Journal of ISAKOS

02/28/2026

Does biological augmentation really matter in acute patellar tendon repair? 🦵

New in : At ≥2-year follow-up, biological augmentation did not improve PROMs compared with isolated repair—but it significantly reduced failure rates.

🔑 Key findings:

• Functional outcomes were similar between techniques
• All failures occurred in the isolated repair group
• Augmentation was linked to lower (but normal) patellar height
• No increase in complications

🔗 https://www.jisakos.com/article/S2059-7754(25)00663-7/fulltext

02/26/2026

25 years of ACLR—how have expert opinions changed? 🦵📊

New in : A 25-year survey of the ACL Study Group reveals how graft choice, surgical technique, and rehab philosophies have evolved alongside emerging evidence.

🔑 Key trends:

• Shift away from BTB toward hamstring and rising quadriceps autograft use
• Growing use of anteromedial femoral drilling and suspensory fixation
• More aggressive meniscus repair and a move toward 9-month return-to-sport

🔗 https://www.jisakos.com/article/S2059-7754(25)00657-1/fulltext

02/24/2026

New video article outlines derotational tibial osteotomy for symptomatic patients with external tibial torsion >35°, restoring alignment, reducing Q angle, and correcting the lateral quadriceps vector.

💡 Key takeaway: Excessive external tibial torsion can drive anterior knee pain—and it’s correctable.

02/21/2026

Stronger stability. Proven versatility. Evolving standards. 🛠️🦾

New in - The quadriceps tendon is gaining significant traction in ACL reconstruction, with a 15% increase in use over the last five years.

🔗 https://www.jisakos.com/article/S2059-7754(25)00678-9/fulltext

02/19/2026

Can ultrasound-guided ATFL repair deliver durable results? 🦶📡

New in : Patients with chronic lateral ankle instability showed significant and sustained improvements at 2 years following ultrasound-guided ATFL repair, with or without Gould augmentation.

🔑 Key findings:

• Pain and function improved across all outcome measures
• Low complication rate, with only one transient nerve irritation
• Athletes returned to pre-injury sport levels, many by 6 months

🔗 https://www.jisakos.com/article/S2059-7754(25)00661-3/fulltext

02/17/2026

Full motion. No pain. Better outcomes. ✨🩹

This case report shows arthroscopic removal and repair for teres minor calcific tendinitis delivers excellent results, even in exceptionally rare cases.

For patients with persistent posterior shoulder pain, this targeted procedure is a highly effective option for restoring function and quality of life.

🔗 https://www.jisakos.com/article/S2059-7754(25)00673-X/fulltext

Sawarin Voravitvet Puttinan Pingpitayakul Pinprapha Boonhyad Phob Ganokroj

02/15/2026

Editor's Pick: HA or steroid for isolated patellofemoral OA?

New Level I RCT in : Both hyaluronic acid and corticosteroid injections significantly improved pain and function in isolated PFOA.

🔑 Key takeaways:

• Steroids = better pain relief in the first week

• By 6 months, outcomes were equivalent

• HA offers a potential cartilage-friendly alternative in isolated PFOA

🔗 https://www.jisakos.com/article/S2059-7754(25)00656-X/fulltext

02/13/2026

Editor's Pick: Combining High Tibial Osteotomy with Meniscal Root Repair (HTO-MRR) is showing superior results for patients with varus malalignment and medial meniscus root tears. 🦵✨

This systematic review of 725 patients found that the combined procedure significantly outperforms HTO alone in patient-reported outcomes, exceeding clinical importance thresholds for pain and function. While radiographic changes were similar in the short term, the combined approach achieved a 33% weighted mean for complete meniscal healing.

For surgeons looking to maximize joint preservation, addressing the meniscal deficiency alongside the varus alignment consistently leads to better functional gains.

🔗 https://www.jisakos.com/article/S2059-7754(25)00653-4/fulltext

02/12/2026

Editor's Pick: Does predicted healing really predict outcomes?

Patients showed significant improvements in pain and function after rotator cuff repair—regardless of their Rotator Cuff Healing Index (RoHI) risk.

🔑 Key finding: Higher risk of structural failure did not translate to worse patient-reported outcomes at 2 years.

🔗 https://www.jisakos.com/article/S2059-7754(25)00644-3/fulltext

02/11/2026

The February issue is out now!

Highlights include:

🦵 ACL reconstruction: graft failure predictors & loss of motion

⚡ Lateral Extra-Articular Tenodesis (LET) outcomes

🦴 Hip preservation: osteoarthritis impact on recovery

💉 Patellar tendon repair: biologic augmentation

📏 TT–TG distance: patient-specific surgical strategies

📝 Multiligament knee surgery: new planning checklist

🤰 Letter to the Editor: Pregnancy & parental leave in orthopaedics

🔗 Read the full issue: https://www.jisakos.com/issue/S2059-7754(25)X0010-9

02/01/2026

01/27/2026

Does knee hyperextension change how you perform an ACLR? 🛠️🦴

An international survey of ISAKOS members reveals that surgeons frequently modify their surgical approach for patients with ligamentous hyperlaxity or hyperextension.

Key Trends:

📉 Graft choice: Shift toward stiffer or thicker grafts.

🛠️ Technique: Increased use of lateral extra-articular procedures.

⚖️ Stability: Adjustments to graft tensioning and tunnel placement.

A must-read for surgeons managing high-risk instability. 🔗 Full results at the link in bio!