Failure and Complication Rates in Common Sports and Arthroscopic Procedures: Reality Check

Abstract

Expectations following sports medicine and arthroscopic procedures have been elevated because of captivating modern-day media coverage of high-profile athletic injuries, surgery, and rapid return to sports. Unfortunately, this general perception may be misleading, and orthopedic sports medicine physicians must be aware of the harsh reality of the trials and tribulations associated with the subspecialty. The purpose of this review article is to provide an updated brief overview of the complications and failure rates associated with common arthroscopic procedures including rotator cuff repair, biceps tenodesis, Bankart procedure, Latarjet procedure, anterior cruciate ligament reconstruction, anterior cruciate ligament repair, meniscal repair, tibial tubercle osteotomy, and medial patellofemoral ligament reconstruction. Highlighting the complications is the first step toward early recognition, enhancing preventative measures, and successful management.

The Role of Perioperative Nutritional Status and Supplementation in Orthopaedic Surgery

“…Adequate nutritional intake modulates tenocyte metabolism and facilitates healing 125,126 . Yet, nutritional optimization is often overlooked, perhaps because this field has a relatively younger patient population and lower complication rates compared with other orthopaedic subspecialties 101,127 . Nonetheless, hypoalbuminemia demonstrates an increased risk of several complications including infection, longer hospital LOS, and readmission after shoulder arthroscopy and open rotator cuff repairs 128,129 .…”