Arthroscopy in China

Abstract

Our title has a double meaning: In the last decade, the development of arthroscopic surgery in China has been rapid and significant.1Xu J. Chen S. Sports and sports medicine in china in the post-Olympics era.Arthroscopy. 2010; 26: 506-507Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar Yet, had we added italics, the title of this editorial could be “Arthroscopy in China.” The second meaning is that Arthroscopy: The Journal of Arthroscopic and Related Surgery has a growing readership in China, and this, of course, has resulted in substantial, concomitant article submissions from our Chinese colleagues. Thus, perhaps, we should have titled our editorial “China in Arthroscopy,” because in this April 2010 issue the Journal has dedicated a special section to articles from China.Readers will first find a Guest Editorial, “Sports and Sports Medicine in China in the Post-Olympics Era” by Jianguang Xu, President of the Chinese Society of Hand Surgery and Director-General of the Shanghai Municipal Health Bureau, and Shiyi Chen, Vice President of the Chinese Society of Sports Medicine (CSSM) and Director of the Fudan University Sports Medicine Center in Shanghai.1Xu J. Chen S. Sports and sports medicine in china in the post-Olympics era.Arthroscopy. 2010; 26: 506-507Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar These esteemed colleagues remind us that, while the history of Chinese sport dates back 4,000 years, there has been “considerable development in the last 3 decades.”And where there is sport, there is sports medicine; “Chinese sports medicine has a long history … the first institutions of sports medicine in China have over 50 years' history,” and in the last 10 years, there has been rapid development and an increased prominence of arthroscopic surgery in China.1Xu J. Chen S. Sports and sports medicine in china in the post-Olympics era.Arthroscopy. 2010; 26: 506-507Abstract Full Text Full Text PDF PubMed Scopus (2) Google ScholarNotably, “ISAKOS, AANA, and the Chinese Medical Association (CMA) joined successfully to conduct the First Congress on Arthroscopy and Orthopaedic Sports Medicine in Shanghai in 2008,” and next month the “CMA will again join hands with ISAKOS, AANA, and the Asia-Pacific Orthopaedic Society for Sports Medicine to sponsor the International Summit Forum on Orthopaedic Sports Medicine and Arthroscopic Surgery in Shanghai during the World Expo 2010 Shanghai.”With this background in mind, readers may explore four original scientific articles from our Chinese colleagues.2Zhang H. Hong L. Wang X.-s et al.Single-bundle posterior cruciate ligament reconstruction and mini-open popliteofibular ligament reconstruction in knees with severe posterior and posterolateral rotation instability: Clinical results of minimum 2-year follow-up.Arthroscopy. 2010; 26: 508-514Abstract Full Text Full Text PDF PubMed Scopus (18) Google Scholar, 3Gao K. Chen S. Wang L. et al.Anterior cruciate ligament reconstruction with LARS artificial ligament: A multicenter study with 3- to 5-year follow-up.Arthroscopy. 2010; 26: 515-523Abstract Full Text Full Text PDF PubMed Scopus (119) Google Scholar, 4Hua Y. Chen S. Li Y. Chen J. Li H. Combination of modified Broström procedure with ankle arthroscopy for chronic ankle instability accompanied by intra-articular symptoms.Arthroscopy. 2010; 26: 524-528Abstract Full Text Full Text PDF PubMed Scopus (112) Google Scholar, 5Chen J. Chen S. Li Y. Hua Y. Li H. Is the extended release of the inferior glenohumeral ligament necessary for frozen shoulder?.Arthroscopy. 2010; 26: 529-535Abstract Full Text Full Text PDF PubMed Scopus (58) Google Scholar Each article was submitted in 2009 and underwent blinded peer review. The articles demonstrate diverse interest in knee anterior and posterior cruciate ligament surgery,2Zhang H. Hong L. Wang X.-s et al.Single-bundle posterior cruciate ligament reconstruction and mini-open popliteofibular ligament reconstruction in knees with severe posterior and posterolateral rotation instability: Clinical results of minimum 2-year follow-up.Arthroscopy. 2010; 26: 508-514Abstract Full Text Full Text PDF PubMed Scopus (18) Google Scholar, 3Gao K. Chen S. Wang L. et al.Anterior cruciate ligament reconstruction with LARS artificial ligament: A multicenter study with 3- to 5-year follow-up.Arthroscopy. 2010; 26: 515-523Abstract Full Text Full Text PDF PubMed Scopus (119) Google Scholar ankle arthroscopy,4Hua Y. Chen S. Li Y. Chen J. Li H. Combination of modified Broström procedure with ankle arthroscopy for chronic ankle instability accompanied by intra-articular symptoms.Arthroscopy. 2010; 26: 524-528Abstract Full Text Full Text PDF PubMed Scopus (112) Google Scholar and shoulder arthroscopy.5Chen J. Chen S. Li Y. Hua Y. Li H. Is the extended release of the inferior glenohumeral ligament necessary for frozen shoulder?.Arthroscopy. 2010; 26: 529-535Abstract Full Text Full Text PDF PubMed Scopus (58) Google ScholarWe find it interesting and exciting how these articles combine the old and the new, making us reconsider past results in current context. As a specific example, the investigation of the “efficacy and safety of ACL reconstruction” using LARS combines a technique of ACL reconstruction using synthetic ligaments (which historically has had poor results)6Klein W. Jensen K.U. Synovitis and artificial ligaments.Arthroscopy. 1992; 8: 116-124Abstract Full Text PDF PubMed Scopus (63) Google Scholar with a vital rationale of avoiding the morbidity and risks of ACL reconstruction using autograft or allograft (as well as the availability issues associated with allograft), and an up-to-date understanding of the importance of ACL insertional anatomy.7Lubowitz J.H. Poehling G. Watch your footprint: Anatomic ACL reconstruction.Arthroscopy. 2009; 25: 1059-1060Abstract Full Text Full Text PDF PubMed Scopus (12) Google Scholar Authors Gao et al. demonstrate that “ACL reconstruction with LARS artificial ligament … has very good clinical results (so long as) malposition (of graft insertion sites is) avoided.”3Gao K. Chen S. Wang L. et al.Anterior cruciate ligament reconstruction with LARS artificial ligament: A multicenter study with 3- to 5-year follow-up.Arthroscopy. 2010; 26: 515-523Abstract Full Text Full Text PDF PubMed Scopus (119) Google ScholarRobert Louis Stevenson wrote: “Youth is wholly experimental.” As “Arthroscopy in China” (or “Arthroscopy in China” or “China in Arthroscopy”) is in its relatively early stages,1Xu J. Chen S. Sports and sports medicine in china in the post-Olympics era.Arthroscopy. 2010; 26: 506-507Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar it is no surprise that our subsection from China refreshes us with novel experimental points-of-view. As we emphasize above, the approach is not naïve, but rather based on a thorough review of past research, current understanding, and a practical, patient-based rationale. Thus, we hope that readers are stimulated, challenged, or at the very least enlightened by the Chinese perspectives offered in the current issue.1Xu J. Chen S. Sports and sports medicine in china in the post-Olympics era.Arthroscopy. 2010; 26: 506-507Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar, 2Zhang H. Hong L. Wang X.-s et al.Single-bundle posterior cruciate ligament reconstruction and mini-open popliteofibular ligament reconstruction in knees with severe posterior and posterolateral rotation instability: Clinical results of minimum 2-year follow-up.Arthroscopy. 2010; 26: 508-514Abstract Full Text Full Text PDF PubMed Scopus (18) Google Scholar, 3Gao K. Chen S. Wang L. et al.Anterior cruciate ligament reconstruction with LARS artificial ligament: A multicenter study with 3- to 5-year follow-up.Arthroscopy. 2010; 26: 515-523Abstract Full Text Full Text PDF PubMed Scopus (119) Google Scholar, 4Hua Y. Chen S. Li Y. Chen J. Li H. Combination of modified Broström procedure with ankle arthroscopy for chronic ankle instability accompanied by intra-articular symptoms.Arthroscopy. 2010; 26: 524-528Abstract Full Text Full Text PDF PubMed Scopus (112) Google Scholar, 5Chen J. Chen S. Li Y. Hua Y. Li H. Is the extended release of the inferior glenohumeral ligament necessary for frozen shoulder?.Arthroscopy. 2010; 26: 529-535Abstract Full Text Full Text PDF PubMed Scopus (58) Google Scholar To repeat our guest Editors' wonderful line: “One World One Dream.” Our title has a double meaning: In the last decade, the development of arthroscopic surgery in China has been rapid and significant.1Xu J. Chen S. Sports and sports medicine in china in the post-Olympics era.Arthroscopy. 2010; 26: 506-507Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar Yet, had we added italics, the title of this editorial could be “Arthroscopy in China.” The second meaning is that Arthroscopy: The Journal of Arthroscopic and Related Surgery has a growing readership in China, and this, of course, has resulted in substantial, concomitant article submissions from our Chinese colleagues. Thus, perhaps, we should have titled our editorial “China in Arthroscopy,” because in this April 2010 issue the Journal has dedicated a special section to articles from China. Readers will first find a Guest Editorial, “Sports and Sports Medicine in China in the Post-Olympics Era” by Jianguang Xu, President of the Chinese Society of Hand Surgery and Director-General of the Shanghai Municipal Health Bureau, and Shiyi Chen, Vice President of the Chinese Society of Sports Medicine (CSSM) and Director of the Fudan University Sports Medicine Center in Shanghai.1Xu J. Chen S. Sports and sports medicine in china in the post-Olympics era.Arthroscopy. 2010; 26: 506-507Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar These esteemed colleagues remind us that, while the history of Chinese sport dates back 4,000 years, there has been “considerable development in the last 3 decades.” And where there is sport, there is sports medicine; “Chinese sports medicine has a long history … the first institutions of sports medicine in China have over 50 years' history,” and in the last 10 years, there has been rapid development and an increased prominence of arthroscopic surgery in China.1Xu J. Chen S. Sports and sports medicine in china in the post-Olympics era.Arthroscopy. 2010; 26: 506-507Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar Notably, “ISAKOS, AANA, and the Chinese Medical Association (CMA) joined successfully to conduct the First Congress on Arthroscopy and Orthopaedic Sports Medicine in Shanghai in 2008,” and next month the “CMA will again join hands with ISAKOS, AANA, and the Asia-Pacific Orthopaedic Society for Sports Medicine to sponsor the International Summit Forum on Orthopaedic Sports Medicine and Arthroscopic Surgery in Shanghai during the World Expo 2010 Shanghai.” With this background in mind, readers may explore four original scientific articles from our Chinese colleagues.2Zhang H. Hong L. Wang X.-s et al.Single-bundle posterior cruciate ligament reconstruction and mini-open popliteofibular ligament reconstruction in knees with severe posterior and posterolateral rotation instability: Clinical results of minimum 2-year follow-up.Arthroscopy. 2010; 26: 508-514Abstract Full Text Full Text PDF PubMed Scopus (18) Google Scholar, 3Gao K. Chen S. Wang L. et al.Anterior cruciate ligament reconstruction with LARS artificial ligament: A multicenter study with 3- to 5-year follow-up.Arthroscopy. 2010; 26: 515-523Abstract Full Text Full Text PDF PubMed Scopus (119) Google Scholar, 4Hua Y. Chen S. Li Y. Chen J. Li H. Combination of modified Broström procedure with ankle arthroscopy for chronic ankle instability accompanied by intra-articular symptoms.Arthroscopy. 2010; 26: 524-528Abstract Full Text Full Text PDF PubMed Scopus (112) Google Scholar, 5Chen J. Chen S. Li Y. Hua Y. Li H. Is the extended release of the inferior glenohumeral ligament necessary for frozen shoulder?.Arthroscopy. 2010; 26: 529-535Abstract Full Text Full Text PDF PubMed Scopus (58) Google Scholar Each article was submitted in 2009 and underwent blinded peer review. The articles demonstrate diverse interest in knee anterior and posterior cruciate ligament surgery,2Zhang H. Hong L. Wang X.-s et al.Single-bundle posterior cruciate ligament reconstruction and mini-open popliteofibular ligament reconstruction in knees with severe posterior and posterolateral rotation instability: Clinical results of minimum 2-year follow-up.Arthroscopy. 2010; 26: 508-514Abstract Full Text Full Text PDF PubMed Scopus (18) Google Scholar, 3Gao K. Chen S. Wang L. et al.Anterior cruciate ligament reconstruction with LARS artificial ligament: A multicenter study with 3- to 5-year follow-up.Arthroscopy. 2010; 26: 515-523Abstract Full Text Full Text PDF PubMed Scopus (119) Google Scholar ankle arthroscopy,4Hua Y. Chen S. Li Y. Chen J. Li H. Combination of modified Broström procedure with ankle arthroscopy for chronic ankle instability accompanied by intra-articular symptoms.Arthroscopy. 2010; 26: 524-528Abstract Full Text Full Text PDF PubMed Scopus (112) Google Scholar and shoulder arthroscopy.5Chen J. Chen S. Li Y. Hua Y. Li H. Is the extended release of the inferior glenohumeral ligament necessary for frozen shoulder?.Arthroscopy. 2010; 26: 529-535Abstract Full Text Full Text PDF PubMed Scopus (58) Google Scholar We find it interesting and exciting how these articles combine the old and the new, making us reconsider past results in current context. As a specific example, the investigation of the “efficacy and safety of ACL reconstruction” using LARS combines a technique of ACL reconstruction using synthetic ligaments (which historically has had poor results)6Klein W. Jensen K.U. Synovitis and artificial ligaments.Arthroscopy. 1992; 8: 116-124Abstract Full Text PDF PubMed Scopus (63) Google Scholar with a vital rationale of avoiding the morbidity and risks of ACL reconstruction using autograft or allograft (as well as the availability issues associated with allograft), and an up-to-date understanding of the importance of ACL insertional anatomy.7Lubowitz J.H. Poehling G. Watch your footprint: Anatomic ACL reconstruction.Arthroscopy. 2009; 25: 1059-1060Abstract Full Text Full Text PDF PubMed Scopus (12) Google Scholar Authors Gao et al. demonstrate that “ACL reconstruction with LARS artificial ligament … has very good clinical results (so long as) malposition (of graft insertion sites is) avoided.”3Gao K. Chen S. Wang L. et al.Anterior cruciate ligament reconstruction with LARS artificial ligament: A multicenter study with 3- to 5-year follow-up.Arthroscopy. 2010; 26: 515-523Abstract Full Text Full Text PDF PubMed Scopus (119) Google Scholar Robert Louis Stevenson wrote: “Youth is wholly experimental.” As “Arthroscopy in China” (or “Arthroscopy in China” or “China in Arthroscopy”) is in its relatively early stages,1Xu J. Chen S. Sports and sports medicine in china in the post-Olympics era.Arthroscopy. 2010; 26: 506-507Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar it is no surprise that our subsection from China refreshes us with novel experimental points-of-view. As we emphasize above, the approach is not naïve, but rather based on a thorough review of past research, current understanding, and a practical, patient-based rationale. Thus, we hope that readers are stimulated, challenged, or at the very least enlightened by the Chinese perspectives offered in the current issue.1Xu J. Chen S. Sports and sports medicine in china in the post-Olympics era.Arthroscopy. 2010; 26: 506-507Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar, 2Zhang H. Hong L. Wang X.-s et al.Single-bundle posterior cruciate ligament reconstruction and mini-open popliteofibular ligament reconstruction in knees with severe posterior and posterolateral rotation instability: Clinical results of minimum 2-year follow-up.Arthroscopy. 2010; 26: 508-514Abstract Full Text Full Text PDF PubMed Scopus (18) Google Scholar, 3Gao K. Chen S. Wang L. et al.Anterior cruciate ligament reconstruction with LARS artificial ligament: A multicenter study with 3- to 5-year follow-up.Arthroscopy. 2010; 26: 515-523Abstract Full Text Full Text PDF PubMed Scopus (119) Google Scholar, 4Hua Y. Chen S. Li Y. Chen J. Li H. Combination of modified Broström procedure with ankle arthroscopy for chronic ankle instability accompanied by intra-articular symptoms.Arthroscopy. 2010; 26: 524-528Abstract Full Text Full Text PDF PubMed Scopus (112) Google Scholar, 5Chen J. Chen S. Li Y. Hua Y. Li H. Is the extended release of the inferior glenohumeral ligament necessary for frozen shoulder?.Arthroscopy. 2010; 26: 529-535Abstract Full Text Full Text PDF PubMed Scopus (58) Google Scholar To repeat our guest Editors' wonderful line: “One World One Dream.”