meniscal function and improve clinical results.

Patellofemoral Instability and Alignment (7)

8. Pace JL, James TE, Kamaci S, et al. Patellar Height Measures Are Affected by Patellar Position and Trochlear Dysplasia: Implications for Determining Patella Alta. Arthroscopy 2026. doi:10.1002/arj.70452

This study evaluated how patellar position and trochlear dysplasia influence patellar height measurements using MRI data from patients with and without patellar instability. The findings showed that patellar position significantly affects 1-image versus 2-image height measurements, and these measurements correlate with trochlear dysplasia indices. Clinically, this implies that patellar position must be considered when interpreting patellar height to accurately diagnose patella alta.

14. Nukala V, Sodhi A, Wadhavkar IT, et al. Sex and Height Impact Tibial Tuberosity to Trochlear Groove Distance Thresholds for Malalignment on Magnetic Resonance Imaging When Comparing Knees With Patellar Instability Versus Age‐ and Sex‐Matched Controls. Arthroscopy 2026. doi:10.1002/arj.70428

An analysis of the National Joint Registry compared implant survivorship and outcomes for different constraint levels in first-time aseptic revision knee arthroplasty. Condylar-constrained prostheses demonstrated favorable 10-year survival rates compared to other constraint levels. This supports the use of condylar-constrained implants for specific high-risk revision scenarios.

18. Sachdev D, Smelley C, Song C, et al. Isolated Medial Patellofemoral Ligament Reconstruction Reduces Patellar Height and Is Associated With Quadriceps Dysfunction. Arthroscopy 2026. doi:10.1002/arj.70422

This retrospective study evaluated the impact of isolated double-limbed medial patellofemoral ligament reconstruction on patellar height and quadriceps function in 81 patients. The findings indicate that the procedure significantly reduces patellar height and is associated with postoperative quadriceps dysfunction. These results suggest that surgeons should consider the potential for altered patellar mechanics and muscle weakness when planning isolated MPFL reconstruction.

19. Vincent JB, Erard J, Free M, et al. Isolated medial patellofemoral ligament reconstruction provides similar outcomes in patients with increased versus normal tibial tubercle–trochlear groove distance. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70529

This prospective study compared clinical outcomes of isolated medial patellofemoral ligament reconstruction in patients with normal versus increased tibial tubercle–trochlear groove distances. Both groups showed comparable functional improvements and low recurrence rates, indicating that an increased TT-TG distance alone does not preclude successful outcomes with isolated MPFL reconstruction. Clinicians can consider isolated MPFL reconstruction for patients with increased TT-TG distances without necessarily requiring additional bony realignment procedures.

34. Morales‐Avalos R, Ceniceros‐Cantú C, Gutiérrez‐de la O J, et al. Anteromedializing tibial tubercle osteotomy does not restore femorotibial and patellofemoral pressures to native values in a human biomechanical model with increased femoral anteversion. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70530

This cadaveric study evaluated the biomechanical effects of anteromedializing tibial tubercle osteotomy in knees with induced increased femoral anteversion. The procedure failed to restore patellofemoral and tibiofemoral pressures to native values, with internal femoral rotation significantly increasing lateral patellofemoral pressure. Clinically, this indicates that the osteotomy may not fully normalize joint mechanics in patients with significant femoral anteversion.

49. Duru DO, Wade D, Bouchard MD, et al. Concomitant cartilage restoration does not demonstrate consistent additional clinical benefit in medial patellofemoral ligament reconstruction: A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70517

This systematic review evaluated whether concomitant cartilage restoration modifies the clinical outcomes of medial patellofemoral ligament (MPFL) reconstruction. The analysis of 18 studies found no consistent additional clinical benefit from adding cartilage restoration procedures to MPFL reconstruction. Clinicians should not routinely perform cartilage restoration during MPFL reconstruction unless specifically indicated by other factors.

86. Pintore A, Fauré F, Pizzigallo C, et al. Magnetic Resonance Imaging Enables Precise Quantification of Patellar Height and Engagement in Patients Undergoing Tibial Tubercle Distalization Osteotomy for Objective Patellar Instability. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101177

This study utilized magnetic resonance imaging to precisely quantify patellar height and engagement in patients undergoing tibial tubercle distalization osteotomy for patellar instability. The findings indicate that MRI provides accurate measurements of patellar mechanics, which are critical for surgical planning and outcome assessment. This precision aids in optimizing surgical correction for objective patellar instability.

Osteotomy, Meniscus, and Cartilage Restoration (8)

12. Zeng C, Borim FM, Thorne D, et al. Increased tibial and meniscal slopes are risk factors for meniscal tears: A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70545

This systematic review and meta-analysis evaluated the association between tibial slope, meniscal slope, and meniscal bone angle with meniscal tear risk. Increased medial and lateral posterior tibial slopes were significantly associated with medial and lateral meniscal tears, respectively. These findings highlight tibial slope as a modifiable or assessable risk factor for meniscal pathology.

22. Gosnell GG, Sundaram V, Chen L, et al. Suture‐Only Fixation of Meniscal Allograft Is Associated With a Higher Reoperation Rate Than Bone Plug or Bone Bridge‐in‐Slot Fixation Techniques. Arthroscopy 2026. doi:10.1002/arj.70410

This retrospective study compared meniscus-specific reoperation rates among different fixation techniques used in meniscal allograft transplantation. Suture-only fixation was associated with significantly higher reoperation rates compared to bone plug or bone bridge-in-slot techniques. These results suggest that bone-based fixation methods may offer superior durability and lower revision risks in meniscal allograft transplantation.

26. Meyer LE, Bethell MA, Hurley ET, et al. Concomitant Procedures Around Cartilage Restoration Surgery Is Associated With Improved Outcomes and Decreased Failure Rates: A Systematic Review. Arthroscopy 2026. doi:10.1002/arj.70415

This systematic review evaluated the impact of concomitant alignment or meniscal surgery on outcomes following cartilage restoration procedures. The study found that adding osteotomy or meniscal allograft transplantation significantly reduced failure rates and improved functional scores compared to cartilage restoration alone. Clinically, this suggests that addressing associated mechanical issues during cartilage surgery enhances long-term success and patient outcomes.

31. Pineda T, Patel R, Vi AK, et al. Anterior cortical defects following infra‐tubercle slope‐reducing osteotomy show consistent remodelling without impairing union: A radiographic study with 12‐month follow‐up. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70536

This radiographic study assessed anterior cortical defect remodelling following infra-tubercle slope-reducing osteotomy, finding substantial spontaneous bone regrowth over 12 months. The analysis showed that defect area decreased by approximately 60%, with remodelling occurring consistently without impairing union. These results suggest that anterior cortical defects created during this procedure heal reliably and do not negatively impact surgical outcomes.

33. Nejima S, Bonacic‐Bartolin P, Ball S, et al. Knee joint line obliquity alters lateral meniscal root tension, tibiofemoral subluxation and compartment‐specific contact pressures. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70532

This biomechanical study measured meniscal root tension, subluxation, and contact pressures across varying knee joint line obliquities. It found that medial joint line obliquity significantly increases medial meniscal root tension and compartment-specific pressures, while lateral obliquity has the opposite effect. These findings suggest that surgical restoration of joint line alignment is critical for optimizing meniscal function and load distribution.

48. Dickschas J, Sendner T, Schubert I, et al. Anterior open wedge high tibial osteotomy for slope correction as a successful method in PCL insufficiency—Radiological and clinical results of a cohort study. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70522

This cohort study evaluated the clinical and radiological outcomes of anterior open-wedge high tibial osteotomy for posterior tibial slope correction in patients with chronic PCL insufficiency. The procedure successfully increased the posterior tibial slope, resulting in improved subjective knee stability and functional scores at follow-up. This technique appears to be a viable surgical option for addressing posterior instability associated with reduced tibial slope.

63. Hashimoto Y, Aibara N, Yamasaki S, et al. Residual Midbody Meniscal Widths >13 mm Immediately After Surgery Decreased Faster and Had Greater Complication Rates in Discoid Lateral Menisci Treated With Saucerization and Repair. Arthroscopy 2026. doi:10.1002/arj.70378

The study evaluated residual meniscal width after saucerization and repair for discoid lateral menisci, finding that widths greater than 13 mm decreased faster and had higher complication rates. Maintaining a residual width of 9 to 13 mm appears optimal for minimizing complications while preserving function.

80. Fanourgiakis I, Pawelczyk J, Balfousias T, et al. Arthroscopic Medial Meniscus Allograft Transplantation Using a Bone-Bridge Technique Improves Clinical Outcomes with a Favorable Safety Profile. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101174

The study evaluated arthroscopic medial meniscus allograft transplantation using a bone-bridge technique, reporting improved clinical outcomes and a favorable safety profile. This technique offers a viable surgical option for patients requiring meniscal restoration with potentially reduced complications.

TKA Outcomes, Complications, and Patient Factors (10)

21. Tay ML, Rahardja R, Farrington WJ, et al. ‘Overall pain’ is strongly associated with patient satisfaction: An item‐level longitudinal analysis of the Oxford Knee Score in total and unicompartmental knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70539

This longitudinal analysis of over 11,000 knee arthroplasty patients identified 'overall pain' as the item within the Oxford Knee Score most strongly and consistently associated with patient satisfaction across follow-ups up to 15 years. The study also established Patient Acceptable Symptom State thresholds for both total and unicompartmental knee arthroplasty. Clinically, these findings highlight that managing overall pain is the primary driver of long-term patient satisfaction and should be the central focus of postoperative care and outcome assessment.

37. Aljuboori SM, Petersen J, Christensen R, et al. Previous bariatric surgery was not associated with an increased risk of reintervention within 2 years after knee arthroplasty: A nationwide register‐based study from Denmark. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70523

This nationwide register-based study assessed the risk of reintervention and mortality following knee arthroplasty in patients with prior bariatric surgery compared to matched controls. The analysis found no increased risk of reintervention within two years or mortality associated with prior bariatric surgery, regardless of body mass index at the time of arthroplasty. These results support the safety of knee arthroplasty in this patient population.

59. Güneş Z. Letter Regarding “Impact of Obesity on Daily Activity Following Total Knee Arthroplasty”. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2025.11.059

The author critiques a study on obesity and daily activity after total knee arthroplasty, citing methodological flaws such as a small morbidly obese subgroup and potential effect size inflation. These limitations raise concerns about the generalizability and statistical robustness of the reported findings.

94. Vosoughi F, Taghva Nakhjiri M, Ayati Firoozabadi A, et al. Depression as a Predictor of Postoperative Pain and Function After Total Knee Arthroplasty: A Meta-Analysis of Prospective Comparative Studies. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.008

A meta-analysis of prospective studies determined that while preoperative depression is associated with lower absolute postoperative pain and function scores after total knee arthroplasty, it does not significantly limit the magnitude of postoperative improvement. Clinicians should recognize that depressed patients still benefit substantially from surgery, though they may require additional support to manage expectations and pain.

95. Lee WS, Chung H, Lee J, et al. Does Cement Viscosity Influence 10-year Outcomes in Primary Total Knee Arthroplasty Under Standardized Surgical Technique?. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.015

This large retrospective study evaluated the impact of cement viscosity on 10-year outcomes in primary total knee arthroplasty, finding no significant association between viscosity levels and the risk of revision for aseptic loosening or radiolucent lines. These results suggest that cement viscosity is not a critical determinant of long-term implant survival when standardized surgical techniques are employed.

98. Mallett KE, Weinblatt AI, Ondek NT, et al. Finding the Sweet Spot: A Mixed-Effects Analysis of Four Tourniquet Strategies and Blood Conservation in 15,394 Primary Total Knee Arthroplasties. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.06.076

This retrospective study of 15,394 primary total knee arthroplasties compared four tourniquet strategies to determine their impact on blood loss and transfusion risk in the era of tranexamic acid. The analysis revealed that no-tourniquet and selective-use strategies resulted in greater hemoglobin drops and calculated blood loss compared to the incision-to-cementation reference group. These findings suggest that maintaining tourniquet inflation until cementation may offer superior blood conservation benefits over alternative strategies.

100. Pisharody VA, Nour G, Chowdary AR, et al. Projected Case Volume and Economic Burden of Knee Aseptic Loosening in Inpatient Total Knee Arthroplasty in the United States. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.032

This study characterized the incidence and economic burden of revision total knee arthroplasty for aseptic loosening in the United States from 2012 to 2022, projecting future trends to 2032. The results indicated a rising national volume of these revisions, accompanied by increasing average admission costs, despite a temporary dip during the pandemic. These projections underscore the growing financial strain on the healthcare system and highlight the need for strategies to mitigate aseptic loosening.

104. Telang SS, Wier J, Jones IA, et al. Dexamethasone is Associated with a Dose-Dependent Reduction in Venous Thromboembolic Complications following Total Knee and Hip Arthroplasty. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.018

This large-scale study investigated the association between perioperative dexamethasone dosing and venous thromboembolism (VTE) complications following total knee and hip arthroplasty. The analysis demonstrated a dose-dependent reduction in 90-day VTE risk, with higher doses of dexamethasone associated with significantly lower adjusted odds of VTE compared to no dexamethasone use. These results support the potential role of perioperative dexamethasone in mitigating inflammation-driven thrombogenesis and reducing VTE risk in arthroplasty patients.

105. Schneider AM, Granger C, King J, et al. Periarticular Injection Alone Provides Comparable Early Recovery to Combined Adductor Canal and Infiltration between the Popliteal Artery and Capsule of the Knee Blocks Following Total Knee Arthroplasty: A Prospective Randomized Trial. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.037

This prospective randomized trial compared early recovery outcomes between periarticular injection alone and combined adductor canal/IPACK blocks in 140 total knee arthroplasty patients. The study found comparable pain scores, opioid consumption, and functional recovery between the two groups, suggesting that regional blocks may not offer additional early benefits over periarticular injection alone. These findings support simplifying anesthesia protocols by potentially omitting nerve blocks without compromising initial postoperative recovery.

112. Carstens MF, Meissner N, Krych AJ, et al. Conversion of Patello-femoral Arthroplasty to Total Knee Arthroplasty: Survivorship, Function, and Predictors of Patellar Revision. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.046

This study evaluated survivorship and predictors of patellar revision following conversion of patellofemoral arthroplasty to total knee arthroplasty. The five-year survivorship free of revision was 89.2%, with progression of tibiofemoral osteoarthritis being the primary indication for conversion. Pre-conversion patellar alignment was not significantly associated with the need for patellar component revision, suggesting that patellar components can often be retained during conversion surgery.

2. Glaab R, Ollivier M, Petersen W, et al. The rectus femoris tendon autograft in knee ligament reconstruction: Anatomy, biomechanics, clinical applications and results—A narrative review. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70526

This narrative review critically appraises the anatomical, biomechanical, and clinical evidence for using the isolated rectus femoris tendon as an autograft in knee ligament reconstruction. While anatomical studies confirm its consistent harvestability and biomechanical properties are comparable to other grafts, clinical evidence remains limited. The review highlights that enthusiasm for this technique has outpaced the current level of supporting evidence.

3. Schweizer C, Krug T, Abdulai S, et al. Preoperative medial‐compartment osteophytes do not adversely affect the outcome of lateral unicompartmental knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70558

This retrospective study evaluated whether preoperative medial-compartment osteophytes negatively impact outcomes following lateral unicompartmental knee arthroplasty (UKA). Results showed that the presence and severity of medial osteophytes did not adversely affect reoperation-free survival, implant survivorship, or functional outcomes. These findings suggest that medial osteophytes should not be considered a contraindication for lateral UKA.

4. Searle HKC, Khatri C, Robinson J, et al. Responsiveness and ceiling effects of Knee Injury and Osteoarthritis Outcome Score following anterior cruciate ligament reconstruction: Evidence from the UK National Ligament Registry. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70556

This study analyzed responsiveness and ceiling effects of various KOOS versions in patients undergoing anterior cruciate ligament reconstruction using data from the UK National Ligament Registry. The analysis revealed large improvements in scores over time, with ceiling effects varying by KOOS version and increasing as follow-up duration extended. These results inform the selection of appropriate patient-reported outcome measures for ACL reconstruction studies.

5. Unknown Author. Issue Information. Arthroscopy 2026. doi:10.1002/arj.70492

This issue information page lists the contents of the August 2026 edition of Arthroscopy, including articles on ACL-PCL reconstruction, RCR augmentation, hip arthroscopy, and cost-effectiveness analyses. It also features commentaries on these topics and an article on generative AI in healthcare practice. The text serves as a table of contents for the journal issue.

6. Unknown Author. Issue Information. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70541

This issue information page outlines the aims and scope of Knee Surgery, Sports Traumatology, Arthroscopy, describing it as the official clinical journal of ESSKA. It highlights the journal's focus on innovative knee surgery, sports trauma, and arthroscopy, covering diagnosis, treatment, prevention, and basic research. The text serves as a mission statement and scope definition for the journal.

7. Wills DJ, Dan MJ, Oliver R, et al. Selective Epiphysiodesis of the Anterior Distal Femoral Physis Alters Trochlear Morphology in a Rabbit Model. The American Journal of Sports Medicine 2026. doi:10.1177/03635465261465190

This controlled laboratory study investigated how selective epiphysiodesis of the anterior distal femoral physis affects trochlear morphology in a rabbit model. The results indicated that closure of specific physis regions altered trochlear shape in a predictable, region-specific manner, with lateral closure reducing sulcus angle and depth. These findings suggest the anterior distal femoral physis plays a critical role in shaping trochlear development.

9. Deardurff RM, Grood ES, Noyes FR. Anterior Cruciate and Posterolateral Ligament Injuries Result in Different Degrees of the External Rotation Recurvatum Test: A Robotic Analysis in Male Cadaveric Knees. Arthroscopy 2026. doi:10.1002/arj.70409

Researchers used a robotic system to measure knee kinematics during sequential sectioning of ligaments and capsules in cadaveric knees. The study found that anterior cruciate ligament and posterolateral corner injuries produce distinct patterns of hyperextension and external rotation compared to posterior capsular injuries. These findings suggest that the external rotation recurvatum test can help differentiate between specific multiligamentous injury patterns.

11. Hediger AM, Lustenberger T, Liechti EF, et al. Revision rates are similar after surgical treatment of acute chondral and osteochondral injuries following patellar dislocation: A multicentre cohort study. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70546

A multicentre cohort study compared revision rates and outcomes for surgical treatment of chondral versus osteochondral injuries following patellar dislocation. The results showed similar revision rates and patient-reported outcomes between the two injury types, despite differences in treatment strategies. This suggests that both lesion types may be managed with comparable surgical expectations regarding long-term stability.

15. Wu C, Lin Z, Hui Y, et al. Dynamic Anterior Stabilization Shows Glenohumeral Kinematics Closer to Native Motion to Isolated Bankart Repair: A Dual Fluoroscopic Imaging Study. Arthroscopy 2026. doi:10.1002/arj.70401

A dual fluoroscopic imaging study compared in vivo glenohumeral kinematics between isolated Bankart repair and repair augmented with dynamic anterior stabilization. Dynamic anterior stabilization resulted in humeral head kinematics closer to native motion during apprehension testing compared to isolated repair. This technique may offer superior biomechanical stability for patients with anterior shoulder instability.

20. Cohen D, Ambrosini L, Dickschas J, et al. Anterior opening‐wedge high tibial osteotomy for restoring posterior tibial slope in PCL insufficiency and genu recurvatum: A narrative review. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70538

This narrative review discusses the biomechanical rationale for using anterior opening-wedge high tibial osteotomy to restore posterior tibial slope in patients with PCL insufficiency and genu recurvatum. The authors highlight that correcting a flattened or negative slope reduces graft failure risk and alleviates hyperextension moments, thereby improving stability and function. This procedure is presented as a critical surgical intervention for addressing sagittal plane deformities that contribute to poor outcomes in these conditions.

23. Collins MS, Feik ML, Belamkar AV, et al. Guide For Selection of Appropriate Patient‐Reported Outcome Measures and Clinically Significant Outcome Thresholds in Knee Arthroscopy. Arthroscopy 2026. doi:10.1002/arj.70397

This guide emphasizes the importance of selecting appropriate patient-reported outcome measures (PROMs) for knee arthroscopy based on validity, responsiveness, and clinically significant thresholds. It highlights that statistical significance does not always equate to clinical importance and warns against ceiling effects that limit the differentiation of patient outcomes. Clinicians and researchers are advised to interpret PROMs at the individual level using metrics like minimal clinically important difference to ensure meaningful assessment.

25. Hartman H, Lessiohadi N, Saharan S, et al. Outcomes of Saucerization With or Without Repair for Symptomatic Discoid Lateral Meniscus in Pediatric Patients: A Systematic Review. Arthroscopy 2026. doi:10.1002/arj.70391

This systematic review analyzed surgical outcomes for pediatric discoid lateral meniscus, comparing saucerization alone, saucerization with repair, and meniscectomy. All surgical cohorts demonstrated significant improvements in Lysholm scores, indicating that saucerization is an effective treatment regardless of whether repair is performed. These findings support saucerization as a viable primary intervention for symptomatic discoid meniscus in children.

27. Qu S, Qi L, Sun K, et al. Regarding “Intraoperative Periarticular Injection May Improve Postoperative Pain Scores and Reduce Opioid Consumption in Arthroscopic Anterior Cruciate Ligament Reconstruction Surgery”. Arthroscopy 2026. doi:10.1002/arj.70050

This biomechanical study investigated how changes in posterior tibial slope affect tibiofemoral contact mechanics using cadaveric knees. The results demonstrated a strong, linear relationship between tibial slope and the anteroposterior shift of the contact center of force, regardless of flexion angle or ACL integrity. These findings provide biomechanical insights into how slope-modifying osteotomies alter joint loading and contact patterns.

28. Mowers CC, Jackson GR, McKinley MT, et al. Sex Mismatch Does Not Affect Outcomes or Graft Survival After Osteochondral Allograft Transplantation of the Knee: A Systematic Review. Arthroscopy 2026. doi:10.1002/arj.70392

This systematic review investigated whether donor-recipient sex mismatch affects outcomes or graft survival following osteochondral allograft transplantation of the knee. The analysis of nearly 1,000 patients revealed no significant differences in survivorship, complications, or patient-reported outcomes between sex-matched and sex-mismatched grafts. These findings imply that sex matching is not a critical factor in selecting donors for osteochondral allografts.

29. Tischer T, De Marziani L, Bait C, et al. Current concepts of management of anterior cruciate ligament revision in adults. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70534

This review provides an updated overview of current concepts and guidelines for managing anterior cruciate ligament revision surgery in adults. It addresses unresolved questions regarding graft choice and associated procedures, recommending autografts for young patients and outlining indications for one- versus two-stage approaches. The article serves as a practical guide for surgeons navigating the complexities of ACL revision cases.

30. Ebert JR, Edwards PK, Klinken S, et al. A Prospective Clinical and Magnetic Resonance Imaging-Based Follow-up Beyond 10 Years After Arthroscopic Matrix-Induced Autologous Chondrocyte Implantation. The American Journal of Sports Medicine 2026. doi:10.1177/03635465261459242

This prospective study evaluated long-term clinical and radiological outcomes of arthroscopic matrix-induced autologous chondrocyte implantation (MACI) beyond ten years. The results demonstrated sustained improvements in patient-reported outcome measures and graft survivorship at a mean follow-up of 13.6 years. These findings support the efficacy and durability of arthroscopic MACI for treating femoral condyle cartilage defects.

32. Peez C, Palma Kries LK, Grose‐Allermann A, et al. Posterior tibial slope is linearly related to anteroposterior shift of the tibiofemoral contact mechanics: A biomechanical study. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70531

This biomechanical study investigated tibiofemoral contact mechanics in cadaveric knees by systematically altering the posterior tibial slope from 15° to 0° using an external fixator. The results demonstrated a strong, linear relationship between the posterior tibial slope and the anteroposterior shift of the tibiofemoral contact center, independent of knee flexion angle or anterior cruciate ligament integrity. These findings suggest that surgical modifications to tibial slope directly and predictably influence joint contact mechanics, which is critical for optimizing outcomes in slope-modifying osteotomies.

35. Khan H, Khan A, Rosenberg A, et al. Sustained participation deficits following anterior cruciate ligament reconstruction in elite male soccer players globally. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70537

This study analyzed global professional soccer player data to evaluate changes in minutes played per match (MPM) before and after anterior cruciate ligament reconstruction. The key finding was that elite male players experienced sustained participation deficits in the year following surgery compared to their pre-injury baseline. Clinically, this suggests that return-to-play metrics should extend beyond initial recovery to assess long-term competitive sustainability and career longevity.

36. Grandberg C, Boduch AN, Bilodeau RE, et al. Comparable Midterm Survival After Medial Meniscus Root Repair for High and Low Intraoperative Outerbridge Classification Grades. The American Journal of Sports Medicine 2026. doi:10.1177/03635465261460747

This cohort study compared midterm survival and patient-reported outcomes of medial meniscus posterior root repairs in patients with low versus high intraoperative Outerbridge chondral grades. The results showed comparable survival rates and similar improvements in patient-reported outcomes regardless of cartilage damage severity. This suggests that advanced chondral loss should not be considered a contraindication for medial meniscus root repair.

38. Lucidi GA, Adravanti FM, Rossi C, et al. Sport participation after isolated distal femoral osteotomy in young patients: High return‐to‐sport rates and predictive role of preoperative activity level. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70524

This retrospective study evaluated return-to-sport rates and predictors in young patients undergoing isolated distal femoral osteotomy for valgus malalignment. The study found a high return-to-sport rate of 79.4%, with preoperative activity level serving as a significant predictor for return to sport. These findings indicate that young, active patients can expect high rates of sports resumption following this procedure.

39. Hampstead W, Lovell R, Whalan M, et al. Mechanisms and situational patterns of anterior cruciate ligament injuries in professional women's football (soccer): A systematic video analysis across 25 leagues (2022–2024). Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70528

This systematic video analysis identified biomechanical and situational patterns of anterior cruciate ligament injuries in professional women's football across 25 leagues. Most injuries occurred during the first half of matches during defensive play, with non-contact mechanisms being the most frequent cause. These insights highlight specific high-risk scenarios that may inform targeted injury prevention strategies.

41. Lin J, Cheng R, Yan Y, et al. Quantitative Investigation of Tibiofemoral Cartilage Early Degeneration After ACL Reconstruction: An Integrated Biomechanical and Longitudinal MRI Analysis. The American Journal of Sports Medicine 2026. doi:10.1177/03635465261456992

This study integrated longitudinal MRI data with robotic gait simulations to investigate biomechanical mechanisms of early cartilage degeneration following ACL reconstruction. The findings revealed significant cartilage thinning in the posterior tibial subregion, linked to altered dynamic contact pressure distributions during gait. These results highlight the importance of managing post-operative joint loading to mitigate early osteoarthritic changes.

42. Leenders AM, Schotanus MGM, Most J, et al. No clear benefit of patient‐specific instruments over conventional instrumentation in unicompartmental knee arthroplasty: A secondary analysis of a multicentre randomised trial with 5‐year follow‐up. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70515

A secondary analysis of a randomized trial compared patient-specific instruments (PSI) against conventional instrumentation in unicompartmental knee arthroplasty over a 5-year follow-up. The study found no statistically significant difference in revision-free survivorship or patient-reported outcome measures between the two groups. Consequently, PSI offers no clear clinical advantage over conventional methods for mid-term UKA outcomes.

43. Dawson MJ, Mabrouk A, Nejima S, et al. Miscorrection in coronal plane osteotomies around the knee—Current concepts. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70492

This review analyzes the multifactorial nature of miscorrection in coronal plane osteotomies around the knee, extending beyond simple target failure to include planning and technique variables. It evaluates factors such as joint line convergence angle and compares computer-assisted navigation with patient-specific instrumentation to reduce errors. The authors provide current concepts for preventing miscorrection through improved surgical planning and execution.

45. Mortazavi SMJ, Razzaghof M, Soleimani M, et al. Primary anterior cruciate ligament tears are associated with a shift from varus‐dominant to neutral and valgus coronal alignment phenotypes. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70521

This cross-sectional study assessed muscle stability using Adaptive Force measurements in semi-professional football players to evaluate injury risk predictors. It found a high prevalence of stability deficits, particularly in hip abductors and hamstrings, with selective impairment in holding capacity despite preserved maximal strength. These results indicate that muscle stability metrics may offer superior discriminative value for injury risk compared to conventional strength parameters.

47. Schaefer LV, Bittmann FN, Ulrich J, et al. High prevalence of muscle stability deficits in semi‐professional football players—Adaptive Force assessment reveals selective impairment of holding capacity with preserved maximal strength: A cross‐sectional study. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70525

This cross-sectional study assessed muscle stability via Adaptive Force (AF) and maximal voluntary isometric contraction (MVIC) in 23 semi-professional football players. The findings revealed a high prevalence of stability deficits, particularly in hip abductors and hamstrings, with selective impairment in holding capacity despite preserved maximal strength. These results suggest that AF assessment may offer superior discriminative value for injury risk compared to conventional strength parameters.

50. Strony JT, Ina JG, Apostolakos JM, et al. Osteochondral Autograft Transfer for Focal Osteochondral Defects of the Knee. Journal of Bone and Joint Surgery 2026. doi:10.2106/jbjs.25.01562

This review summarizes the indications, technique, and outcomes of osteochondral autograft transfer (OAT) for focal articular cartilage defects in young, active patients. OAT offers durable joint preservation with high return-to-sport rates, particularly for defects between 1 and 4 cm², and demonstrates superiority over microfracture. Proper patient selection and meticulous surgical technique are critical for optimizing functional outcomes.

52. McPherson EJ, Kallini JR, Pena DD, et al. Intraoperative variability between the anteroposterior and posterior condylar axes in primary TKA supports a 20° proximal trochlear entrance design for unrestricted kinematic alignment. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70481

This prospective cohort study measured the rotational variability between the anteroposterior and posterior condylar axes during unrestricted kinematic alignment total knee arthroplasty. The findings support the use of a 20° proximal trochlear entrance design to ensure adequate patellar capture given the inherent rotational variability. This design consideration is essential for optimizing patellofemoral tracking in unrestricted kinematic alignment techniques.

53. Rivarola H, Chahla J, Endara Urresta F, et al. Reliability and Clinical Validity of a Morphology-Based Classification System for Radial Meniscal Tears: A Multicenter Observer Study. The American Journal of Sports Medicine 2026. doi:10.1177/03635465261453085

This multicenter observer study evaluated the reliability and validity of a five-type morphology-based classification system for radial meniscal tears. The system demonstrated high interobserver and intraobserver reliability and showed strong criterion and construct validity against arthroscopic findings and treatment matrices. Adopting this standardized classification can improve communication and guide appropriate surgical management of radial meniscal tears.

54. Hendriks JRH, de Groot TM, Oosting E, et al. Modified Lemaire Anterolateral Corner Reconstruction Does Not Impact Forgotten Joint Score‐12 at 2 Years in Hamstring Graft Anterior Cruciate Ligament Reconstructions in High‐Risk Patients. Arthroscopy 2026. doi:10.1002/arj.70339

This retrospective study compared 2-year Forgotten Joint Score-12 (FJS-12) outcomes in high-risk young patients undergoing hamstring ACL reconstruction with or without modified Lemaire anterolateral corner reconstruction. While the Lemaire group showed lower FJS-12 scores at 12 months, there was no significant difference in joint awareness at 24 months. The addition of Lemaire reconstruction does not negatively impact long-term patient-reported joint awareness in this population.

55. Aoki SK, Johnson BT, Khalil AZ, et al. What Is the “Perfect” Lateral Radiograph? Effects of Beam Directionality and Condylar Alignment on the Perceived Location of the Medial Patellofemoral Ligament: Response. The American Journal of Sports Medicine 2026. doi:10.1177/03635465261444025

This response addresses a letter regarding the effects of fluoroscopic beam directionality and condylar alignment on identifying the medial patellofemoral ligament insertion. The authors clarify their study's intent and contextualize their findings within existing literature on MPFL reconstruction landmarks. The response emphasizes the importance of standardized radiographic techniques for accurate graft placement.

56. Kose O. What Is the “Perfect” Lateral Radiograph? Effects of Beam Directionality and Condylar Alignment on the Perceived Location of the Medial Patellofemoral Ligament: Letter to the Editor. The American Journal of Sports Medicine 2026. doi:10.1177/03635465261444030

This letter to the editor discusses a cadaveric study on the influence of fluoroscopic beam directionality on perceived medial patellofemoral ligament location. The author highlights that a medial-to-lateral projection with posterior proximal condylar alignment provides the most consistent framework for intraoperative fluoroscopy. Standardizing these radiographic parameters may improve the accuracy of MPFL femoral tunnel placement.

57. Bolaños Bermúdez IA, Acosta NG, Panqueva Giraldo LN, et al. The Long-term Radiographic Fate of the Chronically ACL-Deficient Knee: Letter to the Editor. The American Journal of Sports Medicine 2026. doi:10.1177/03635465261448576

The authors critique a systematic review on chronically ACL-deficient knees, arguing that meniscal status, rather than reconstruction itself, is the primary driver of long-term osteoarthritis risk. This highlights the critical importance of meniscal preservation in treatment decisions to mitigate degenerative changes.

58. Sun X, Jian J. Letter Regarding “Rotational Alignment in Total Knee Arthroplasty: A Randomized Clinical Trial of Akagi Versus Sahin Tibial Referencing Techniques”. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2025.11.048

The letter commends a randomized trial comparing Akagi and Sahin tibial referencing techniques for rotational alignment in total knee arthroplasty, noting both methods achieved similarly accurate results. The authors suggest further discussion on the clinical implications of these comparable outcomes for surgical planning.

60. Smitterberg CW, Mont MA. Letter Regarding “Is It Safe to Give Meloxicam or Celecoxib to Chronically Anticoagulated Patients Following Primary Total Knee Arthroplasty?”. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.01.075

The authors caution against interpreting a database study as proof that COX-2 inhibitors are safe for chronically anticoagulated patients undergoing total knee arthroplasty. They highlight methodological and clinical concerns that warrant a more nuanced interpretation of the safety data.

61. Cushner FD. Proceedings of The Knee Society 2025 Members Meeting. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.04.118

This issue presents the proceedings from the 2025 Knee Society Members Meeting, featuring 61 peer-reviewed papers and 21 posters selected from 91 presentations. The collection showcases high-quality research and introduces a new presentation format that included lightning talks and poster discussions.

62. Feingold CL, Lin EH, Young BA, et al. Spin Is Prevalent in the Majority of Abstracts of Patello-femoral Arthroplasty Studies. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2025.10.117

The study found that spin, or reporting bias, was prevalent in nearly 60% of abstracts from patellofemoral arthroplasty studies, often favoring positive outcomes. This high prevalence of bias suggests a need for greater transparency and rigorous reporting standards in this field.

64. Biner M, Ackermann J, Hodel S, et al. Small but Significant Effect on Patellar Height and Tibial Tuberosity‐Trochlear Groove Distance Following Ascending Versus Descending Tibial Tubercle Osteotomy in Medial Open‐Wedge High Tibial Osteotomy. Arthroscopy 2026. doi:10.1002/arj.70384

The study compared ascending versus descending tibial tubercle osteotomies in medial open-wedge high tibial osteotomy, finding that the ascending approach significantly decreased patellar height and increased TT-TG distance. In contrast, the descending technique maintained these patellofemoral parameters, offering a distinct biomechanical profile.

65. Bugarinovic G, Hatch GF“, Levy BA. “Setting” Tibial Translation in Combined Anterior Cruciate Ligament‐Posterior Cruciate Ligament Reconstruction. Arthroscopy 2026. doi:10.1002/arj.70459

This technical note describes a stepwise technique for setting anterior and posterior tibial translation during combined ACL-PCL reconstruction using intraoperative physical examination and fluoroscopic stress imaging. The method aims to establish patient-specific references for normal tibiofemoral position to guide sequential graft tensioning. This approach seeks to restore physiologic knee stability and reduce risks of residual laxity or graft failure.

67. Danaher M, Lin C, Nelms N, et al. Integrating Robotic-Assisted Arthroplasty into Orthopaedic Education: The Fellows’ Perspective. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.06.059

This survey assessed orthopaedic arthroplasty fellows' exposure to and satisfaction with robotic-assisted versus conventional total joint arthroplasty training. Fellows reported significantly higher satisfaction with conventional procedure training and expressed a desire for balanced exposure to both robotic and manual techniques. The results highlight a gap in robotic training that may impact future surgical competency.

68. Unknown Author. Issue Information. Arthroscopy 2026. doi:10.1002/arj.70446

This issue information page lists the contents of Arthroscopy Volume 42, Issue 7, including articles on cartilage restoration, rotator cuff repair, and hip arthroscopy techniques. It also features commentaries on various topics such as Latarjet procedures, ACL injury patterns, and biomechanics of lateral meniscus root repair. The section serves as a table of contents for the journal issue.

69. Unknown Author. Issue Information. Knee Surgery, Sports Traumatology, Arthroscopy 2026. doi:10.1002/ksa.70511

This issue information page outlines the aims and scope of Knee Surgery, Sports Traumatology, Arthroscopy, highlighting its focus on innovative knee surgery and sports traumatology. It describes the journal's commitment to publishing peer-reviewed clinical and basic research articles on diagnosis, treatment, and prevention. The text emphasizes the journal's role as the official clinical journal of ESSKA.

70. Hohmann AL, Bash H, DeSimone CA, et al. Kneeling After Total Knee Arthroplasty: Does Resurfacing the Patella Affect the Ability to Kneel?. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.06.055

This study investigated the effect of patellar resurfacing on kneeling ability and pain after total knee arthroplasty, considering preoperative patellar osteoarthritis. All patient cohorts reported worsening kneeling ability post-surgery, with no significant differences observed between groups based on resurfacing status or preoperative arthritis. The findings suggest that patellar resurfacing does not mitigate postoperative kneeling difficulties.

71. Long G, Yuan L, Qing L, et al. The Relationship Between Patient Satisfaction and the Degree of Valgus Deformity in Lateral Unicompartmental Knee Arthroplasty at a Mean 3-Year Follow-Up. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.06.064

This retrospective study evaluated patient satisfaction and outcomes in lateral unicompartmental knee arthroplasty stratified by preoperative valgus deformity severity. Patients with moderate valgus deformity (6-12°) achieved significantly higher satisfaction rates and better functional scores compared to those with mild or severe deformities. Severe deformities were associated with lower satisfaction and higher complication rates, indicating optimal outcomes for moderate cases.

72. Apivatgaroon A, Tungbanjerdsook P, Chernchujit B, et al. Clinically Meaningful Thresholds for the Thai Kujala Score in Patellofemoral Pain Syndrome: Minimal Clinically Important Improvement and Patient Acceptable Symptom State. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101169

This study established clinically meaningful thresholds for the Thai Kujala Score in patients with patellofemoral pain syndrome, specifically defining minimal clinically important improvement and patient acceptable symptom state. The research provides validated metrics to interpret score changes in clinical practice and research settings. These thresholds aid in assessing treatment efficacy and patient-reported outcomes for this condition.

73. Rivarola H, Collazo C, Palanconi M, et al. A Clinical Decision-Making Algorithm for Posterolateral Corner Injuries of the Knee: Development and Internal Validation. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101170

The authors developed and internally validated a clinical decision-making algorithm for managing posterolateral corner injuries of the knee. This tool aims to standardize diagnostic and treatment pathways, potentially improving clinical consistency and outcomes for this complex injury pattern.

74. Parmar RP, Alhankawi AR, Holle AM, et al. Preoperative Pneumonia and Its Association With Periprosthetic Joint Infection and Postoperative Complications After Total Hip and Knee Arthroplasty. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.06.082

This study found that while overall prior pneumonia does not increase periprosthetic joint infection risk, Staphylococcal pneumonia within three months of surgery significantly elevates it. Clinicians should exercise heightened caution and consider delaying surgery in patients with recent Staphylococcal pneumonia.

75. KLINCKE V, DESCAMPS T, TAMPERE T, et al. Tourniquet Use in Cemented Total Knee Arthroplasty: Small Gains in Fixation, No Clear Benefit in Aseptic Loosening. A Systematic Review and Meta-Analysis. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.06.079

This meta-analysis demonstrated that tourniquet use in cemented total knee arthroplasty improves tibial baseplate cement penetration but offers no clear benefit in preventing aseptic loosening. Surgeons may prioritize tourniquet use for fixation quality without expecting improved long-term implant survival.

76. Youmbi CT, Santos A, Bridger A, et al. Acute Kidney Injury Following Antibiotic-Loaded Spacer Insertion in Two-Stage Knee Arthroplasty Revision for Periprosthetic Joint Infection: A Retrospective Cohort Study. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.06.084

The study assessed acute kidney injury incidence following very high-dose antibiotic-loaded spacer insertion in two-stage knee revision, finding a 6.6% occurrence rate. This suggests that while nephrotoxicity is a risk, the majority of patients tolerate high-dose antibiotic spacers without significant renal compromise.

77. Vosoughi F, Vahedi P, Yazdanmehr A, et al. Cross-Cultural Adaptation and Psychometric Validation of the Persian High-Activity Arthroplasty Score in Patients Following Total Knee Arthroplasty. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101171

Researchers translated and validated the Persian version of the High-Activity Arthroplasty Score, demonstrating good internal consistency and reliability. This validated tool enables accurate assessment of high-level function in Persian-speaking patients undergoing total knee arthroplasty.

78. Carender CN, Grosso M, Browne JA, et al. The American Association of Hip and Knee Surgeons Position Statement on OrthoBiologics for Advanced Hip and Knee Osteoarthritis. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.014

The American Association of Hip and Knee Surgeons issued a position statement addressing the use of orthobiologics for advanced hip and knee osteoarthritis. The statement likely provides evidence-based guidance to help clinicians navigate the efficacy and appropriateness of these treatments.

79. Moynan D, O’Connor C, Woo J, et al. Trauma-Related Arthroplasty Is Associated With Earlier and Microbiologically Distinct Periprosthetic Joint Infection: A 20-Year Single-Center Study. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.002

This 20-year study revealed that periprosthetic joint infections following trauma-related arthroplasty occur earlier and involve distinct microbiology compared to elective cases. These differences may necessitate tailored diagnostic and therapeutic approaches for infection management in trauma patients.

81. Singhi PK, Amutham Elangovan AG, Raju S, et al. MULTILIGAMENT KNEE RECONSTRUCTION FOLLOWING COMPLEX DISTAL FEMUR INTRAARTICULAR FRACTURE – CASE REPORT. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101181

This case report describes the successful management of a complex distal femur intraarticular fracture requiring multiligament knee reconstruction. The findings demonstrate that simultaneous ligament reconstruction can be effectively integrated with fracture fixation to restore knee stability. This suggests that a comprehensive surgical approach addressing both bony and soft tissue injuries is viable for severe knee trauma.

82. Khan ST, Sharma A, Patel SV, et al. Predicting Patient-Reported Outcome Measures, Satisfaction, Healthcare Utilization, Mortality, and Return to Work After Total Knee Arthroplasty Using Machine Learning: A 14,900-Patient Study. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.007

Researchers developed and validated machine learning models using baseline demographic and clinical data to predict postoperative outcomes after total knee arthroplasty. The study found that these models accurately forecast patient-reported outcomes, satisfaction, healthcare utilization, and return to work. These tools offer potential for improved preoperative planning, patient counseling, and resource allocation in orthopedic practice.

83. Mulford KL, Grove AF, Dean MC, et al. Determining the Mechanical Axis of the Femur from a Standard Antero-posterior Knee Radiograph with Deep Learning. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.022

This study developed a deep learning model to predict the correction factor between the anatomical and mechanical axes of the femur using standard antero-posterior knee radiographs. The deep learning approach demonstrated superior accuracy compared to linear regression and fixed-angle approximations. This method allows surgeons to assess mechanical alignment without requiring long-leg radiographs, streamlining preoperative planning.

84. Israelite C, Barrack R, Foran J, et al. Patients Undergoing Manipulation Under Anesthesia Recover Mobility, but Have Worse Functional Outcomes. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.021

This study compared gait metrics and functional outcomes in TKA patients who underwent manipulation under anesthesia (MUA) versus those who did not. While MUA successfully restored range of motion, it was associated with transient decreases in gait speed and step count, leading to worse short-term functional outcomes. Clinicians should consider these temporary gait impairments when deciding on MUA for stiff knees.

85. Mehra P, Nayak BK, Uppal H, et al. Plantar pressure distribution has potential to be an adjunct to predict return to sport after Anterior Cruciate ligament reconstruction: An Observational Study.. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101182

This observational study evaluated whether plantar pressure distribution (PPD) could serve as an objective criterion for return to sport after anterior cruciate ligament reconstruction. The results showed significant changes in forefoot and hindfoot PPD patterns during the first six months postoperatively, correlating with strength and functional scores. PPD analysis may provide valuable objective data to guide rehabilitation and return-to-sport decisions.

87. O’Driscoll CS, Roopnarinesingh R, Kiely P, et al. Clinical Outcomes and Return to Sport Rates following Anterior Cruciate Ligament Reconstruction in Skeletally Immature Paediatric Patients Aged 13 Years or Less. Higher Failure to Return to Sport Rates Observed Amongst Female Athletes in our Cohort.. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101183

This study assessed clinical outcomes and return-to-sport rates following anterior cruciate ligament reconstruction in skeletally immature pediatric patients aged 13 or younger. The cohort exhibited higher failure rates in returning to sport among female athletes compared to males. These findings highlight the need for gender-specific considerations and targeted rehabilitation strategies in young pediatric ACL reconstruction patients.

89. Kulkarni SA, Hiranaka T, Parker D. Modified 20% anatomical axis method demonstrates the highest reliability for posterior tibial slope measurement on radiographs. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101186

The study evaluated the reliability of various methods for measuring posterior tibial slope on radiographs, finding that the modified 20% anatomical axis method demonstrated the highest inter- and intraobserver reliability. This finding suggests that clinicians should adopt this specific measurement technique to ensure consistent and accurate assessment of tibial slope in preoperative planning and research.

90. Thiru SS, Pasko KB, Wang D. Public Interest in Anterior Cruciate Ligament Reconstruction, Repair, and Bridge-Enhanced Repair: A 20-Year Time-Series Analysis. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101178

This 20-year time-series analysis examined public interest trends in anterior cruciate ligament reconstruction, repair, and bridge-enhanced repair using search engine data. The results indicate shifting public attention toward newer repair techniques, highlighting the need for surgeons to stay informed about emerging options and patient expectations regarding ACL treatment.

91. Wackerle AM, Vieider RP, Khoo B, et al. Good Correlation Between Two- and Three-Dimensional Parameters of Intercondylar Notch Morphology in the Pediatric Knee: A Cadaveric Computed Tomography Study. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101184

A cadaveric computed tomography study assessed the correlation between two- and three-dimensional parameters of intercondylar notch morphology in pediatric knees, finding a strong agreement between the measurement methods. This supports the use of standard 2D radiographic assessments as a reliable proxy for 3D morphology in pediatric patients, simplifying preoperative evaluation for cruciate ligament injuries.

93. Senyolo I, Goga N, Elebo N, et al. Equivalent Functional Recovery and Radiographic Outcomes in Human Immunodeficiency Virus-Positive and -Negative Patients Undergoing Robot-Assisted Total Knee Arthroplasty. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.004

The study compared outcomes of robot-assisted total knee arthroplasty in HIV-positive and HIV-negative patients, finding equivalent functional recovery, radiographic accuracy, and safety profiles between the two groups. This suggests that HIV-positive patients can expect similar surgical benefits and outcomes as HIV-negative patients, supporting the use of robotic assistance in this population.

96. Rojas-Sayol R, Martínez-Roselló A, Thabane A, et al. Discordant Results by Study Design: A Systematic Review and Meta-Analyses of Mobile versus Fixed Bearing for Unicompartmental Knee Arthroplasty. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.011

A systematic review and meta-analysis compared mobile versus fixed bearing unicompartmental knee arthroplasty, revealing that study design significantly influences reported outcomes, with registry and observational studies showing different results than randomized trials. This discordance highlights the importance of considering evidence hierarchy when interpreting comparative data and guiding implant selection.

97. El Kayali MK, Getgood A, Ollivier M, et al. Posterior Tibial Slope in Anterior Cruciate Ligament Surgery: The Pitfalls of Simplifying a Complex Risk Factor. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101179

This article critiques the oversimplification of posterior tibial slope as a risk factor in anterior cruciate ligament surgery, arguing that its complex interaction with other anatomical and biomechanical variables requires nuanced consideration. The authors highlight the pitfalls of relying on single-parameter assessments to predict surgical outcomes. Clinicians should adopt a multifactorial approach to preoperative planning rather than isolating tibial slope as a definitive prognostic indicator.

99. Elmenawi KA, Zaniletti I, Poilvache H, et al. Distribution of Total Knee Arthroplasty Periprosthetic Infection Care in the United States: Reported from the American Joint Replacement Registry. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.028

Using American Joint Replacement Registry data, this study mapped the distribution of total knee arthroplasty periprosthetic joint infection (PJI) surgeries across US institutions and surgeons to inform the establishment of centers of excellence. The analysis identified that a significant proportion of PJI revisions are performed by low-volume providers, with high-volume thresholds defined as greater than 40 cases per year for institutions and 11 for surgeons. These volume metrics provide a framework for centralizing complex PJI care to potentially improve outcomes and resource allocation.

101. Park J, Miley EN, Zhong X, et al. Linking Joint-Specific Recovery to Overall Health Through Patient-Reported Outcome Measures: A Propensity-Score Matched Cohort Study in Total Joint Arthroplasty. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.029

This propensity-score matched cohort study analyzed the correlation between joint-specific recovery and overall health improvements following total hip and knee arthroplasty using patient-reported outcome measures. The findings demonstrated that improvements in disease-specific scores significantly correlated with enhancements in overall physical health, mental health, and quality of life. This suggests that joint replacement procedures yield comprehensive health benefits beyond localized symptom relief, supporting their value in holistic patient care.

102. Aastroem KI, Shah RP, Ferrara JA, et al. A Comparative Analysis of Robotic-Assisted and Manual Techniques for Unicondylar Knee Arthroplasty Conversion to Total Knee Arthroplasty: Revision Component Use, Surgical Time, and Cost. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.034

This comparative analysis evaluated robotic-assisted versus manual techniques for converting unicondylar knee arthroplasty to total knee arthroplasty, focusing on revision component use, surgical time, and cost. The study found that robotic assistance did not significantly reduce the need for revision components or shorten surgical time compared to manual techniques in this complex conversion setting. Consequently, the clinical and economic advantages of robotic assistance for UKA-to-TKA conversions remain unproven based on these metrics.

103. Liau ZQG, Shao-Rong Pang A, Kee Ern ET, et al. Biomechanical Assessment of Pin-Site Fractures in Intra- versus Extra-Incisional Pinning Technique for Robotic Total Knee Arthroplasty: A Cadaver Study. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.025

This cadaver study biomechanically assessed the torsional rigidity and fracture risk of intra- versus extra-incisional pin placement for robotic total knee arthroplasty tracker fixation. Results showed that intra-incisional metaphyseal pinning provided significantly higher torsional rigidity and was associated with fewer pin-site fractures compared to extra-incisional diaphyseal pinning. These findings suggest that intra-incisional pin placement may be a safer technique for minimizing fracture complications during robotic TKA.

106. Mazza PM, Colomb EL, Yarden JA, et al. Radiographic Factors Associated With Tibial Metaphyseal Sleeve Survivorship in Revision Total Knee Arthroplasty: A Matched Cohort Study. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.039

This matched cohort study analyzed radiographic factors associated with survivorship in revision total knee arthroplasty using tibial metaphyseal sleeves. It identified that lack of medial baseplate support and undersized sleeves/stems were more common in aseptic failures compared to surviving implants. Clinically, ensuring adequate medial support and appropriate implant sizing is critical for optimizing long-term sleeve survivorship in revision surgery.

107. Sahhar M, Lewis AM, Achilova F, et al. The Growing Role of Large Language Models in Arthroplasty Manuscripts: High-Productivity Authors Lead the Way. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.041

This cross-sectional analysis quantified Large Language Model utilization in arthroplasty manuscripts, revealing a significant increase in AI-flagged articles from under 4.2% to 20.4% between the pre-AI and post-AI eras. High-productivity authors were found to lead in LLM adoption, with significant associations observed across multiple major journals. This highlights a rapid shift in academic writing practices and underscores the need for clear guidelines on AI disclosure and authorship.

108. Klein C, Buijs GS, Schafroth MU, et al. Long-term survival of the uncemented femoral component of Vanguard Total Knee Arthroplasty: A Post-Market Clinical Follow-up study. Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101190

This post-market clinical follow-up study evaluated the long-term survival of the uncemented femoral Vanguard Total Knee Arthroplasty component over a median of 12 years. The femoral component demonstrated a 97.2% survival rate, while the complete TKA system showed a 90.1% survival rate, indicating robust long-term performance. These results support the continued use of this specific uncemented femoral design for durable knee replacement outcomes.

111. Camprodón Alberca A, Montaner Barceló F, Carrión Martínez J. "Stepwise Supine Anterolateral Approach for Posterolateral Tibial Plateau Fracture With Intact Posterior Cortical Rim: A Case Report". Journal of ISAKOS 2026. doi:10.1016/j.jisako.2026.101192

This case report describes a stepwise supine anterolateral approach for reducing complex posterolateral tibial plateau fractures with an intact posterior cortical rim. The sequential osteotomies and arthrotomy provided near-complete articular visualization, enabling anatomical reduction without the need for posterior buttress plating. This technique offers a viable alternative for specific fracture morphologies, potentially reducing surgical morbidity associated with posterior approaches.

113. Liu P, Hou L, Chen Y, et al. A Comparative Study of Fixed-Bearing Unicompartmental Knee Arthroplasty for Spontaneous Osteonecrosis and Osteoarthritis of the Knee. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.048

This retrospective study compared two-year clinical outcomes of fixed-bearing unicompartmental knee arthroplasty (FB-UKA) in patients with spontaneous osteonecrosis of the knee (SONK) versus medial knee osteoarthritis (MKOA). The results indicated comparable efficacy and complication rates between the two groups, suggesting FB-UKA is a viable treatment option for SONK. These findings support the use of FB-UKA for SONK with expectations similar to those for standard osteoarthritis cases.

114. Tan D, Anderson B, Kesick A, et al. Irritable Bowel Syndrome and Periprosthetic Joint Infection Risk Following Total Hip and Knee Arthroplasty. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.045

This study utilized a large national database to evaluate the risk of periprosthetic joint infection (PJI) following total hip and knee arthroplasty in patients with irritable bowel syndrome (IBS). While IBS was not associated with increased PJI risk after total hip arthroplasty, it was linked to a significantly higher risk following total knee arthroplasty. Clinicians should be aware of this elevated infection risk in IBS patients undergoing knee replacement to optimize perioperative management.

115. Lowden B, Burbelo A, Stone W, et al. Field and Stream Recovery: Patient-Reported Return to Hunting and Fishing After Total Knee Arthroplasty. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.050

This survey-based study assessed patient-reported outcomes regarding the return to hunting and fishing after total knee arthroplasty (TKA) in a rural Appalachian population. The majority of patients resumed hunting and fishing within six months, with high satisfaction and recommendation rates for the procedure. These results suggest that TKA effectively restores functional ability for these specific outdoor activities, aiding in patient counseling and expectation setting.

116. Garcia D, Michael BR, Glenn ER, et al. 10-Year Outcomes of Total Knee Arthroplasty for Fracture Compared to Osteoarthritis Indications. The Journal of Arthroplasty 2026. doi:10.1016/j.arth.2026.07.051

This retrospective cohort study compared 10-year surgical outcomes of total knee arthroplasty (TKA) indicated for periarticular fracture versus primary osteoarthritis using a large national database. The study found that while fracture-indicated TKAs have higher early complication rates, long-term outcomes at 10 years remain comparable to osteoarthritis-indicated TKAs. This suggests that fracture history alone should not preclude TKA consideration given similar long-term durability.

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