bluuebunny/crossref_metadata_2025 huggingface dataset:
Informal Cultures of Resistance and Worker Mobilization: The Case of Migrant Workers in the Italian Logistics Sector
Authors: Cioce Gabriella , Però Davide , Korczynski Marek
Published: August 2024

In the context of the rising power of capital over labour, research on labour mobilization is important. From the research literature, we know that labour mobilizations might be initiated by trade unions or via workers’ self-organization. Yet, we know little about the cultural and social processes through which individual workers come to self-organize in the first place. To address this gap, we present ethnographic research on precarious migrant workers mobilizing with the support of an Italian independent union called SICobas. Our study highlights three processes of self-organizing: formulating shared meanings of discontent, identifying as a group using symbols of inequality and exclusion, and forming communities of struggle. Drawing on Scott’s understanding of resistance, we theorize these three processes as ‘informal cultures of resistance’. This concept contributes to emergent research on workers’ self-organization, showing the significance of the cultural and social processes that can often underpin formal labour mobilizations.
Introduction to the Special Collection on Revisionist History in Management Research
Authors: Hannah David , Pek Simon
Published: August 2024

This article introduces the special collection on revisionist history in management research. We asked prominent scholars to reflect on the current state of the research on their chosen topic, and how our field got there through specific decisions they or other researchers made. We also encouraged our authors to engage in counterfactual thinking by imagining how things could have been different. Our contributors offer novel, provocative insights on a variety of topics including organizational identification; emotional labor; resistance to change; territoriality; deviant behavior; and academic careers. In this article we discuss the origins of the special collection, elaborate on our approach to revisionist history, and provide brief overviews of the six papers in the collection. We conclude by discussing how others could build on our approach to revisionist history to provide other valuable lessons for management research.
Health Care Leaders’ Experience with a Multi-Level Intervention to Reduce Hypertension Disparities: A Qualitative Analysis
Authors: Karim Razeen , Lipman Paula Darby , Weeks Kristina , Hsu Yea-Jen , Brown Deven , Carletto Emily , Dietz Katie , Cooper Lisa A. , Marsteller Jill
Published: August 2024

With health equity growing as a priority within health care, health systems must transform that calling into action within their social, economic, and political environments. The current literature has not compared how different organizations manage the same health disparities intervention. This qualitative study aims to illustrate how different organizations navigated the implementation and sustainability of a hypertension disparities intervention by comparing experiences across Federally Qualified Health Centers (FQHCs), a private health system, and other non-clinical partnering organizations. As a study within a randomized controlled trial designed to reduce disparities in hypertension care, we conducted interviews with health care leaders before and after participation in the trial’s multi-level intervention. Before participation, we interviewed five health care leaders representing five health systems. Following the intervention, we interviewed 14 leaders representing the five health systems and two partnering organizations. Discussions focused on intervention implementation and plans for sustainability. The primary considerations in implementation were appropriate staffing and multi-level organizational buy-in. When discussing long-term planning, health systems prioritized the structure of a stepped-care protocol incorporating community health workers (CHWs) and case managers. The sustainability of the CHW intervention at FQHCs was dependent on funding, whereas a private, non-FQHC physician practice network focused on expanding current resources for more patients. These findings serve as anticipatory guidance for organizations aiming to reduce hypertension disparities and provide support for policies that financially assist these interventions. Further investigation is warranted on the organizational factors that may influence the degree of success in eliminating health care disparities.
Good Short- and Mid-term Outcome After Cross-Linked Hyaluronic Acid Infiltration for Hallux Rigidus: A Case Report
Authors: Capell Morera Annabel , De Planell-Mas Elena , Pérez Palma Laura , Manzanares Céspedes Maria Cristina
Published: August 2024

We report a first case of hallux rigidus successfully treated in an elderly patient by intra-articular infiltration of cross-linked hyaluronic acid (HA) 21 mg/mL with mannitol (Desirial Plus) and review the previous literature on the different compositions of HA infiltrative treatment applied to hallux rigidus. A 77-year-old female patient with moderate unilateral pain of 6 months of evolution and stiffness of the movement of the first metatarsophalangeal joint of the left foot, corresponding to grade 2 of the classification proposed by Coughlin and Shurnas. The objective of the study was to perform a pilot test to (a) evaluate the correct technique of intra-articular infiltration as well as (b) the use of a commercial cross-linked HA 21 mg/mL with mannitol, to a voluntary patient diagnosed with hallux rigidus. A single cross-linked HA infiltration is applied to the first metatarsophalangeal joint with an administered amount of 1 mL. The loaded dorsiflexion, the unloaded dorsiflexion, and the unloaded plantarflexion angles of the first metatarsophalangeal joint improved from 15°, 20°, and 10°, respectively, before injection to 45°, 52°, and 22°, respectively, at 14 days after injection. Moreover, these improvements maintained until the final follow-up (400 days). The intensity of pain, according to the visual analog scale, improved from 7 of 10 before the injection, passing through 4 of 10 at 14 days after the injection, to 1 of 10 at 60 days after the injection. Cross-linked HA 21 mg/mL with mannitol improves symptomatology, joint mobility of the first metatarsophalangeal joint, and quality of life in the patient with stiff hallux submitted to the pilot test. These effects have been maintained for more than 14 months.
Ocrelizumab in MS patients with persistence of disease activity after alemtuzumab: A multi-center Italian study
Authors: Lapucci Caterina , Frau Jessica , Cocco Eleonora , Coghe Giancarlo , Petracca Maria , Lanzillo Roberta , Brescia Morra Vincenzo , Nicoletti Carolina Gabri , Landi Doriana , Marfia Girolama , Vercellino Marco , Cavalla Paola , Bianco Assunta , Mirabella Massimiliano , Torri Clerici Valentina , Tomas Eugenia , Ferrò Maria Teresa , Grossi Paola , Nozzolillo Agostino , Moiola Lucia , Zaffaroni Mauro , Ronzoni Marco , Pinardi Federica , Novi Giovanni , Cellerino Maria , Uccelli Antonio , Inglese Matilde
Published: August 2024

Background:

The reason why some multiple sclerosis (MS) patients show disease activity after alemtuzumab (ALM) is still unclear, but ocrelizumab (OCR) could represent an interesting sequential therapeutic approach.

Objectives:

To investigate safety and efficacy of OCR in MS patients with disease activity after two ALM courses.

Methods:

Observational retrospective multi-centers Italian cohort study.

Results:

Seventy-two subjects were included. Mean follow-up (FU) was 2.4 (±1) years. Forty-five patients (62.5%) experienced at least one adverse event (AE), with infections accounting for 96.7% of cases. A reduction in total lymphocytes was observed between OCR start and 6 months FU, driven by BCD19+ lymphocytes depletion ( p < 0.001). Immunoglobulin M (IgM) levels decreased between OCR start and 6 months FU ( p < 0.001). At 2-year FU, relapse, magnetic resonance imaging (MRI) activity and disability worsening-free survival were 92.1%, 90.8%, and 89.2%. The evidence of inflammatory activity between the two ALM courses was associated with higher risk of relapse, MRI activity, and NEDA-3 status loss in relapsing-remitting multiple sclerosis (RRMS; p = 0.02, p = 0.05, p = 0.01, respectively).

Conclusions:

OCR after two ALM courses seemed to be safe and effective. Early IgM hypogammaglobulinemia occurred in a high proportion of patients. The evidence of inflammatory activity between ALM courses seemed to increase the risk of MS re-activation on OCR treatment.
How informality keeps multilateralism going: the role of informal groupings in EU foreign policy negotiations
Authors: Lovato Marianna
Published: August 2024

Informal groupings of states – either as stand-alone entities or as part of formal international organizations (IOs) – are playing an increasingly important role in sustaining multilateralism and global governance. But what is it about the informal nature of these groupings that makes them such a critical and increasingly popular fixture of international cooperation? To answer this question, the paper focuses on the role of informal groupings in European Union (EU) foreign policy negotiations. Within the EU, informal groupings provide a key venue for coordination, information-sharing, learning and consensus-building. As a result, these groupings are critical for the functioning of the formal decision-making process, providing necessary building blocks for the success of multilateral diplomacy. The proposed argument is explored in the case of two distinct instances of informal groupings, one extra- and one intra-EU grouping, by means of document analysis and elite interviews with national diplomats. First, the paper examines the role of the G7 contact group in the formulation of the Russian sanctions back in 2014. Second, it assesses the role of the PESCO 4 in driving the establishment of the Permanent Structured Cooperation (PESCO). In both instances, informal groupings provided important venues for coordination, as well as information-sharing, learning and consensus-building, which, in turn, enable and sustain multilateral negotiations among 27 member states. Critically engaging with the role of informal groupings in formal IOs, the paper sheds light on the dynamic relationship between informality and minilateralism, on the one hand, and formal multilateral institutions, on the other.
Social identity complexity decreases exclusion of immigrants by reducing the glorification dimension of national identification
Authors: Sekerdej Maciej , Kołeczek Maryna , Rupar Mirjana , Jamróz-Dolińska Katarzyna
Published: August 2024

The aim of this research was to investigate interrelationships among social identity complexity, national glorification, and exclusion of immigrants, conceptualized as relational exclusivity. The concept of relational exclusivity reflects the conditions newcomers are expected to meet in order to be welcomed and allowed to settle in the host country. The findings across four studies (three correlational and one experimental; total N = 2,002) consistently indicated that complex identity is negatively, whereas glorification is positively, associated with relational exclusivity. Furthermore, in all studies, we consistently demonstrated that the relationship between social identity complexity and relational exclusivity is mediated by reduced glorification. Consequently, the findings suggest that social identity complexity has the capacity to reduce national glorification and, subsequently, indirectly reduce the exclusion of immigrants.
“Is it time for me to be authentic?”: Understanding, performing, and evaluating authenticity on BeReal
Authors: Pinch Annika , Fiers Floor , Birnholtz Jeremy , Fisher Justine , Reilly Brigid
Published: August 2024

On social media, people often value authenticity and realness, yet the ways in which platforms promote authenticity may conflict with people’s goals to present an idealized self. Launched in 2020, the social media app BeReal encourages authenticity by prompting users to post unfiltered front and back camera photos at a particular time, thereby limiting control over their online self-presentation. We interviewed 25 BeReal users, exploring how they understand, perform, and evaluate authenticity given these unique constraints. Our findings reveal that participants resist BeReal’s prompts and encouragements, employing strategies to regain control over their self-presentation. Yet participants simultaneously ascribe to BeReal’s notion of realness, believing posts should appear effortless, branding themselves and others as fake when they ignore BeReal’s prompts. Ultimately, we discuss authenticity as sociotechnical and reflect on the ways in which people’s values around authenticity shift over time.
Time for a Reframe: Shifting Focus From Continuous Glucose Monitor Uptake to Sustainable Use to Optimize Outcomes
Authors: Mayberry Lindsay S. , Nelson Lyndsay A. , Bergner Erin M. , Raymond Jennifer K. , Tanenbaum Molly L. , Jaser Sarah S. , Wiebe Deborah J. , Allen Nancy , Berg Cynthia A. , Naranjo Diana , Litchman Michelle , Ollinger Logan , Hood Korey
Published: August 2024

Continuous glucose monitors (CGMs) improve glycemic outcomes and quality of life for many people with diabetes. Research and clinical practice efforts have focused on CGM initiation and uptake. There is limited understanding of how to sustain CGM use to realize these benefits and limited consideration for different reasons/goals for CGM use. Therefore, we apply the Information-Motivation-Behavioral Skills (IMB) model as an organizing framework to advance understanding of CGM use as a complex, ongoing self-management behavior. We present a person-centered, dynamic perspective with the central thesis that IMB predictors of optimal CGM use vary based on the CGM use goal of the person with diabetes. This reframe emphasizes the importance of identifying and articulating each person’s goal for CGM use to inform education and support.
Comparable efficacy and safety of generic and branded imatinib for patients with chronic myeloid leukemia in China
Authors: Cheng Fang , Wu Di , Cui Zheng , Li Qiang , Li Weiming , Zhang Yu
Published: August 2024

Background:

Generics imatinib became an alternative treatment option for chronic myeloid leukemia (CML) patients in China. However, clinicians and patients alike harbor concerns regarding the long-term safety of generic imatinib.

Objectives:

Patients with chronic phase CML receiving frontline imatinib treatment.

Design:

A retrospective study was used to evaluate the blood concentration, effectiveness, and safety of generic in 170 CML patients.

Methods:

Imatinib plasma concentrations were detected by high-performance liquid chromatography-tandem mass spectrometry.

Results:

Among the 170 patients, 73 (42.9%) patients treated with branded imatinib as first-line therapy, while 22 (12.9%) switched to generic imatinib during treatment due to economic considerations. No significant differences in trough concentrations between branded and generic imatinib (1549.9 ± 648.8 ng/mL vs 1479.0 ± 507.0 ng/mL; p = 0.95). During the 2-year follow-up, there were no significant differences in molecular response rates (major molecular response (MMR): 33.3% vs 37.0%; deep molecular response: 56.9% vs 42.9%, p = 0.17) between the branded and generic imatinib. Both groups showed similar rates of switching to second-generation tyrosine kinase inhibitor (11.8% vs 15.1%, p = 0.56). Furthermore, there were no significant differences in event-free survival or failure-free survival between branded and generic imatinib. Twenty-two (12.9%) switched to generic imatinib during treatment, 68.2% maintained their level of response, 27.3% improved, and only one patient (4.5%) lost MMR. There were no significant differences in the incidence of various adverse events.

Conclusion:

Generic imatinib are equally effective and safe compared to branded molecules, both for newly diagnosed patients and those who switch from branded.
A matter of time: The texture of China’s digital green public culture
Authors: Lv Junyi
Published: August 2024

On the 30th anniversary of China’s internet, this article is written in response to students’ concerns about the tangibility of public spheres in authoritarian contexts. Using texture as a conceptual linchpin, I propose to shift focus from spatiality to temporality of China’s digital green public cultures to foreground the lived experiences of ordinary people in a time of precarity. I start with empirical observations on recent contributions to Chinese online green public culture: kepu (科普 popularizing science) vloggers, coal miners as content creators, and local communities’ actions and everyday conversations. I then elaborate on texture as materiality over time in dialogues with previous studies. The article hopes to provoke more studies on the complex of publics/public spheres other than their spatial forms.
Does Escalating Violence and Associated Fear of Crime Worsen Psychological Well-Being in Community Dwellers Living in a Rural Setting? Results From the Atahualpa Project Cohort
Authors: Del Brutto Oscar H. , Mera Robertino M. , Rumbea Denisse A. , Arias Emilio E. , Sedler Mark J.
Published: August 2024

Background:

Escalating street violence and criminal homicides have an adverse impact on psychological well-being. However, these consequences have been difficult to evaluate. Using a recently validated scale, we aimed to assess the impact of fear of crime on the psychological status of middle-aged and older adults living in a rural setting afflicted by endemic violence.

Methods:

Participants were selected from Atahualpa residents included in previous studies targeting psychological distress in the population. A validated scale was used to objectively quantify fear of crime in participants. Differences in symptoms of depression and anxiety between baseline and follow-up were used as distinct dependent variables and the continuous score of the fear of crime scale was used as the independent variable. Linear regression models were fitted to assess the association between the exposure and the outcomes, after adjusting for relevant confounders.

Results:

A total of 653 participants (mean age = 53.2 ± 11.5 years; 57% women) completed the requested tests. We found a 13% increase in symptoms of depression and anxiety during the peak of violence in the village compared with previous years. Linear regression models showed a significant association between the total score on the fear of crime questionnaire and worsening symptoms of depression (β = .24; 95% CI = 0.14-0.35) and anxiety (β = .31; 95% CI = 0.24-0.37), after adjustment for relevant confounders.

Conclusions:

This study shows a significant aggravating effect of fear of crime on pre-existing symptoms of depression and anxiety and a deleterious effect of these conditions on overall well-being.
Paper 09: Minimum 20-Year Outcomes Following Arthroscopic Bankart Repair for the Treatment of Anterior Shoulder Instability
Authors: Hinz Maximilian , Brunner Moritz , Zauner Kristina , Vieider Romed P. , Wackerle Anja , Scheiderer Bastian , Plath Johannes E. , Siebenlist Sebastian , Lacheta Lucca
Published: August 2024

Objectives:

The purpose of this study was to evaluate the clinical and functional outcomes following arthroscopic Bankart repair for the treatment of anterior shoulder instability at long-term follow-up. It was hypothesized that arthroscopic Bankart repair would lead to an excellent clinical and functional outcome with a low rate of instability recurrence.

Methods:

Patients who underwent arthroscopic Bankart repair between October 1996 and April 2002 at a single institution were included. Patient-reported outcome measures (American Shoulder and Elbow Surgeons [ASES] Score, Constant-Murley Score [CMS], Visual Analog Scale for pain [VAS-P] and instability [VAS-I] at rest and during activity, satisfaction with the postoperative result [1-10 scale]), sporting ability as well as the rate of redislocation and reinstability (in patients without redislocations) were evaluated after a minimum follow-up of 20 years.

Results:

In total, 71 patients (78.9% male) were included in this study at a median follow-up of 23 (interquartile range 22-25) years. At the time of surgery, patients were 28.3 ± SD 8.6 years old. Arthroscopic Bankart repair was performed in 19.1% of patients following primary anterior shoulder dislocation and in 80.9% of patients for recurrent anterior shoulder instability. Shoulder function was good to excellent at follow-up (ASES Score: 95.0 [83.0-98.0], CMS: 81.1 ± 15.5). The median pain and instability levels were low both at rest (VAS-P: 1.0 [0-1.0], VAS-I: 0 [0-1.0] and during activity (VAS-P: 1.0 [0-2.0], VAS-I: 2.0 [1.0-4.0]). Overall satisfaction with the postoperative result was high (9.0 [8.0-10]). Postoperative redislocations occurred in 15.4% of patients. Subjective residual instability was reported in 18.2% of the patients that did not suffer a shoulder redislocation, resulting in an overall rate of any instability of 30.8%. Postoperative sporting ability improved in 46.8%, declined in 12.9% and remained unchanged in 40.3% of patients.

Conclusions:

Twenty years postoperatively, arthroscopic Bankart repair was associated with good to excellent shoulder function, low pain levels and high patient satisfaction. About 1 in 3 patients, however, suffered from shoulder instability of whom approximately half reported a redislocation postoperatively.
Paper 12: Risk Factors and Failure Rates for Ramp Repair with ACL Reconstruction: An Analysis of 1037 Patients with a Mean Follow-up of 72 Months from the SANTI Study Group
Authors: Saithna Adnan , Pioger Charles , Ayata Merwane , Pettinari Francesco , Ali Ahmad Abed , Alayne Ali , Campos Joao , Dutra Vieira Thais , Sonnery-Cottet Bertrand
Published: August 2024

Objectives:

The primary objective of this study was to determine the failure rate (defined by secondary meniscectomy) of ramp repairs performed at the time of anterior cruciate ligament reconstruction (ACLR). The secondary objective was to investigate the association of patient and surgical characteristics with the risk of failure.

Methods:

A retrospective analysis of prospectively collected data was performed. All patients who underwent repair of a meniscal ramp lesion through a posteromedial portal at the time of primary ACLR, performed between January 2013 and December 2020, were considered for study eligibility. At the end of the study period, secondary meniscectomy rates were determined. Kaplan Meier analyses were used to evaluate repair survivorship. Risk factors associated with meniscal repair failure were analyzed using a logistic regression model.

Results:

1037 patients were deemed eligible and included in the final analysis. The overall mean follow-up was 72.4 ± 27.1 months. The overall rate of secondary medial meniscectomy was 7.7%. Age, sex, Tegner score, and the duration of time between the injury and surgery were not found to be significant risk factors for secondary meniscectomy. The only significant risk factor for failure of ramp repair was the use of an isolated ACLR technique when compared to a combined ACLR + lateral extra-articular procedure (LEAP). The rate of secondary medial meniscectomy was 12.9% in the isolated ACLR group, compared to 4.8% in the combined ACLR + LEAP group (P< 0.0001). The odds of having a secondary medial meniscectomy were 62% lower for patients with combined ACLR + LEAP.

Conclusions:

At a mean follow-up of 72.4 months after ACLR + ramp repair, the failure rate was 7.7%. The failure rate was 2 times lower when a LEAP was performed in conjunction with ACLR. The only significant risk factor identified for failure of a ramp lesion was the use of an isolated ACLR instead of a combined ACLR + LEAP.
Paper 14: Evaluation of Outcomes at Mean 2.75 years after Repair of Lateral Meniscus Oblique Radial Tears during ACL Reconstruction
Authors: Burnett Zachary , Karom Jarod , Monroe Grace , Cavendish Parker , Milliron Eric , Schildmeyer Anna , Kashyap Anjali , Barker Tyler , Kaeding Christopher , Magnussen Robert , Flanigan David
Published: August 2024

Objectives:

Lateral meniscus oblique radial tears (LMORTs) commonly occur in the setting of anterior cruciate ligament (ACL) rupture. Despite publications pertaining to the prevalence, biomechanics, and surgical repair techniques of LMORTs, studies reporting outcomes following LMORT repair are lacking. The purpose of this study was to examine clinical and patient-reported outcomes following the surgical repair of LMORTs during ACL reconstruction.

Methods:

A retrospective chart review was conducted on 845 patients that underwent a meniscus repair at a single institution between 2017 and 2019. Operative reports, procedure notes, and operative images were manually reviewed to identify LMORTs. Subsequent knee surgery, meniscus repair failure, and postoperative complications were also extracted during the chart review. Postoperative complications were defined as reinjury, pain, stiffness, recurrent swelling, weakness, instability, or superficial wound infections. Patients were contacted postoperatively for evaluation of patient reported outcomes including the Knee Injury and Osteoarthritis Outcome Score (KOOS), Marx Activity Rating Scale (MARS), and Visual Analog Scale (VAS).

Results:

Twenty-five patients (68% male) were identified who underwent repair of an LMORT in the same setting as an ACL reconstruction during the study period. Mean age was 21.1 ± 4.6 years old, and the mean body mass index was 26.9 ± 5.1 kg/m2. Mean follow-up was 33.1 ± 25.7 months. There were no reported failures of the LMORT repair. Postoperative complications were reported in 9 patients (36%). Seven of these patients underwent repeat arthroscopy of the index knee for stiffness, pain, and/or repeat injury. However, of the patients who had repeat arthroscopy at the same institution (6 patients), all demonstrated complete healing of the LMORT repair site during arthroscopic evaluation. For patients completing patient-reported outcome measures, there was a minimum follow-up period of 43 months from the initial date of surgery. The mean KOOS, MARS, and VAS were 86.3 ± 8.1, 6.7 ± 4.2, and 2.0 ± 1.3, respectively.

Conclusions:

Surgical repair of LMORTs results in low failure risk, low complication rates, and favorable patient-reported outcome measures. Further work is needed to evaluate for differences in outcomes between meniscus repair versus partial meniscectomy versus observation of these LMORT lesions.
Paper 44: In-Person Versus Virtual Interviews for Orthopaedic Surgery Sports Medicine Fellowship: Applicant Perspectives
Authors: Hoge Connor , Burger Joseph , Barnes Ryan , Flanigan David
Published: August 2024

Objectives:

Virtual fellowship interviews were widely utilized during the COVID-19 pandemic. Little is published at this time about the preferences of applicants of orthopaedic surgery sports medicine fellowship positions regarding in-person versus virtual interviews. The purpose of this study is to determine the applicant cost-benefit willingness for both in-person and virtual interviews, assess the ability to learn about a program in a virtual setting, and to gauge the opinions of applicants on their preferences for in-person or virtual interviews.

Methods:

An online survey was distributed to all orthopaedic sports medicine applicants for the 2022-2023 match cycle through the American Orthopaedic Society for Sports Medicine (AOSSM). Statistical analysis was performed using descriptive statistics.

Results:

Forty-five surveys were completed. Respondents had a mean age of 31.49 years (±2.49) with 38 (84.4%) identifying as male and 7 (15.6%) as female. Most applicants applied to between 31-40 (26.7%) or 21-30 programs (22.2%), while attending between 11-15 interviews (44.4%). 51.1% of applicants stated that ~25% of their interviews were virtual format, with 15.6% of all applicants attending over 50% of interviews in the virtual format. Most applicants spent between $2,500-$5,000 (35.7%) or $5,000-$7,500 (26.7%) on interviews. Applicants stated they would feel most comfortable spending between $2,500-$5,000 (46.7%) or $5,000-$7,500 (26.7%). 36.4% of applicants stated they completed less in-person interviews due to cost, and 52.3% said they would have completed less interviews overall if there was no virtual option. 68.2% of applicants stated distance traveled was irrelevant when electing to attend an interview virtually. When comparing in-person vs virtual interviews, applicants either strongly agreed or agreed that in-person interviews allowed them to better represent themselves (95.6% vs 44.4%), assess right “fit” (95.6% vs 28.9%) and sufficiently formulate a rank list (93.2% vs 40%) compared to virtual interviews.

Conclusions:

Fellowship applicants had strong preferences for in-person interviews in the orthopaedic surgery sports medicine fellowship match. Cost was a limiting factor in declining in-person interviews and most applicants attended more interviews due to virtual formats. Applicants did not feel that virtual interviews were sufficient for creating accurate rank lists.
Poster 116: When do Patients Return to Sports? Arthroscopic Anatomic Glenoid Reconstruction Versus Bankart Repair
Authors: Ojaghi Reza , Remedios Sarah , Wong Ivan
Published: August 2024

Objectives:

Participation in contact or collision sports is a known risk factor for shoulder instability. Recurrent instability is a barrier to return to same level of athletic activities following surgical intervention. Previous literature has described that approximately 50% to 90% of patients return to sports following stabilization procedures. However, it is currently unknown the rate and timing of return to sports after Arthroscopic Anatomic Glenoid Reconstruction (AAGR). This study aimed to determine the rate of return and the time to return to sports of patients’ who underwent AAGR compared to a Bankart, alone.

Methods:

This is a subcohort of 100 patients who consented to a randomized controlled trial and were randomized for AAGR or Bankart procedure (1:1 ratio). The subgroup consists of individuals at a minimum 2-year follow up and participate in a sport at either the recreational or competitive level. A descriptive analysis was completed on the percentage of patients that returned to their preinjury sport, as well as when they returned and compared between groups. Descriptive reporting on why patients did not return was included.

Results:

Age, follow up, sex, and sport level were all statistically similar between the 2 groups. The rate to return was significantly larger for patients in the AAGR group (78%) compared with the Bankart group (60%). For those who did return to sports, time to return was not significantly different between the AAGR group (9.48 ± 4.2 months) and Bankart group (10.2 ± 6.2 months). For those who did not return in the Bankart group, redislocation was the greatest factor (38%). In the AAGR group, prioritizing work and life (30%) and lack of confidence (30%) were the top reasons for not returning.

Conclusions:

AAGR demonstrated superior rate of return to sports compared to those who underwent a Bankart repair. Patients in the Bankart group did not return due to redislocation events, whereas individuals in AAGR did not return due to a lack of confidence or prioritizing their work and life. These results can aid in setting realistic expectations for patients undergoing AAGR and can help guide discussions around postoperative rehabilitation.
Poster 119: Outcomes of Shoulder Instability Surgery in Competitive Wrestlers: Outcomes, Reoperations, and Return to Play at 5 years Mean Follow Up
Authors: Camp Christopher , Marigi Erick , Lamba Abhinav , Boos Alexander , Wang Allen , Okoroha Kelechi , Barlow Jonathan , Krych Aaron , Meta Fabien
Published: August 2024

Objectives:

Wrestling is a physically demanding sport with young athletes prone to traumatic shoulder instability (SI). However, there is a paucity of data evaluating the results of shoulder instability surgery (SIS) in this cohort of athletes. The purpose of this study is to assess reoperation rates, patient-reported outcomes (PRO), and return to wrestling (RTW) following SIS in a cohort of competitive wrestlers.

Methods:

All competitive wrestlers with a history of SI and subsequent surgery at a single institution between 1996 and 2020 were identified. All directions of SI (anterior SI [ASI], posterior SI [PSI], and traumatic multidirectional SI [TMDI]) were analyzed. Exclusion criteria included revision SIS and less than 2 years of clinical follow-up. Patients were contacted for determination of reinjury rates, return to wrestling (RTW), and Western Ontario Shoulder Instability index (WOSI) scores.

Results:

Ultimately, 104 wrestlers were included at a mean follow-up of 5.2 years (range, 2.0 – 22.0). Fifty-eight (55.8%) wrestlers presented for evaluation after a single SI event while 46 (44.2%) sustained multiple events prior to presentation. ASI was the most common direction (n = 79; 76.0%) followed by PSI (n = 14; 13.4%), and TMDI (n = 11; 10.6%). Surgical treatment was most commonly an arthroscopic soft tissue stabilization (n = 88; 84.6%), followed by an open soft tissue repair (n = 13; 12.5%) and open bony augmentation (n = 3; 2.9%) (Table 1). RTW occurred in 57.3% of wrestlers at a mean of 9.8 ± 9.6 months. Recurrent instability was the most common complication in 18 (17.3%) wrestlers. Revision SIS was performed in 15 (14.6%) wrestlers (Table 2). Across the entire cohort, Kaplan-Meier survivorship free from recurrent instability (Figure 1) and revision surgery (Figure 2) was 91.4% and 98.1% at 1 year, 90.4% and 92.5% at 2 years, 71.9% and 70.7% at 5 years, and 71.9% and 66.5% at 10 years, respectively. Pre-operative recurrent instability was an independent risk factor for post-operative recurrent instability (Hazard ratio [HR], 3.8; 95% confidence interval [CI], 1.33 – 11.03; P = .012).

Conclusions:

Anterior shoulder instability was the most common direction among competitive wrestlers presenting for SIS. Wrestlers with multiple dislocations prior to initial clinical presentation were 3.8 times more likely to experience post-operative recurrent instability.
Poster 137: Psychological Readiness has Stronger Relationship with Patient Reported Return to Normal than Traditional Measures of Strength and Western Ontario Shoulder Instability Index
Authors: Meyer Alex , Twomey-Kozak John , Hurley Eoghan , Udoh Imoh , Briggs Damon , Lau Brian
Published: August 2024

Objectives:

Literature is scarce regarding the influence of psychological readiness on return-to-play (RTP) after shoulder instability surgery. The shoulder instability-Return to Sport after Injury (SIRSI) score is a tool designed to predict whether patients are psychologically ready to return to sports after glenohumeral stabilization surgery. The objective of this study is to correlate SIRSI, and traditional measures including strength testing and Western Ontario Shoulder Instability Index (WOSI) survey with patient’s self-reported Single Assessment Numeric Evaluation (SANE) score during rehabilitation and at the time of RTP.

Methods:

All patients who participated in athletics who underwent arthroscopic labral repair for shoulder instability from June 2021 to December 2022 with a fellowship trained orthopaedic surgeon were eligible to participate. SIRSI and WOSI scores and strength testing (Biodex testing) were administered at 4 months postoperatively and every 2 months until clearance based on functional testing battery (>90% limb symmetry, strength, rate of force development, shoulder stability and endurance). Pearson Correlation coefficients were calculated for survey metrics between SANE with SIRSI, WOSI, and strength testing at final follow up. Strength of correlation coefficients was reported as very strong >0.80, strong (0.60-0.79), moderate (0.40-0.59), weak (0.20-0.39), and very weak (0.00-0.19).

Results:

Overall, 22 patients who cleared objective functional testing criteria and completed appropriate surveys at return to sport. There was a mean age of 19.8 years (range 11-44 years), with 12 males and 10 females, and the mean follow up was 11 months (6-24 months). The mean final SANE scores at these time points were 79.12 (25-100). Pearson correlation between SANE and SIRSI, WOSI at time of return-to-play was 0.92, and 0.67 respectively. The correlation coefficients for strength testing at varying positions including closed kinetic chain upper extremity stability test, posterior shoulder endurance test LSI, and peak force in Y, T, I positions LSI were weak to moderate (0.20-0.59).

Conclusions:

The SIRSI had a stronger correlation than WOSI to patients self-reported return to baseline (SANE scores). This finding highlights the importance of psychological readiness in return to sport compared to traditional measures of strength testing and WOSI scores. SIRSI should be incorporated into functional test batteries for shoulder instability.
Poster 232: Clinical Outcomes of Medial Meniscus Allograft Transplantation (MAT) with or without High Tibial Osteotomy (HTO): A Case-Control Study up to 8 Years of Follow-up
Authors: Grassi Alberto , Lucidi Gian Andrea , Di Paolo Stefano , Altovino Emanuele , Agostinone Piero , Dal Fabbro Giacomo , Romandini Iacopo , Filardo Giuseppe , Zaffagnini Stefano
Published: August 2024

Objectives:

The purpose of this study was to compare the survival rates and clinical outcomes of patients who received medial MAT+HTO (MAT+HTO group) with a control group undergoing isolated medial MAT (MAT group), to define if a surgically corrected varus malignment may affect patient’s outcomes and the survivorship of MAT over time. The hypothesis was that there is no difference between the two groups and, therefore, a concomitant realignment procedure can be a valid treatment to restore the limb axis.

Methods:

A total of  110 patients underwent arthroscopic MAT with soft tissue technique: 55 underwent medial MAT and HTO (age 41.3 ± 10.4; 9 females) and 55 controls receiving isolated medial MAT were included after fuzzy case-control matching on demographics. Survival analysis was performed using the Kaplan–Meier curve with surgical failure, clinical failure (Lysholm score<65), and reoperations as endpoints. Subjective clinical scores (Lysholm, Tegner Activity Scale, KOOS, and VAS) were collected preoperatively and at final follow-up.

Results:

The mean follow-up time was 5.4 ± 3.4 years (up to 8 years). All outcomes significantly improved at the last follow-up (p<0.001). No differences were identified between MAT and MAT + HTO groups preoperatively and at the last follow-up (p>0.05). At final follow-up, 8/55 (14.5%) of the MAT+HTO patients and 9/55 (16.4%) of the MAT patients had a Lysholm <65 (p>0.05). Overall, 90% of the patients declared they would repeat the surgery regardless of the combined procedure. Surgical failure was identified in 6/110 patients (5.5%): 5/55 (9.1%) in the MAT+HTO group and 1/55 (1.8%) in the MAT group (p>0.05). Clinical failure was identified in 19/110 patients (17.3%): 11/55 (20%) in the MAT+HTO group and 8/55 (14.5%) in the MAT group (p>0.05). A significantly lower survivorship from surgical failure was identified in the MAT + HTO group (Hazard Ratio=5.1, p=0.049), while no differences in survivorship from reoperation and clinical failure were identified (p>0.05).

Conclusions:

Patients with varus malalignment and medial meniscus deficiency who are treated with combined medial MAT and HTO showed satisfactory clinical results at a mid-term follow-up, and thus malalignment represents only a relative contraindication for MAT.
Poster 290: Meniscus Transplants Delay Arthroplasty in Patients Over 50 Years of Age
Authors: Stone Kevin , Walgenbach Ann W. , Slatter Shadera , Turek Thomas J. , Ferguson-Dryden Caroline , Dicker Marie , Miltenberger Emma , Cowles Haley , Liu Vivian , Wu Stephanie , Vessal Mani
Published: August 2024

Objectives:

This study evaluates the utility of meniscus allografts in combination with other procedures to delay knee arthroplasty in patients older than 50 years of age previously advised to have a joint arthroplasty. The reason this study is important is because a 10-year delay in knee arthroplasty has been shown to reduce the lifetime revision rate. It was hypothesized that as opposed to debridement or meniscectomy alone, these subjects would benefit from a meniscus transplant in terms of improved knee symptoms, function, and delay of arthroplasty.

Methods:

One-hundred eight meniscus allograft transplants (MATs) using the arthroscopic 3-tunnel technique between 1997 and 2019 in patients over 50 were reviewed. Eighty-six of 108 (79.6%) patients met eligibility for this case series report. Inclusion criteria were patients recommended a knee arthroplasty with pain and preservation of some joint space by standing anterior-posterior and posterior-anterior flexion x-ray. Exclusion criteria were defined as lack of joint space, failure to comply with rehabilitation protocol or complete questionnaires. International Knee Documentation Committee and visual analog scale scores were obtained longitudinally. Time from meniscus transplantation to arthroplasty was measured with failure defined as allograft revision or excision, progression to arthroplasty, or same or increased pain.

Results:

Over the follow-up range of 2 to 25 years, 41 of 86 (47.6%) patients progressed to arthroplasty at a mean of 8.6 years. At the time of reporting, 41 of 86 (47.6%) patients had intact meniscus transplants. In subjects with intact meniscus allografts, significant improvements (p < 0.05) were observed in pain and function. These improvements were sustained through ten years post-operatively, which correlated to a mean of 65.8 years of age.

Conclusions:

Meniscus allografts in combination with other arthroscopic knee treatments delay arthroplasty and improve symptoms of pain and function in a population over 50 who are otherwise candidates for knee arthroplasty. Limitations include the lack of a control population and the difficulty separating the relative contribution of concomitant procedures from meniscus transplantation alone to the clinical benefit observed. [Figure: see text][Figure: see text]
Poster 300: Patellar Cartilage Width and Facet Measurements Associated With Improved Patellar Osteochondral Allograft Matching
Authors: Huddleston Hailey , Credille Kevin T. , Cregar William M. , Christian David , Trasolini Nicholas A. , Inoue Nozomu , Cole Brian J. , Yanke Adam B.
Published: August 2024

Objectives:

Few studies have investigated how to best select a donor patella for ideal surface matching when performing a patellar osteochondral allograft (OCA) transplantation. Prior studies have suggested that certain anatomic factors, such as degree of donor patellar dysplasia may play a role. Patella OCA sizing is currently based on tibial width, but other anatomic factors may improve OCA topography matching. The purpose was to investigate how donor and recipient anatomical variables influence patella OCA topography mismatch and articular step-off.

Methods:

In silico point-cloud models were generated from CT images of 16 patella specimens. Virtual donor allografts were implanted (diameter of 18.0 mm or 22.5 mm) in virtual defects on medial, central, and lateral articular surfaces (Figure 1). Topographical mismatch and step-off were calculated. Linear regression analysis was used to identify anatomic variables influencing these factors.

Results:

Overall, surface incongruity was largely unaffected by anatomic variables. For 22.5mm medial defects, medial facet length, cartilage width, and medial facet percent were significantly associated with step-off (p < 0.05). For lateral defects (both 22.5 mm and 18.0 mm), lateral facet length, cartilage width, and lateral facet percent had greater effects on articular step-off than tibial width. For 18.0mm medial defects and central defects, tibial width demonstrated a small effect on step-off (Table 1). Cartilage width and tibial width, as well as lateral length and lateral percent were significantly correlated with each other (p = 0.019) (Figure 2).

Conclusions:

For noncentral defects, articular step-off was strongly influenced by differences in medial or lateral facet length and percent and cartilage width. Tibial width, the current standard for allograft matching, only modestly influenced step-off for central, 18.0 mm medial, and 22.5mm lateral lesions. Since tibial width highly correlated with cartilage width, using cartilage width as a surrogate for tibial width may improve patellar osteochondral surface topography matching as it is a strong predictor of articular step off for non-central lesions. Medial and lateral facet length should also be considered for topography matching of lateral lesions and 22.5 mm medial lesions as they were the strongest overall correlates with articular step-off.
Poster 307: Meniscal Repair in the Setting of Revision Anterior Cruciate Ligament Reconstruction: 6-Year Follow up Results from the MARS Cohort
Authors: Fox Jake , Huston Laura , Wright Rick
Published: August 2024

Objectives:

Meniscal preservation has been demonstrated to contribute to long term knee health and has been a successful intervention in the isolated and ACL reconstructed patient. The long-term results of meniscus repair in the setting of revision ACL reconstruction have yet to be documented. The purpose of this study is to report the incidence of meniscal repair failures at 6-year follow-up in a cohort of patients who underwent concurrent revision ACL reconstruction and meniscal repair.

Methods:

All revision ACL reconstructions with concomitant meniscal repair cases from a multicenter group between 2006 and 2011 were selected. Six-year follow-up was obtained by both phone and email to determine whether any subsequent surgery had occurred to either knee since their initial revision ACL reconstruction. If so, operative reports were obtained, whenever possible, to verify pathologic condition and treatment.

Results:

In total, 221 patients from 1234 revision ACL reconstructions underwent concurrent meniscal repairs (18% of the cohort). There were 238 repairs performed:  173 medial and 65 lateral. The vast majority of these repairs (n=181; 76%) were performed with an all-inside technique. Baseline patient and surgical characteristics of this group are reported (Tables 1, 2). Six-year surgical follow-up was obtained on 77% (171/221) of the cohort. Overall, the meniscal repair failure rate defined as reoperation was 13% (31/235) at 6 years. Of the 31 failures, 28 were medial (24 all-inside, 4 inside-out; 16% failure rate) and 3 were lateral (2 all-inside, 1 inside-out; 4.6% failure rate; Table 2). Three medial failures were treated in conjunction with a subsequent repeat revision reconstruction. The mean (SD) time to failure for the medial repairs was 2.6 (1.7) years, while the time to failure for the lateral repairs was 1.6 (1.8) years. Medial tears underwent reoperation for failure at a statistically significant higher rate than lateral tears (16% versus 4.6%; p<0.001).

Conclusions:

Meniscus repair in the revision ACL setting is a successful treatment option when clinically indicated with low failure rates. At 6-year follow-up, overall meniscal failure rate as defined by reoperation was 13% in this revision cohort. Failure rates for medial tears (16%) were higher than for lateral tears (4.6%), which aligns with previous studies both in the revision and primary setting.