Journal of ISAKOS

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Journal of ISAKOS

Journal of ISAKOS: Joint Disorders & Orthopaedic Sports Medicine is a leading journal for high-quality orthopaedic reviews.
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Launched February 2016, Journal of ISAKOS is an official journal of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine. Publishing high-quality State of the Art and systematic reviews, this new journal synthesizes current research in orthopaedic sports medicine to provide a comprehensive reference for diagnosing and treating patients. Learn more at jisakos.bmj.com and follow us on twitter

06/18/2026

Equal effort, equal recovery. 📈

New research in the Journal of ISAKOS reveals that an athlete’s preinjury sport level does not influence knee muscle strength recovery after ACL reconstruction.

Whether treating elite pros or recreational players, restoring quad and hamstring strength comes down to the same thing: systematic, objective, and high-quality rehabilitation. No shortcuts, just science. 🧪🦿

👉 Dive into the complete data set via the link in our bio!

06/17/2026

🩺 Knee Geeks, assemble! Let’s talk about giving the medial meniscus a high-tech upgrade—minus the donor waitlist. 🛠️

Take a 2nd look a the technique now!

06/16/2026

Autologous tendon vs. Allograft transplantation—where is meniscal substitution heading? 🧵🦿

A fascinating new paper in breaks down a modified technique for arthroscopic medial meniscus substitution using an autologous semitendinosus tendon with suture tape augmentation.

By reinforcing autologous tissue with high-strength suture tape, this technique aims to overcome standard graft remodeling challenges while bypassing the logistical hurdles of sourcing allograft tissue.

06/14/2026

🎮 Is virtual reality the future of orthopedic residency training? 🩺

A new pilot study published in the Journal of ISAKOS explores how VR simulation can reshape the learning curve for complex procedures like anterior cruciate ligament reconstruction (ACLR).

By integrating immersive VR modules into an orthopedic residency curriculum, researchers evaluated how high-fidelity simulation impacts the next generation of sports medicine surgeons.

06/11/2026

📚 OUT NOW: The Latest Issue of JISAKOS! 📚

We are thrilled to bring you the newest volume of the Journal of ISAKOS, packed with high-quality evidence, cutting-edge surgical techniques, and global perspectives to advance your clinical practice.

Here is a look at what’s inside this issue:
🔹 Ligament Management: Evolving treatment strategies for MCL management in combined ACL-MCL injuries.
🔹 Biological Augmentation: A practical review on using fibrin clot preparation to enhance healing in complex meniscal repairs.
🔹 Arthroplasty Optimization: Insights into the pharmacokinetics of intraosseous regional antibiotics and analgesia in TKA to maximize local drug delivery and improve patient outcomes.
🔹 Upper Extremity Care: Management and diagnostic insights into stiffness of the elbow, wrist, and related pathologies.
🔹 Global Perspectives & Innovation: A look at hip arthroscopy innovation cycles in the UK and the development of orthopaedic clinical practice in emerging countries.

🔗 Head to the link in our bio to read the full issue or visit https://buff.ly/egQHLGY

06/03/2026

Local extensor fascia septum autograft may offer a promising soft-tissue option for restoring lateral elbow stability in competitive athletes with chronic posterolateral rotatory instability.

In this multicenter case series, 38 athletes underwent LUCL reconstruction using a local extensor fascia septum autograft. At a mean follow-up of 36.7 months, patients showed significant improvements in pain and functional scores, with 33 of 38 returning to their previous level of sport.

🔗 https://www.jisakos.com/article/S2059-7754(26)00011-8/fulltext

05/29/2026

How do surgeons actually decide when—and how—to operate on SLAP lesions?

New in : A case-vignette study of 126 orthopaedic surgeons found that the decision to operate is driven by clinical factors, but the choice of technique varies considerably.

🔑 Key findings:

• Surgery least likely without prior failed nonoperative treatment (OR = 0.07)

• SLAP type III/IV, overhead pain, and high activity level favoured operative management

• Tenodesis/tenotomy preferred over repair in older or less active patients

• Lesion type and surgeon expertise did not influence choice of surgical technique

🔗 https://www.jisakos.com/article/S2059-7754(26)00023-4/fulltext

05/26/2026

Should young athletes with juvenile osteochondritis dissecans wait for conservative treatment to work—or is early fixation the better option?

New in : Early arthroscopic fixation with bioabsorbable pins achieved 100% MRI consolidation and a 100% return-to-sport rate in 32 skeletally immature athletes.

🔑 Key findings:

• 100% lesion consolidation confirmed on MRI at 6 months

• IKDC improved from 72.1 to 94.7 (p < 0.001), exceeding MCID thresholds

• All patients returned to pre-injury sport level at mean 6.2 months

• No reoperations, implant complications, or degenerative changes at mean 6.8-year follow-up

🔗 https://www.jisakos.com/article/S2059-7754(25)00648-0/fulltext

05/21/2026

When patellofemoral arthroplasty fails due to instability, does conversion to TKA have to be the answer?

New in : A combined joint-preserving approach—MPFL reconstruction, tibial tubercle osteotomy, and VMO advancement—successfully restored stability and function without revision to TKA, with a proposed decision-making algorithm for similar cases.

🔑 Key findings:

• Kujala score improved from 54 to 78 and IKDC from 38 to 69 at 3 months

• No recurrent instability, complications, or implant-related problems

• Combined soft-tissue, bony, and dynamic stabilisation avoided conversion to TKA

• Algorithm proposed to guide decision-making in PFA failure due to instability

🔗 https://www.jisakos.com/article/S2059-7754(25)00681-9/fulltext

05/19/2026

Does knee alignment phenotype in patients from India with osteoarthritis differ from other populations—and does it affect TKA outcomes?

New in : In 947 OA knees, varus alignment was near-universal (88.2%) and neutral phenotypes were absent entirely—findings with direct implications for surgical planning.

🔑 Key findings:

• CPAK Type I (varus + apex-distal joint line) predominated at 78.7% of knees

• Neutral alignment phenotypes absent in advanced knee OA in this cohort

• Robotic-assisted TKA with functional alignment restored native alignment in most cases

• KOOS improved from 50.7 to 89.1 at 6 months (p < 0.05)

🔗 https://www.jisakos.com/article/S2059-7754(26)00011-8/fulltext

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http://jisakos.bmj.com/

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