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Clinical Application of Knee Arthroscopy
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Clinical Application of Knee Arthroscopy

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 30 November 2025 | Viewed by 1216

Special Issue Editors

Dr. Francesco Bosco

E-Mail Website
Guest Editor
1. Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, 90133 Palermo, Italy
2. Department of Orthopaedics and Traumatology, G.F. Ingrassia Hospital Unit, ASP 6, 90131 Palermo, Italy
Interests: knee surgery; knee injuries; knee arthroscopy; sport medicine; knee arthroplasty; hip and knee arthroplasty; orthopedics; trauma surgery; biomechanics
Dr. Alessandro Carrozzo

E-Mail Website
Guest Editor
Department of Life Sciences, Health, and Health Professions, Link Campus University, Via del Casale di San Pio V, 00165 Rome, Italy
Interests: anterolateral ligament; knee; arthroscopy; ACL; sports medicine; knee arthroplasty
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Knee arthroscopy has revolutionized diagnosing and treating various knee pathologies, offering minimally invasive solutions with reduced recovery times. Despite its widespread adoption, challenges remain regarding optimal surgical techniques, patient selection, postoperative rehabilitation, and long-term outcomes. This Special Issue aims to consolidate current advancements, address existing gaps, and explore innovative approaches in knee arthroscopy.

The scope includes original research, systematic reviews, and surgical techniques on ligament reconstruction, meniscal repair, cartilage restoration, and emerging technologies such as robotic-assisted arthroscopy and bioengineered scaffolds. Studies on rehabilitation protocols, patient-reported outcomes, and complication management are also encouraged.

This Special Issue seeks to foster interdisciplinary collaboration, refine surgical indications, and improve patient outcomes in knee arthroscopy by mobilizing orthopedic surgeons, researchers, and rehabilitation specialists.

Dr. Francesco Bosco
Dr. Alessandro Carrozzo
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • knee surgery
  • arthroscopy
  • orthopedics
  • sport medicine
  • clinical outcomes
  • ligament reconstruction
  • meniscal repair
  • cartilage
  • postoperative rehabilitation
  • knee joint
  • tissue repair
  • joint preservation

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Published Papers (2 papers)

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Research

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13 pages, 1710 KB  
Article
Short-Term Outcomes After Transtibial Repair of Medial Meniscus Posterior Root Tears: A Case Series
by Dan Viorel Nistor, Samuel Piu, Diana Raluca Mihu and Romana von Mengershausen
J. Clin. Med. 2025, 14(20), 7440; https://doi.org/10.3390/jcm14207440 - 21 Oct 2025
Viewed by 448
Abstract
Background/Objectives: While arthroscopic repair is established for the treatment of medial meniscus posterior root tears (MMPRT), the relationship between physiotherapy (PT) exposure, meniscal extrusion (ME), and structural healing remains unclear. The aim of this study was to evaluate short-term functional and structural results [...] Read more.
Background/Objectives: While arthroscopic repair is established for the treatment of medial meniscus posterior root tears (MMPRT), the relationship between physiotherapy (PT) exposure, meniscal extrusion (ME), and structural healing remains unclear. The aim of this study was to evaluate short-term functional and structural results after transtibial pull-out (TPO) repair of isolated MMPRT and to explore the influence of patient age and postoperative physiotherapy volume. Methods: A retrospective single-center case series with 14 adults (64% women, age 59 years, body mass index (BMI) 31.0 kg/m2) who underwent TPO repair (April 2022–June 2024). Mean follow-up was 18.4 months. Outcomes included range of motion (ROM), pain levels using visual analog scale (VAS), International Knee Documentation Committee (IKDC), the Western Ontario Meniscal Evaluation Tool (WOMET), the 36-Item Short Form Survey (SF-36), and MRI-based ME, cartilage grade, and root-healing status. Postoperative PT volume was assessed with a self-developed, custom questionnaire. Correlations and subgroup analyses (<60 vs. ≥60 years) were performed. Results: Mean postoperative ROM was 121° and IKDC 63.4. Median PT exposure was 25.9 h, and the mean duration from symptom to repair was 215 days. MRI demonstrated complete healing in 70% of cases. A positive correlation was observed between postoperative ME and ROM (p = 0.008), while higher PT volume was associated with greater pain scores. Conclusions: TPO repair appears to be a viable treatment option for selected patients with MMPRT, showing acceptable early outcomes, even in older individuals with higher BMIs or delayed repair. Meniscal healing was frequent, although extrusion progression remained common and may influence the function. The observed links between ME, ROM, and PT-related pain highlight the need for standardized rehabilitation assessment. Larger, prospective studies are warranted to validate these exploratory findings and refine postoperative management. Full article
(This article belongs to the Special Issue Clinical Application of Knee Arthroscopy)
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Review

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24 pages, 564 KB  
Review
Arthroscopic Management of Patellar Instability in Skeletally Immature Patients: Current Concepts and Future Directions
by Alexandria Mallinos and Kerwyn Jones
J. Clin. Med. 2025, 14(19), 7085; https://doi.org/10.3390/jcm14197085 - 7 Oct 2025
Viewed by 457
Abstract
Background/Objectives: Patellar instability is a common orthopedic condition affecting pediatric and adolescent populations, particularly during periods of rapid growth and increased sports participation. Recurrent patellar dislocation in skeletally immature patients is frequently associated with underlying anatomical risk factors such as patella alta, [...] Read more.
Background/Objectives: Patellar instability is a common orthopedic condition affecting pediatric and adolescent populations, particularly during periods of rapid growth and increased sports participation. Recurrent patellar dislocation in skeletally immature patients is frequently associated with underlying anatomical risk factors such as patella alta, trochlear dysplasia, or increased tibial tubercle–trochlear groove distance. Methods: This narrative review summarizes the current evidence on the epidemiology, diagnostic approach, and arthroscopic management of patellar instability in skeletally immature patients. Results: Arthroscopy has become an essential tool in both the diagnosis and treatment of patellar instability, allowing for minimally invasive assessment of patellofemoral alignment, chondral pathology, and ligament integrity. It also enables precise surgical interventions such as physeal-sparing medial patellofemoral ligament reconstruction, which remains the preferred stabilization technique for patients with open physes due to its safety and efficacy. Emerging innovations, including robotic-assisted tunnel placement, bioengineered scaffolds for cartilage repair, and three-dimensional modeling for surgical planning, have the potential to improve outcomes and arthroscopic surgical precision in this population. Despite these advances, major challenges such as a lack of pediatric-specific outcome measures, variability in surgical indications and rehabilitation protocols, and limited long-term follow-up data remain. Conclusions: Optimizing outcomes in pediatric and adolescent patients with patellar instability requires individualized growth-aware strategies and multidisciplinary collaborations. By integrating technological innovation with patient-centered care, clinicians can continue to refine the arthroscopic management of patellofemoral instability in young patients. Full article
(This article belongs to the Special Issue Clinical Application of Knee Arthroscopy)
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