Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
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A study by Zhang et al. provided a Level IV systematic review of 23 studies (13 clinical and 10 basic science) that examined the current state of single-stage procedures for cartilage repair. The results of this review suggested that in the short-term (minimum 2-year follow-up), single-stage cell-based cartilage procedures significantly improve pain and function from the preoperative state and provide comparable defect fill and tissue quality as compared with their predecessor 2-stage procedures. The authors should be commended for summarizing the current state of single-stage cartilage repair techniques; however, further work must be done to find the cartilage restoration "holy grail."
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Editorial Comment
Editorial Commentary: To Screw or to Sew--Which Is Better for Arthroscopic Biceps Tenodesis?
As the popularity of arthroscopic biceps tenodesis continues to grow, surgeons must choose between performing a soft-tissue tenodesis and performing a bony tenodesis. Although there is no difference in visual analog scale, Constant, or American Shoulder and Elbow Surgeons scores at greater than 2 years' follow-up, elbow flexion strength index and fixation failure rates favor bony tenodesis, important factors to consider when deciding which procedure to perform.
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Editorial Comment
Editorial Commentary: The Demise of Randomized Controlled Trials in Hip Arthroscopy?
Hip arthroscopists asked to participate in randomized controlled trials are reluctant to offer treatment without correction of osseous deformities but may be more willing to enroll patients in studies on management of capsulolabral structures.
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While the apprenticeship model for surgical training is a long-standing gold standard worldwide, proficiency-based progression (PBP) training proves significantly superior. The combination of a metrics tool describing procedural steps and errors with a simulator model or cadaveric training, results in a measurement tool that not only judges but serves to improve surgeon skill.
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First, editorial commentary: editorial commentary may be educational and may be controversial, but above all else, authors come first. Second, The Spin Move: The Spin Move is effective, cost-effective, and ubiquitous because, while many techniques are specific to a single joint, The Spin Move can be performed as a part of any arthroscopic and related procedure. ⋯ Preoperative planning is essential, and The Spin Move must be reviewed by inexperienced practitioners, in detailed text, figures tables, and video, at www.arthroscopytechniques.org. Practice makes perfect.