Jason G. Ina M.D., Austen L. Thompson M.D., Brandon C. Cabarcas M.D., Aaron J. Krych M.D., Mario Hevesi M.D., Ph.D.
{"title":"Dry Arthroscopic Hip Labral Repair to Minimize Use of Irrigation Fluid","authors":"Jason G. Ina M.D., Austen L. Thompson M.D., Brandon C. Cabarcas M.D., Aaron J. Krych M.D., Mario Hevesi M.D., Ph.D.","doi":"10.1016/j.eats.2025.103509","DOIUrl":"10.1016/j.eats.2025.103509","url":null,"abstract":"<div><div>Hip arthroscopy is a technically demanding procedure that can require a substantial volume of irrigation fluid. Techniques should be explored to optimize fluid use while ensuring satisfactory surgical instrumentation and labral repair. In this technical note, we present a method for performing a dry arthroscopic labral repair. This technique can be used in the treatment of a variety of labral pathologies, including primary labral repair with knotless or hand-tied anchors, revision labral repair, and labral reconstruction, without the need for irrigation fluid. Additionally, we discuss supplemental techniques that can be used during other portions of the arthroscopic hip procedure to limit irrigation fluid use.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103509"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480966","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}
Nathan Moroski M.D., Geoff Marston M.D., Joshua R. Eskew M.D.
{"title":"Simple Technique to Address Graft-Tunnel Mismatch in Bone−Patellar Tendon−Bone Anterior Cruciate Ligament Reconstruction","authors":"Nathan Moroski M.D., Geoff Marston M.D., Joshua R. Eskew M.D.","doi":"10.1016/j.eats.2025.103546","DOIUrl":"10.1016/j.eats.2025.103546","url":null,"abstract":"<div><div>Graft-tunnel mismatch during anterior cruciate ligament reconstruction using bone−patellar tendon−bone autograft is a significant problem, and it is imperative that the orthopaedic surgeon knows how to address this intraoperatively. Graft-tunnel mismatch has been reported to be as high as 20% during anterior cruciate ligament reconstruction with bone−patellar tendon−bone autograft. We present a technique that is easily reproducible using a simple whipstitch for backup fixation after trimming the tibial-sided bone block that gives reliable tension on the graft without necessitating adjustment of femoral fixation.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103546"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481094","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":"Fourth-Generation Minimally Invasive Hallux Valgus Surgery With Guided Percutaneous System: Step-by-Step Surgical Technique","authors":"David Campillo-Recio M.D., Ph.D. , Eduardo Quezada-Peralta M.D. , Inés Farré-Galofré M.D. , Juan-Antonio Calle-García M.D. , Yeray Maldonado-Sotoca M.D. , Oscar Peniche-Soto M.D. , Glòria Albertí-Fitó M.D., Ph.D.","doi":"10.1016/j.eats.2025.103504","DOIUrl":"10.1016/j.eats.2025.103504","url":null,"abstract":"<div><div>Hallux valgus is a common condition in foot and ankle surgery practice. Nonoperative treatment is the first line of management in painful cases. Once these actions have failed, surgical treatment is indicated. Minimally invasive surgery has gained popularity owing to its favorable clinical and radiologic outcomes. Nevertheless, the learning curve of these procedures may be difficult in the initial cases. To solve this problem, some guided devices have been developed. The objective of this technical note is to describe 3-dimensional hallux valgus deformity correction surgery through a guided percutaneous system.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103504"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481096","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}
Jimmy Joseph Meleppuram M.S.Ortho. , Ayyappan V. Nair D.Ortho., D.N.B.Ortho. , Hamdi Nizar Ahamed M.S.Ortho. , Nizaj Nasimudeen D.N.B.Ortho., M.R.C.S. , Ananthakrishnan Radhakrishnan M.B.B.S. , Ajayakumar Thankappan M.S.Ortho. , Prince Shanavas Khan D.Ortho., M.S.Ortho.
{"title":"Arthroscopic Ankle Fusion in the Post-Polio Paralytic Foot","authors":"Jimmy Joseph Meleppuram M.S.Ortho. , Ayyappan V. Nair D.Ortho., D.N.B.Ortho. , Hamdi Nizar Ahamed M.S.Ortho. , Nizaj Nasimudeen D.N.B.Ortho., M.R.C.S. , Ananthakrishnan Radhakrishnan M.B.B.S. , Ajayakumar Thankappan M.S.Ortho. , Prince Shanavas Khan D.Ortho., M.S.Ortho.","doi":"10.1016/j.eats.2025.103547","DOIUrl":"10.1016/j.eats.2025.103547","url":null,"abstract":"<div><div>Post-polio residual paralysis can lead to severe musculoskeletal issues, including foot deformities and ankle instability, which can progress to end-stage arthritis. These complications cause significant pain and disability, dramatically impacting quality of life. Arthroscopic ankle fusion is a promising treatment option for addressing ankle joint dysfunction in post-polio patients. This technique discusses our experience with arthroscopic assisted ankle arthrodesis (tibiotalar fusion) to correct alignment and improve functionality in a post-polio residual paralytic foot.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103547"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481103","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":"Refining an Arthroscopic Technique: Prepassing Braded, Nonabsorbable Sutures With Suture Passer Through the Rotator Cuff Tendon During Rotator Cuff Repair","authors":"Zhi-Hong Zheng M.D.","doi":"10.1016/j.eats.2025.103538","DOIUrl":"10.1016/j.eats.2025.103538","url":null,"abstract":"<div><div>In this Technical Note, the author presents a technique that enhances suture management efficiency for medium-to-large rotator cuff tears by prepassing Hi-Fi sutures (Hi-Fi Suture; ConMed) with a suture passer (Spectrum AutoPass Suture Passer; ConMed). This approach addresses 2 key challenges in arthroscopic surgery: it minimizes the tangling of sutures during anchor placement by prepassing sutures, and it streamlines the procedure by eliminating redundant suture-passing steps after medial-row anchor placement. This technique improves workflow, and smoother suture integration enhances the efficiency of medial-row repair while maintaining repair quality.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103538"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481700","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}
Huazheng Qu M.D. , Hepeng Yu M.D. , Ji Li M.D. , Qiang Zhang M.D.
{"title":"Autologous Long Head of Biceps Tendon With High-Strength Suture for Reconstruction of Coracoclavicular Ligament","authors":"Huazheng Qu M.D. , Hepeng Yu M.D. , Ji Li M.D. , Qiang Zhang M.D.","doi":"10.1016/j.eats.2025.103465","DOIUrl":"10.1016/j.eats.2025.103465","url":null,"abstract":"<div><div>Acromioclavicular joint (ACJ) dislocations are common shoulder injuries. The most common causes of ACJ dislocations may also lead to SLAP lesions, which are the most common types of labral tears associated with ACJ dislocations. Tenotomy of the long head of the biceps tendon (LHBT) is one viable alternative for proximal biceps tendon pathology or SLAP tears, yielding high patient satisfaction. We describe a hybrid technique of autologous LHBT combined with FiberTape (Arthrex, Naples, FL) in a venae comitantes fashion in which a parallel figure-of-8 conjoint stabilizer is constructed for coracoclavicular ligament reconstruction to manage chronic ACJ dislocation concomitant with proximal biceps tendon pathology or SLAP lesions. The LHBT harvest procedure is entirely performed under arthroscopy and completely accomplished at the target location. In view of the high prevalence of glenohumeral pathologies concomitant with ACJ dislocation, as well as the high correlation between ACJ dislocation grades and the prevalence of SLAP tears, there are reasons to believe that the LHBT should be put to extensive use as a graft.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103465"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480624","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}
Griffin R. Rechter M.D. , Lindsay Barrera M.D. , Adam V. Daniel M.D. , Mario Hevesi M.D., Ph.D. , Aaron J. Krych M.D. , Adam Tagliero M.D. , Bruce A. Levy M.D.
{"title":"Distal Medial Collateral Ligament Avulsion Repair","authors":"Griffin R. Rechter M.D. , Lindsay Barrera M.D. , Adam V. Daniel M.D. , Mario Hevesi M.D., Ph.D. , Aaron J. Krych M.D. , Adam Tagliero M.D. , Bruce A. Levy M.D.","doi":"10.1016/j.eats.2025.103525","DOIUrl":"10.1016/j.eats.2025.103525","url":null,"abstract":"<div><div>The ability of the knee to resist valgus stress is largely a result of the integrity of the superficial medial collateral ligament (MCL) and neighboring supporting structures (i.e., deep MCL, semimembranosus, and posterior oblique ligament). The MCL is known to have a robust healing capacity; consequently, the decision to proceed with operative versus nonoperative management of even grade III MCL tears is controversial. When it comes to operative management of these injuries, the decision to proceed with repair or reconstruction is nuanced because the chronicity and location of the MCL tear (i.e., proximal, midsubstance, or distal) largely determine which technique is appropriate. In distal MCL avulsions, including the so-called Stener lesion, with good tissue quality, direct MCL repair has shown excellent mid-term outcomes. Consequently, there is a growing need to understand different techniques to address MCL incompetence. In this article, we present a method for primary MCL repair using a washer post–suture post construct.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103525"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481084","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":"Minimally Invasive Modified Ellison Procedure for Anterolateral Ligament Reconstruction With Biocomposite Knotless Anchor","authors":"Riccardo D’Ambrosi M.D. , Pietro Marchetti M.D. , Edna Skopljak M.D. , Federico Valli M.D. , Alessandro Nuara M.D. , Nicola Ursino M.D.","doi":"10.1016/j.eats.2025.103527","DOIUrl":"10.1016/j.eats.2025.103527","url":null,"abstract":"<div><div>In recent years, anterolateral ligament repair and lateral extra-articular tenodesis have gained prominence as adjuncts to anterior cruciate ligament reconstruction (ACLR). This renewed focus is driven by increasing reports of failure rates exceeding 20% in high-risk groups undergoing standalone ACLR. Despite advancements in surgical techniques, equipment, and postoperative rehabilitation for ACLR, unresolved rotational instability and the persistence of the pivot-shift phenomenon remain significant challenges after ACLR. However, concerns linger regarding potential complications associated with these procedures, including overconstraint of the lateral compartment, stiffness, infections, tunnel convergence, and other intra- and postoperative issues linked to extended surgical times and additional interventions. The aim of this surgical Technical Note is to present a minimally invasive, modified Ellison procedure, employing a biocomposite knotless suture anchor for tibial fixationoffering a potentially effective and less-invasive approach to address these challenges.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103527"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481085","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}
Justin Jabara M.D., Marcus Trotter M.D., Jamie E. Confino M.D., Alan L. Zhang M.D.
{"title":"Anterior Cruciate Ligament Repair With Suture Tape Augmentation Using Self-Tapping Knotless Anchors","authors":"Justin Jabara M.D., Marcus Trotter M.D., Jamie E. Confino M.D., Alan L. Zhang M.D.","doi":"10.1016/j.eats.2025.103532","DOIUrl":"10.1016/j.eats.2025.103532","url":null,"abstract":"<div><div>Anterior cruciate ligament (ACL) repair strategies continue to evolve as clinical outcomes have shown comparable results to ACL reconstruction in select patients. There is heterogeneity in ACL repair techniques, including knotless suture anchor fixation, suspensory cortical button fixation, and addition of suture tape for augmentation. Biologic scaffold augmentation, such as bridge-enhanced ACL repair, have been under investigation given its potential to aid in ligamentous healing. We present our technique for primary ACL repair utilizing nonabsorbable polyether ether ketone (PEEK), Stryker AlphaVent Knotless self-punching suture anchors, and suture tape augmentation. The bridge-enhanced ACL repair (BEAR) scaffold implant can also be incorporated into the repair without significant alteration of the technique, which improves intraoperative efficiency while minimizing extraneous steps.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103532"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481088","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}
Jimmy Joseph Meleppuram M.S.Ortho. , Ayyappan V. Nair D.Ortho., D.N.B.Ortho. , Hamdi Nizar Ahamed M.S.Ortho. , Nizaj N D.N.B.Ortho., M.R.C.S.(Glasgow) , Aebel Raju M.B.B.S., M.R.C.S.(England) , Ajayakumar Thankappan M.S.Ortho. , Prince Shanavas Khan D.Ortho., M.S.Ortho.
{"title":"Arthroscopic Os Trigonum Excision: Current Technique by Posterior Ankle Arthroscopy","authors":"Jimmy Joseph Meleppuram M.S.Ortho. , Ayyappan V. Nair D.Ortho., D.N.B.Ortho. , Hamdi Nizar Ahamed M.S.Ortho. , Nizaj N D.N.B.Ortho., M.R.C.S.(Glasgow) , Aebel Raju M.B.B.S., M.R.C.S.(England) , Ajayakumar Thankappan M.S.Ortho. , Prince Shanavas Khan D.Ortho., M.S.Ortho.","doi":"10.1016/j.eats.2025.103521","DOIUrl":"10.1016/j.eats.2025.103521","url":null,"abstract":"<div><div>Both open and arthroscopic techniques have been successful in treating posterior ankle impingement syndrome and related hindfoot issues. However, arthroscopy stands out for its superior benefits, including reduced morbidity, minimal scarring, less trauma to surrounding tissues, and quicker recovery, allowing patients to return to their daily lives and sporting activities swiftly. In this article, we share our positive experience with posterior ankle arthroscopy for os trigonum excision, highlighting its impact on enhancing patient outcomes and restoring full ankle function.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103521"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481095","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}