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Arthroscopic Hip Capsular Closure for Far Medial Defects Along the Iliopsoas Fossa
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103257
Zachary V. Braig M.D. , Xuankang Pan B.S. , Aaron J. Krych M.D. , Shane J. Nho M.D. , Mario Hevesi M.D. Ph.D.
{"title":"Arthroscopic Hip Capsular Closure for Far Medial Defects Along the Iliopsoas Fossa","authors":"Zachary V. Braig M.D. ,&nbsp;Xuankang Pan B.S. ,&nbsp;Aaron J. Krych M.D. ,&nbsp;Shane J. Nho M.D. ,&nbsp;Mario Hevesi M.D. Ph.D.","doi":"10.1016/j.eats.2024.103257","DOIUrl":"10.1016/j.eats.2024.103257","url":null,"abstract":"<div><div>As the prevalence of hip arthroscopy increases, hip capsular defects are increasingly recognized as a source of recurrent symptoms in the young athletic hip. The hip capsule is of substantial importance in providing joint stability and normal biomechanics. Several recent studies have demonstrated that capsular closure at the time of primary hip arthroscopy improves both short- and long-term patient-reported outcomes, revision rates, and conversion to arthroplasty. Similarly, capsular insufficiency has been shown to be a source of recurrent pain and microinstability. Arthroscopic hip capsular management in the setting of chronic defects can be technically challenging, and far medial defects along the iliopsoas bursa are historically difficult to successfully repair because of challenging access and common lack of a proximal cuff of tissue for repair. We present an effective method for arthroscopic management of far medial hip capsular defects that consistently allows for reproducible capsular repair even in the absence of proximal capsular tissue.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103257"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Proximal Capsular Augmentation With the Indirect Head of the Rectus Femoris for Longitudinal Capsulotomy in Primary Hip Arthroscopy
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103250
Shi-Yu Sha M.S. , Tao Liang M.S. , Yi Liu M.D. , Quan-He Jin M.D. , Wen-Guang Liu M.D. , Qing-Feng Yin M.D.
{"title":"Proximal Capsular Augmentation With the Indirect Head of the Rectus Femoris for Longitudinal Capsulotomy in Primary Hip Arthroscopy","authors":"Shi-Yu Sha M.S. ,&nbsp;Tao Liang M.S. ,&nbsp;Yi Liu M.D. ,&nbsp;Quan-He Jin M.D. ,&nbsp;Wen-Guang Liu M.D. ,&nbsp;Qing-Feng Yin M.D.","doi":"10.1016/j.eats.2024.103250","DOIUrl":"10.1016/j.eats.2024.103250","url":null,"abstract":"<div><div>The positive effect of the capsular closure in maintaining the integrity of the joint capsule has been demonstrated, but most capsular closure techniques are primarily for interportal capsulotomy, with few techniques described for longitudinal capsulotomy. In our clinical practice, the incomplete closure of the proximal capsule in longitudinal capsulotomy may result in weakness or nonunion of the proximal capsule. Thus, we propose a technique of anatomic repair of the joint capsule with the indirect head of the rectus femoris as proximal augmentation in cases of longitudinal capsulotomy. This technique could provide a plausible and feasible solution for complete capsular closure of the longitudinal capsulotomy, which could decrease the risk of weakness or nonunion of the proximal capsule.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103250"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combined Reconstruction of the Anterior Cruciate Ligament and Anterolateral Ligament by Removing the Semitendinosus and Gracilis: A Simple, Reproducible Technique
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103259
Pierre-Louis Coulet M.D., Guillaume André M.D.
{"title":"Combined Reconstruction of the Anterior Cruciate Ligament and Anterolateral Ligament by Removing the Semitendinosus and Gracilis: A Simple, Reproducible Technique","authors":"Pierre-Louis Coulet M.D.,&nbsp;Guillaume André M.D.","doi":"10.1016/j.eats.2024.103259","DOIUrl":"10.1016/j.eats.2024.103259","url":null,"abstract":"<div><div>Persistent rotatory laxity is a factor in failure after anterior cruciate ligament (ACL) reconstruction, and numerous studies have highlighted the benefits of ACL reconstruction combined with anterolateral ligament (ALL) reconstruction, in particular to reduce the risk of iterative rupture and provide additional rotatory stability. Various techniques for combined ACL-ALL reconstruction exist, none of which has been proven to be superior. We propose a surgical technique for combined ACL-ALL reconstruction using the hamstrings, pedicled semitendinosus, and gracilis, with a single femoral tunnel.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103259"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arthroscopic Excision of Metaphyseal Distal Femoral Osteochondromas
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103249
Fabien Meta M.D., Sean C. Clark M.S., Cory G. Couch M.D., Aaron J. Krych M.D., Mario Hevesi M.D., Ph.D.
{"title":"Arthroscopic Excision of Metaphyseal Distal Femoral Osteochondromas","authors":"Fabien Meta M.D.,&nbsp;Sean C. Clark M.S.,&nbsp;Cory G. Couch M.D.,&nbsp;Aaron J. Krych M.D.,&nbsp;Mario Hevesi M.D., Ph.D.","doi":"10.1016/j.eats.2024.103249","DOIUrl":"10.1016/j.eats.2024.103249","url":null,"abstract":"<div><div>Osteochondromas are benign bone tumors that result in an osseous projection along with a hyaline cartilage cap that most commonly form around the knee. Typically, they are asymptomatic, however with continued growth, symptoms may arise such as pain, mechanical symptoms, or neurovascular compression due to contact with neighboring structures resulting in the need for surgical management. The presented arthroscopic technique described herein is a safe, effective, and reproducible method for excision of benign, metaphyseal, distal femoral osteochondromas.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103249"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Autologous Tendon “Bamboo Raft” Graft for Reconstruction of Massive Irreparable Rotator Cuff Tears
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103266
Yuanqiang Li M.D., Xiaoli Gou M.D., Yan Liang M.D., Lin Ma Ph.D., Chengsong Yuan Ph.D.
{"title":"Autologous Tendon “Bamboo Raft” Graft for Reconstruction of Massive Irreparable Rotator Cuff Tears","authors":"Yuanqiang Li M.D.,&nbsp;Xiaoli Gou M.D.,&nbsp;Yan Liang M.D.,&nbsp;Lin Ma Ph.D.,&nbsp;Chengsong Yuan Ph.D.","doi":"10.1016/j.eats.2024.103266","DOIUrl":"10.1016/j.eats.2024.103266","url":null,"abstract":"<div><div>Superior capsular reconstruction has shown long-term clinical effectiveness in treating massive irreparable rotator cuff tears, playing a key role in reducing humeral head translation and restoring the force-couple balance. Various graft techniques involving different types of grafts, such as autologous fascia lata, allogeneic dermal patches, and autologous long head of the biceps tendon, have been described. However, these approaches were often limited by factors such as extensive surgical trauma, high donor-site morbidity, and insufficient mechanical strength of the grafts. We describe autologous tendons, such as the hamstring tendon, fashioned into a “bamboo raft” configuration to create a graft for massive irreparable rotator cuff tears. This technique offers several advantages, including minimal surgical trauma, low donor-site complication rates, and superior mechanical strength of the graft.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103266"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combined Anterior Cruciate Ligament Reconstruction, Posterolateral Corner Reconstruction, and Lateral Extra-Articular Tenodesis
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103244
Heath P. Gould M.D. , Sophia T. Zhuang B.A. , Erick M. Marigi M.D. , Joseph Mayer P.A.-C. , Bruce A. Levy M.D. , Robert G. Marx MD
{"title":"Combined Anterior Cruciate Ligament Reconstruction, Posterolateral Corner Reconstruction, and Lateral Extra-Articular Tenodesis","authors":"Heath P. Gould M.D. ,&nbsp;Sophia T. Zhuang B.A. ,&nbsp;Erick M. Marigi M.D. ,&nbsp;Joseph Mayer P.A.-C. ,&nbsp;Bruce A. Levy M.D. ,&nbsp;Robert G. Marx MD","doi":"10.1016/j.eats.2024.103244","DOIUrl":"10.1016/j.eats.2024.103244","url":null,"abstract":"<div><div>Over the past decade, renewed interest in the anterolateral ligament complex (ALC) has led to a significant increase in use of the lateral extra-articular tenodesis (LET) procedure. An emerging body of literature suggests that LET augmentation may be beneficial for patients undergoing primary and revision anterior cruciate ligament (ACL) reconstruction, particularly those with a higher risk of reinjury based on preoperative factors. Although limited data are available to guide the use of LET beyond isolated ACL injury, anterolateral procedures may have a role in conjunction with ACL reconstruction in the setting of a multi-ligament knee surgery. This article details our technique for performing a modified Lemaire LET procedure with iliotibial band autograft concomitantly with reconstruction of the ACL and posterolateral corner.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103244"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inlay Dynamic Anterior Stabilization With the Long Head of the Biceps Tendon and Remplissage Procedure for Patients With Subcritical Glenoid Bone Loss and On-Track Hill-Sachs Lesion
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103256
Joe Chih-Hao Chiu M.D., Ph.D. , Alberto Guevara-Alvarez M.D. , Alexandre Lädermann M.D.
{"title":"Inlay Dynamic Anterior Stabilization With the Long Head of the Biceps Tendon and Remplissage Procedure for Patients With Subcritical Glenoid Bone Loss and On-Track Hill-Sachs Lesion","authors":"Joe Chih-Hao Chiu M.D., Ph.D. ,&nbsp;Alberto Guevara-Alvarez M.D. ,&nbsp;Alexandre Lädermann M.D.","doi":"10.1016/j.eats.2024.103256","DOIUrl":"10.1016/j.eats.2024.103256","url":null,"abstract":"<div><div>Augmented Bankart with dynamic anterior stabilization (DAS) using the long head of the biceps tendon (LHBT) aims to address anteroinferior glenohumeral instability but does not specifically target Hill-Sachs lesions. The remplissage technique, “filling” the Hill-Sachs lesion, is popular for off-track lesions. The proposed combined approach seeks to stabilize the humeral head without sacrificing the coracoid, making it suitable for high-risk patients prone to recurrent shoulder instability, such as patients with subcritical glenoid bone loss. The operative technique includes patient preparation, creation of arthroscopic portals, confirmation of glenoid bone loss and other injuries, LHBT preparation and tenodesis to the anterior glenoid, and completion of the remplissage procedure. Postoperative protocols involve wearing a sling, self-mobilization, and gradual return to sports. The method aims to improve stability and outcomes in patients with complex shoulder instability issues. The DAS and remplissage is a rational choice for high-demand patients with subcritical glenoid bone loss and on-track Hill-Sachs lesions because it may provide better stability than isolated Bankart repair or Bankart plus remplissage procedures.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103256"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arthroscopic Humeral Head Hill-Sachs Grafting With Talus Allograft
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103255
William E. Harkin M.D. , Johnathon R. McCormick M.D. , Scott W. Trenhaile M.D.
{"title":"Arthroscopic Humeral Head Hill-Sachs Grafting With Talus Allograft","authors":"William E. Harkin M.D. ,&nbsp;Johnathon R. McCormick M.D. ,&nbsp;Scott W. Trenhaile M.D.","doi":"10.1016/j.eats.2024.103255","DOIUrl":"10.1016/j.eats.2024.103255","url":null,"abstract":"<div><div>The presence of a Hill-Sachs lesion is a known risk factor for recurrent shoulder instability. Many procedures have been described for the treatment of off-track Hill-Sachs lesions; however, each of these techniques is fraught with potential disadvantages and complications. In this Technical Note and accompanying video, we describe our technique for arthroscopic treatment of a Hill-Sachs lesion with talus osteochondral allograft. This technique recreates native humeral head anatomy with a highly congruent graft without altering the biomechanics of the glenohumeral joint.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103255"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Slope-Reducing Tibial Plateau-Leveling Osteotomy
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103264
Matthieu Ollivier M.D., Ph.D. , Alexander J. Hoffer M.D., M.Sc., F.R.C.S.C. , Shintaro Onishi M.D., Ph.D. , Jean Brilhault M.D., Ph.D. , Solenne Frey-Ollivier M.D. , Brian Godshaw M.D. , Kristian Kley M.D.
{"title":"Slope-Reducing Tibial Plateau-Leveling Osteotomy","authors":"Matthieu Ollivier M.D., Ph.D. ,&nbsp;Alexander J. Hoffer M.D., M.Sc., F.R.C.S.C. ,&nbsp;Shintaro Onishi M.D., Ph.D. ,&nbsp;Jean Brilhault M.D., Ph.D. ,&nbsp;Solenne Frey-Ollivier M.D. ,&nbsp;Brian Godshaw M.D. ,&nbsp;Kristian Kley M.D.","doi":"10.1016/j.eats.2024.103264","DOIUrl":"10.1016/j.eats.2024.103264","url":null,"abstract":"<div><div>Increased posterior tibial slope (PTS) is a risk factor for anterior cruciate ligament (ACL) tear and ACL reconstruction failure. Anterior closing-wedge osteotomy (ACWO) decreases the PTS and the risk of reinjury after revision ACL reconstruction. ACWO techniques include supratubercular, transtubercular, or infratubercular. However, there are limitations to the amount of slope correction an ACWO can achieve in the context of a massively abnormal slope. If the necessary slope correction is greater than 20°, a supratubercular ACWO cannot achieve the required correction without high risk of brittle fixation, a transtubercular ACWO would introduce increased morbidity of a secondary osteotomy and change the biomechanics of the patellofemoral joint resulting in significant patella alta, and an infratubercular ACWO would require a major anterior tibial metaphysodiaphyseal resection. The tibial plateau leveling osteotomy (TPLO) is an alternative curved osteotomy commonly used in canines that avoids the adverse events associated with a large ACWO. Further benefits of TPLO for massive slope correction include improved maintenance of native soft-tissue tension, avoidance of major recurvatum, and the ability to control the correct degree. We describe an open technique for a TPLO to decrease the PTS and the risk of recurrent ACL injury.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103264"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ergonomically Optimized Setup for Superior Plating of Clavicle Open Reduction and Internal Fixation
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103269
Eddie K. Afetse B.S., B.A. , Olivia M. Jochl A.B. , Taylor M. Abouhaif B.S. , Carson Campisi B.S. , Joseph J. Ruzbarsky M.D.
{"title":"Ergonomically Optimized Setup for Superior Plating of Clavicle Open Reduction and Internal Fixation","authors":"Eddie K. Afetse B.S., B.A. ,&nbsp;Olivia M. Jochl A.B. ,&nbsp;Taylor M. Abouhaif B.S. ,&nbsp;Carson Campisi B.S. ,&nbsp;Joseph J. Ruzbarsky M.D.","doi":"10.1016/j.eats.2024.103269","DOIUrl":"10.1016/j.eats.2024.103269","url":null,"abstract":"<div><div>The clavicle, characterized by its S-shaped structure, is anatomically divided into 3 sections: proximal, midshaft, and distal. Clavicle fractures are very common, particularly among children and young adults, especially with certain activities, including mountain biking, skiing, and snowboarding. Approximately 80% of these fractures are located in the middle third, with nearly half of them being displaced. Treatment for these fractures can be either operative or conservative. Although several options exist for treatment, superior plating for displaced fractures is commonly performed. This Technical Note describes an ergonomically optimized setup and preparation in the beach-chair position for superior plating of midshaft clavicle fractures.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103269"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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