Zoe Cass B.S., Thomas Hoffmeister B.S., Paul M. Sethi M.D.
{"title":"Zip-tie Multidirectional Instability: A Technique for Progressive Tightening of Knotless Anchors in Multidirectional Instability","authors":"Zoe Cass B.S., Thomas Hoffmeister B.S., Paul M. Sethi M.D.","doi":"10.1016/j.eats.2025.103762","DOIUrl":"10.1016/j.eats.2025.103762","url":null,"abstract":"<div><div>Multidirectional instability of the shoulder presents a surgical challenge due to capsular laxity and the need for precise, progressive tightening. Traditional arthroscopic techniques risk premature capsular tensioning, complicating anchor placement and potentially compromising outcomes. The zip-tie technique presents an arthroscopic knotless repair method using retensionable sutures designed to optimize surgical efficiency and improve capsular control. This technique allows for percutaneous placement of knotless anchors without early tightening, preserving intra-articular maneuverability. Final tensioning is performed after all anchors are placed, enabling fine-tuned capsular volume reduction and minimizing cartilage trauma. By eliminating stacked knots and allowing for sequential, controlled tensioning, this technique may reduce complications and enhance long-term stability. Our technique description details the surgical steps, rationale, and advantages of this novel method in treating multidirectional instability, proposing a reliable and efficient alternative to traditional capsular shift procedures.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 9","pages":"Article 103762"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145236132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Backup Device for Arthroscopic Knot Pusher Using Grasper","authors":"Danaithep Limskul M.D. , Kantichat Khoklin M.D. , Pham Viyokom , Napatpong Thamrongskulsiri M.D. , Thun Itthipanichpong M.D. , Thanathep Tanpowpong M.D. , Somsak Kuptniratsaikul M.D.","doi":"10.1016/j.eats.2025.103737","DOIUrl":"10.1016/j.eats.2025.103737","url":null,"abstract":"<div><div>Secure knot tying is required in arthroscopic surgery for maintaining repair integrity; however, an absence of knot pushers can present significant problems. Our article explores the use of graspers as an alternative for knot tying in arthroscopic surgery. We describe how graspers can be effectively used to secure knots in the absence of a knot pusher. This technique achieves secure fixation without compromising repair quality. These findings suggest that graspers can serve as a safe and feasible alternative to knot pushers when traditional instruments are unavailable.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 9","pages":"Article 103737"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145236128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Metal-Free Arthroscopic Latarjet Surgical Technique","authors":"Emilio Calvo M.D., Ph.D., M.B.A., Cristina Delgado M.D., Ph.D.","doi":"10.1016/j.eats.2025.103727","DOIUrl":"10.1016/j.eats.2025.103727","url":null,"abstract":"<div><div>The Latarjet procedure has proven to be effective in the management of anterior glenohumeral instability. However, complications related to fixation devices, despite being low, are still a matter of concern. This Technical Note describes a metal-free arthroscopic Latarjet technique using a tape cerclage construct.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 9","pages":"Article 103727"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145236212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"X-Shaped Cross-Stitch Suture Technique for the Repair of Horizontal Tears of the Lateral Meniscus","authors":"Hiroki Yoshitomi M.D., Masahiko Morishige M.D.","doi":"10.1016/j.eats.2025.103782","DOIUrl":"10.1016/j.eats.2025.103782","url":null,"abstract":"<div><div>Horizontal tears of the lateral meniscus often extend into the avascular zone, making healing difficult. Whereas partial meniscectomy was once standard, growing recognition of meniscal function has promoted repair techniques, especially all-inside suture methods. We describe an all-inside suture meniscal repair technique using an X-shaped cross-stitch configuration to enhance compression across horizontal cleavage tears. After standard arthroscopic examination and tear-site preparation, sutures are sequentially passed through the peripheral meniscal tissue at 2 points approximately 10 mm apart using a Knee Scorpion device (Arthrex, Naples, FL). An X-shaped suture configuration is created by retrieving and tightening the sutures, providing stable compression. Postoperative rehabilitation involves progressive weight-bearing and range of motion without the use of braces. This technique enables stable reduction of horizontal meniscal tears without trans-capsular fixation. It minimizes capsular injury, maintains meniscal mobility, and provides uniform compression, potentially improving healing outcomes. Standard arthroscopic equipment is sufficient, eliminating the need for specialized implants. The X-shaped cross-stitch suture offers a reproducible, cost-effective method for repairing horizontal lateral meniscal tears using an all-inside suture meniscal repair technique. Further biomechanical and clinical studies are warranted to validate its long-term effectiveness.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 9","pages":"Article 103782"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145236255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francesco Pettinari M.D., Andrea Di Muro M.D., Enrico Macchiarella M.D., Zyad Ayman Taha M.D., Roberto Civinini M.D., Fabrizio Matassi M.D.
{"title":"Combined Revision of Anterior Cruciate Ligament and Lateral Extra-Articular Procedure Using Rectus Femoris Autologous Graft","authors":"Francesco Pettinari M.D., Andrea Di Muro M.D., Enrico Macchiarella M.D., Zyad Ayman Taha M.D., Roberto Civinini M.D., Fabrizio Matassi M.D.","doi":"10.1016/j.eats.2025.103783","DOIUrl":"10.1016/j.eats.2025.103783","url":null,"abstract":"<div><div>Revision of combined anterior cruciate ligament (ACL) reconstruction (ACLR) and lateral extra-articular procedure (LEAP) presents many challenges that are not encountered in the primary setting or when an isolated ACLR revision is performed. In recent years, there has been a significant increase in the number of primary ACLRs combined with LEAP, supported by growing literature on the anterolateral ligament and its role in rotational stability of the knee. Although the graft rupture rate is decreased with combined ACLR + LEAP, whenever this event occurs, it presents significant difficulties in managing the revision of both ACLR and LEAP. This paper presents a surgical technique to address failure of both ACL and anterolateral ligament reconstruction, using the superficial layer of the quadriceps tendon graft. This technique offers several advantages, including no need for allograft, low donor-site morbidity, predictable graft size and length, and the absence of any need for specific instruments.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 9","pages":"Article 103783"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145236256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Krzysztof Hermanowicz M.D., Ph.D. , Tomasz Mrozek M.D. , Julia Hermanowicz , Laura Szajwa , Michał Chojnowski M.D. , Grzegorz Bałdyga M.D. , Adrian Góralczyk M.D.
{"title":"Arthroscopic Anterior Inferior Tibiofibular Ligament Repair With Syndesmosis Stabilization in the Treatment of Chronic Tibiofibular Instability","authors":"Krzysztof Hermanowicz M.D., Ph.D. , Tomasz Mrozek M.D. , Julia Hermanowicz , Laura Szajwa , Michał Chojnowski M.D. , Grzegorz Bałdyga M.D. , Adrian Góralczyk M.D.","doi":"10.1016/j.eats.2025.103788","DOIUrl":"10.1016/j.eats.2025.103788","url":null,"abstract":"<div><div>Ankle joint injuries are one of the most common musculoskeletal problems in the general population, being reported as the most frequent of all injuries in athletes. A complex anatomy of this region, providing an ideal balance between high stability and joint mobility, makes it very susceptible to injuries and their consequences. In particular, the distal tibiofibular syndesmosis tears, in particular its anteroinferior part, can be easily missed, as they usually occur in combination with other damage to the ankle joint. When left untreated, it can result in chronic instability, impaired joint function and may lead to early osteoarthritis development. This Technical Note describes a minimally invasive technique for anteroinferior tibiofibular ligament repair combined with dynamic syndesmosis stabilization to address chronic tibiofibular instability. Presented surgery is not technically demanding, reproducible, and may facilitate the healing process, shortening the recovery time.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 9","pages":"Article 103788"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145236266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Arthroscopic Suprapectoral Biceps Tenodesis Techniques: Soft-Tissue and Bony Technique Options","authors":"Nathan W. Jia M.D., Larry D. Field M.D.","doi":"10.1016/j.eats.2025.103724","DOIUrl":"10.1016/j.eats.2025.103724","url":null,"abstract":"<div><div>The long head of the biceps often creates significant shoulder symptoms and is commonly treated using tenodesis if nonoperative management fails. Arthroscopic biceps tenodesis has grown in popularity because of the increasingly common use of the arthroscope to address shoulder pathology as well as the reduced risk of significant blood loss and wound and nerve complications compared with open subpectoral tenodesis. Numerous biceps tenodesis techniques have been published. The purpose of this Technical Note is to describe and demonstrate 4 different techniques commonly employed by the authors that provide secure tenodesis using both bony and soft-tissue approaches.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 9","pages":"Article 103724"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145236208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hao Li M.D., Mu-Tien Leung M.D., Ji-Min Yin M.D., Jia-Lun Mei M.D., Chang-Qing Zhang M.D., Yi-Gang Huang M.D.
{"title":"Arthroscopy-assisted Reduction and Fixation of Valgus-Impacted Femoral Neck Fractures with Joystick Technique","authors":"Hao Li M.D., Mu-Tien Leung M.D., Ji-Min Yin M.D., Jia-Lun Mei M.D., Chang-Qing Zhang M.D., Yi-Gang Huang M.D.","doi":"10.1016/j.eats.2025.103777","DOIUrl":"10.1016/j.eats.2025.103777","url":null,"abstract":"<div><div>Valgus-impacted femoral neck fractures remain a challenging clinical entity. Associated deformities such as posterior tilt of femoral head, coxa valgus, and femoral neck shortening may produce femoroacetabular impingement, which adversely impacts on long-term joint function. Current reduction techniques face limitations: closed methods often fail to achieve satisfied reduction, open reductions require extensive soft-tissue dissection, and percutaneous joystick techniques are frequently fluoroscopy-dependent and imprecise. To address these problems, we describe a hip arthroscopy-assisted joystick reduction technique to achieve anatomical realignment. Under direct arthroscopic visualization, a Kirschner wire is precisely inserted into the femoral head to serve as joystick, allowing simultaneous correction of posterior tilt and valgus deformity. Real-time confirmation of reduction is followed by internal fixation using multiple cannulated screws. This technique provides direct visualization of both joystick placement and reduction maneuvers, minimizes fluoroscopy use, and allows for simultaneous joint decompression. By combining the accuracy of open visualization with the minimal invasion nature of percutaneous methods, this approach offers a promising solution for achieving anatomical fracture reduction for valgus-impacted femoral neck fractures.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 9","pages":"Article 103777"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145236215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chenyang Meng M.D. , Junyi Wang B.S. , Ming Liu M.D. , Chenggang Qiao M.D. , Wenqiang Zhao M.D. , Yan Yang M.D. , Changxu Han M.D.
{"title":"A Reverse Suture Anchor Technique for Arthroscopic Posterior Cruciate Ligament Avulsion Fractures Repair","authors":"Chenyang Meng M.D. , Junyi Wang B.S. , Ming Liu M.D. , Chenggang Qiao M.D. , Wenqiang Zhao M.D. , Yan Yang M.D. , Changxu Han M.D.","doi":"10.1016/j.eats.2025.103731","DOIUrl":"10.1016/j.eats.2025.103731","url":null,"abstract":"<div><div>Posterior cruciate ligament avulsion fractures of the tibia account for approximately 20% of knee ligament injuries. Currently, arthroscopic suture anchor bridge repair has been widely adopted because of its excellent biomechanical properties and long-term prognosis. However, traditional techniques require the anchor to be placed at a nearly vertical angle into the posterior tibial bone bed, presenting technical challenges such as limited vision and narrow operating space, which can lead to issues like anchor displacement or insufficient depth. To address these problems, this study introduces a reverse anchor repair technique, which not only simplifies the surgical steps and shortens the learning curve but also effectively avoids iatrogenic damage to adjacent vascular and neural structures.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 9","pages":"Article 103731"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145236220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}