Arthroscopy TechniquesPub Date : 2025-12-01Epub Date: 2025-11-05DOI: 10.1016/j.eats.2025.103982
Badrul Akmal Hisham Md Yusoff M.S.(Orth), Mohamed Razzan Rameez M.S.(Orth), Muhammad Karbela Reza Ramlan M.S.(Orth), Aliff Omar M.S.(Dip. Medical and Health Science), Mohamad Azwan Aziz M.SportsMed.
{"title":"Modified Universiti Kebangsaan Malaysia Internal Bracing Graft Preparation Technique Using Allograft for Anterior Cruciate Ligament Reconstruction Surgery","authors":"Badrul Akmal Hisham Md Yusoff M.S.(Orth), Mohamed Razzan Rameez M.S.(Orth), Muhammad Karbela Reza Ramlan M.S.(Orth), Aliff Omar M.S.(Dip. Medical and Health Science), Mohamad Azwan Aziz M.SportsMed.","doi":"10.1016/j.eats.2025.103982","DOIUrl":"10.1016/j.eats.2025.103982","url":null,"abstract":"<div><div>Anterior cruciate ligament reconstruction using allografts is limited by delayed biologic incorporation and graft elongation, increasing failure risks during early rehabilitation. To address this, we describe the modified Universiti Kebangsaan Malaysia internal bracing technique, which integrates ultra-high-molecular-weight polyethylene suture tape within the graft construct. This technique aims to provide immediate biomechanical reinforcement, reduce tunnel widening, and accelerate recovery, particularly critical for allografts, which lack the initial strength of autografts. The tendons are then quadrupled over tri-fold loops of FiberTape (Arthrex), which is centrally positioned and secured with FiberWire (Arthrex). The construct is whipstitched with 2.0 Ethibond (Ethicon)—while suture contact with the FiberTape is carefully avoided—and preloaded with an ACL TightRope II Implant (Arthrex) and TightRope Attachable Button System (Arthrex) for femoral and tibial fixation, respectively. Additional GraftLink loop graft construct (Arthrex) stitches are placed at both ends to enhance graft-tunnel integration. This technique uniquely embeds the FiberTape internally within the graft structure to provide biomechanical reinforcement while preventing tunnel abrasion and stress-shielding effects.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103982"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814388","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":"Central Superficial Quadriceps Tendon Harvest via Mini-Incision for Anterior Cruciate Ligament Reconstruction","authors":"Emmanuelle Yap M.D., D.P.B.O., Bancha Chernchujit M.D., Nishand Guruseelan M.S.Ortho.","doi":"10.1016/j.eats.2025.103974","DOIUrl":"10.1016/j.eats.2025.103974","url":null,"abstract":"<div><div>Successful postoperative recovery among anterior cruciate ligament reconstruction patients constitutes both surgical reconstruction and donor-site morbidity. This article proposes a reproducible method using a mini-incision, thus decreasing donor-site morbidity and postoperative pain and among patients who undergo anterior cruciate ligament reconstruction. This technique does not rely on any integrated quadriceps tendon harvest guide systems while ensuring adequate graft size and length and preserving good quadriceps strength postoperatively.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103974"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814459","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}
Arthroscopy TechniquesPub Date : 2025-12-01Epub Date: 2025-10-30DOI: 10.1016/j.eats.2025.103949
Tianxin Li B.S., Yuchen He M.D., Junliang Liu M. Med., Aoqiu Wu M. Med., Weihong Zhu M.D.
{"title":"Arthroscopic Fixation of Minimally Displaced Avulsion Fracture of Ischial Tuberosity Using a \"Double-Pulley\" Suture Anchor Technique","authors":"Tianxin Li B.S., Yuchen He M.D., Junliang Liu M. Med., Aoqiu Wu M. Med., Weihong Zhu M.D.","doi":"10.1016/j.eats.2025.103949","DOIUrl":"10.1016/j.eats.2025.103949","url":null,"abstract":"<div><div>Avulsion fracture of the ischial tuberosity is an uncommon injury caused by a sudden, forceful eccentric contraction of the hamstrings that avulses the unfused secondary ossification center from the pelvis. Although open reduction and internal fixation are recommended when fragment displacement exceeds 2 cm, reports describing minimally invasive solutions are still lacking. In addition, for those patients who are engaged in high-intensity sports or physical activities, conservative treatment can compromise hamstring power, delay return to sport, and occasionally result in chronic ischial pain. To address these limitations, we describe an arthroscopic \"double-pulley\" suture anchor fixation technique for avulsion fracture of the ischial tuberosity with 6-mm displacement. This approach reduces soft tissue trauma through minimally invasive access and avoids secondary surgeries for implant removal, potentially reducing recovery time and improving patient outcomes.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103949"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814143","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}
Arthroscopy TechniquesPub Date : 2025-12-01Epub Date: 2025-10-22DOI: 10.1016/j.eats.2025.103913
Jacob Maier M.D. , Jordan Read D.O. , Marc Philippon Jr. B.S , Michael Banffy M.D. , Jovan Laskovski M.D.
{"title":"Endoscopic Debridement and Repair of Proximal Hamstring Calcific Tendinopathy","authors":"Jacob Maier M.D. , Jordan Read D.O. , Marc Philippon Jr. B.S , Michael Banffy M.D. , Jovan Laskovski M.D.","doi":"10.1016/j.eats.2025.103913","DOIUrl":"10.1016/j.eats.2025.103913","url":null,"abstract":"<div><div>Calcific tendinopathy of the proximal hamstring has few descriptions in the literature. Although very similar to the same pathology in other anatomic locations, diagnosis can be difficult, because many physicians aren't familiar with its occurrence in this location. This pathology can cause significant pain and debility for affected patients; therefore, accurate diagnosis and treatment is essential. This Technical Note discusses the diagnosis and management, specifically endoscopic debridement and repair, of proximal hamstring tendinopathy.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103913"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814194","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}
Arthroscopy TechniquesPub Date : 2025-12-01Epub Date: 2025-10-31DOI: 10.1016/j.eats.2025.103953
Maximilian M. Mueller M.D. , Valentin Hingsamer , Sebastian Conner-Rilk M.D. , Tatiana C. Monteleone B.S. , Robert J. O'Brien Dr.P.H., M.H.S., P.A.-C. , Gregory S. DiFelice M.D.
{"title":"Primary Arthroscopic Repair of Chronic Anterior Cruciate Ligament Tears","authors":"Maximilian M. Mueller M.D. , Valentin Hingsamer , Sebastian Conner-Rilk M.D. , Tatiana C. Monteleone B.S. , Robert J. O'Brien Dr.P.H., M.H.S., P.A.-C. , Gregory S. DiFelice M.D.","doi":"10.1016/j.eats.2025.103953","DOIUrl":"10.1016/j.eats.2025.103953","url":null,"abstract":"<div><div>In this Technical Note, we present the surgical technique for primary arthroscopic repair of chronic anterior cruciate ligament (ACL) tears. This approach is indicated for proximal type I and II ACL tears with good-to-excellent tissue quality, characterized by an intact synovial sheath and a simple rupture pattern. Compared with acute ACL primary repair, the most significant challenge lies in the careful mobilization and preparation of the scarred ACL remnant. Notably, chronic ACL tears often present with tissue remnants scarred to the posterior cruciate ligament and/or the femoral notch wall, which may still show favorable tissue quality. With meticulous surgical technique and appropriate patient selection, primary arthroscopic repair of chronic ACL tears may therefore remain a viable option beyond the acute phase. Ultimately, tear location and tissue quality should be the primary determinants for selecting ACL primary repair.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103953"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814303","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}
Arthroscopy TechniquesPub Date : 2025-12-01Epub Date: 2025-11-06DOI: 10.1016/j.eats.2025.103900
Megan E. Flynn M.D. , Isabella A. Wallace B.A. , Etan P. Sugarman M.D. , Ady H. Kahana-Rojkind M.D. , Benjamin G. Domb M.D.
{"title":"The Subspine Sweep Technique for Hip Anterior Inferior Iliac Spine Extra-Articular Impingement","authors":"Megan E. Flynn M.D. , Isabella A. Wallace B.A. , Etan P. Sugarman M.D. , Ady H. Kahana-Rojkind M.D. , Benjamin G. Domb M.D.","doi":"10.1016/j.eats.2025.103900","DOIUrl":"10.1016/j.eats.2025.103900","url":null,"abstract":"<div><div>Extra-articular impingement has been reported alongside femoroacetabular impingement syndrome as a source of hip symptomatology, arising specifically from the anterior inferior iliac spine—also known as the “subspine.” Advancements in arthroscopic surgical techniques have enabled surgeons to address these extra-articular impingement sources in a minimally invasive manner. Previous evidence has shown improvement in patient-reported outcomes, a low risk of postoperative complications, and a decreased need for revision surgery. We present an arthroscopic surgical technique for achieving intra- and extra-articular subspine decompression that is reproducible. We hope this will lead to improved clinical results in patients with subspine impingement who undergo arthroscopic subspine decompression.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103900"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814232","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}
Arthroscopy TechniquesPub Date : 2025-12-01Epub Date: 2025-10-09DOI: 10.1016/j.eats.2025.103929
Brent A. Prenger B.S., Caleb J. Bischoff D.O., Te-Feng Arthur Chou M.D., Garrett R. Jackson M.D., Steven F. DeFroda M.D., M.Eng., Clayton W. Nuelle M.D.
{"title":"Techniques for Improving Visualization for Medial Meniscus Posterior Root Repair","authors":"Brent A. Prenger B.S., Caleb J. Bischoff D.O., Te-Feng Arthur Chou M.D., Garrett R. Jackson M.D., Steven F. DeFroda M.D., M.Eng., Clayton W. Nuelle M.D.","doi":"10.1016/j.eats.2025.103929","DOIUrl":"10.1016/j.eats.2025.103929","url":null,"abstract":"<div><div>Meniscal roots are critical components of the menisci that ensure joint congruity and allow the meniscus to serve its biomechanical function of converting axial loads into hoop stresses. Repairing the meniscal root is critical to prevent accelerated knee joint damage and progression to osteoarthritis, but access to the posterior roots, in particular, can be challenging. Regardless of the technique utilized, adequate visualization and access to the posterior roots is critical to perform an appropriate repair. While percutaneous release of the medial collateral ligament has been demonstrated in previous technical notes and has been shown not to negatively affect outcomes for patients, other methods for improving access and visualization to the posterior knee, such as performing a reverse notchplasty, or a resection of the medial tibial spine are also useful techniques. In this technical note, we present the senior author's combined techniques for improving visualization of the posterior meniscal root when performing a medial meniscus posterior root repair.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103929"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814251","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}
Arthroscopy TechniquesPub Date : 2025-12-01Epub Date: 2025-10-31DOI: 10.1016/j.eats.2025.103976
Ian A. Backlund M.D. , Faith A. Unger B.A. , Nate J. Dickinson B.A. , Mitch Mologne B.S. , Jasmin Schmitz P.A-C. , Ryan Froom M.S., A.T.C. , Matthew T. Provencher M.D., M.B.A., CAPT MC USNR (Ret.)
{"title":"Reconstruction of Patellar Tendon With Achilles’ Tendon Allograft for Patella Baja After Infected Anterior Cruciate Ligament Repair","authors":"Ian A. Backlund M.D. , Faith A. Unger B.A. , Nate J. Dickinson B.A. , Mitch Mologne B.S. , Jasmin Schmitz P.A-C. , Ryan Froom M.S., A.T.C. , Matthew T. Provencher M.D., M.B.A., CAPT MC USNR (Ret.)","doi":"10.1016/j.eats.2025.103976","DOIUrl":"10.1016/j.eats.2025.103976","url":null,"abstract":"<div><div>Patella baja in patients presents with limited range of motion, pain in the patellofemoral joint, and decreased functionality of the knee. Patella baja can be a result of previous surgeries due to an alteration in the knee anatomy, infection, and adhesions, and it is usually accompanied by robust scarring. Possible surgical treatments of patella baja include arthroscopic debridement of adhesions, patellar tendon lengthening, excision of the inferior pole of the patella, and patellar tendon reconstruction using autografts or allografts. This Technical Note describes a technique for patellar tendon reconstruction in the setting of patella baja using an Achilles’ tendon allograft after an infected prior anterior cruciate ligament repair.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103976"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814372","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}
Arthroscopy TechniquesPub Date : 2025-12-01Epub Date: 2025-11-12DOI: 10.1016/j.eats.2025.103961
Ayyappan V. Nair M.B.B.S., D.N.B. , Jetty Tejaswari M.B.B.S., M.S. , Prince Shanavas Khan M.S. , Kiran Veerendra M.S., M.R.C.S. , Aravind Rajan M.B.B.S., M.S., D.N.B. , Shakir Rashid M.B.B.S., M.S. , M. Priyamvada B.Tech, M.Tech
{"title":"An Arthroscopic Technique for Addressing Cartilage Defects in the Glenoid Using Bone Marrow Aspiration Concentrate After Failed Bankart Repair","authors":"Ayyappan V. Nair M.B.B.S., D.N.B. , Jetty Tejaswari M.B.B.S., M.S. , Prince Shanavas Khan M.S. , Kiran Veerendra M.S., M.R.C.S. , Aravind Rajan M.B.B.S., M.S., D.N.B. , Shakir Rashid M.B.B.S., M.S. , M. Priyamvada B.Tech, M.Tech","doi":"10.1016/j.eats.2025.103961","DOIUrl":"10.1016/j.eats.2025.103961","url":null,"abstract":"<div><div>Glenoid articular cartilage lesions are a significant cause of persistent shoulder pain, particularly following trauma or previous surgical interventions, such as failed Bankart repairs. Current surgical approaches for addressing cartilage damage in the glenohumeral joint include microfracture, osteochondral autograft transfer, osteochondral allograft transplantation, and autologous chondrocyte implantation. However, the use of bone marrow aspiration concentrate (BMAC), which is rich in mesenchymal stem cells, has emerged as a promising minimally invasive single-step procedure that promotes cartilage regeneration. This study presents an arthroscopic technique for addressing cartilage defects in the glenoid using BMAC after failed Bankart repair in a patient. Although the evidence base for BMAC in glenoid defects is limited, early clinical results suggest effective cartilage healing, few complications, and satisfactory patient outcomes. This technique appears to be safe and offers the benefit of being a single-step process that utilizes autologous bone marrow mesenchymal cells to facilitate cartilage regeneration. Further research is needed to establish the long-term efficacy of this approach for treating glenoid cartilage lesions.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103961"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814152","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}
Arthroscopy TechniquesPub Date : 2025-12-01Epub Date: 2025-11-05DOI: 10.1016/j.eats.2025.103868
Vinh Pham Dinh M.D. , Toan Nguyen Huy M.D. , Loi Do Van M.D. , Anh Tang Ha Nam Ph.D. , Quyen Nguyen Quang Ton M.D.
{"title":"Technique for Creating a Bone–Hamstring Tendon–Bone Graft for Anterior Cruciate Ligament Reconstruction","authors":"Vinh Pham Dinh M.D. , Toan Nguyen Huy M.D. , Loi Do Van M.D. , Anh Tang Ha Nam Ph.D. , Quyen Nguyen Quang Ton M.D.","doi":"10.1016/j.eats.2025.103868","DOIUrl":"10.1016/j.eats.2025.103868","url":null,"abstract":"<div><div>Hamstring tendon autograft are commonly used in anterior cruciate ligament reconstruction; however, they are classified as soft-tissue grafts, which exhibit slower graft-bone integration compared with bone-patellar tendon-bone grafts. To address this, we describe a technique to incorporate a bone block at the tibial end of the hamstring tendon graft, with the aim of enhancing graft integration and minimizing tunnel widening.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103868"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814089","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}