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Distally Based Patella Tendon Shortening With Medial Patellotibial Ligament Reconstruction 髌胫韧带内侧重建术中的髌腱远端缩短术
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103066
Harris S. Slone M.D., Jonathan Pire M.D., Cody Ashy M.D., Henry Baird B.S., W. Michael Pullen M.D.
{"title":"Distally Based Patella Tendon Shortening With Medial Patellotibial Ligament Reconstruction","authors":"Harris S. Slone M.D.,&nbsp;Jonathan Pire M.D.,&nbsp;Cody Ashy M.D.,&nbsp;Henry Baird B.S.,&nbsp;W. Michael Pullen M.D.","doi":"10.1016/j.eats.2024.103066","DOIUrl":"10.1016/j.eats.2024.103066","url":null,"abstract":"<div><div>Patella alta is a common pathoanatomic contributor to various knee pathologies, including patella instability, fat pad impingement, and patellar tendinopathy. The 2 most common surgical techniques used to treat patella alta include a distalizing tibial tubercle osteotomy and patella tendon imbrication. Although these 2 surgical techniques are effective, they are associated with significant surgical morbidity and a limiting postoperative course with prolonged rehabilitation. In this Technical Note, we propose a simple means of distalizing the patella and improving patella maltracking via the addition of a medial patellotibial ligament reconstruction. The described technique is easy to perform, has little postoperative morbidity, and is familiar to most knee surgeons who perform anterior cruciate ligament reconstruction.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532641","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 All-Inside Posterior Cruciate Ligament Avulsion Fracture Suture Fixation With Double-Tunnel Pullout and High-Strength Suture Tape Augmentation Using Trans-septal Approach 关节镜下全内侧后交叉韧带撕脱性骨折缝合固定术，双隧道牵引和高强度缝合带增强，采用经关节腔入路
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103091
Marcello Capella M.D. , Davide D’Antonio M.D. , Luca Drocco M.D. , Luca Barberis M.D. , Daniele Vezza M.D. , Fortunato Giustra M.D. , Alessandro Massè M.D.
{"title":"Arthroscopic All-Inside Posterior Cruciate Ligament Avulsion Fracture Suture Fixation With Double-Tunnel Pullout and High-Strength Suture Tape Augmentation Using Trans-septal Approach","authors":"Marcello Capella M.D. ,&nbsp;Davide D’Antonio M.D. ,&nbsp;Luca Drocco M.D. ,&nbsp;Luca Barberis M.D. ,&nbsp;Daniele Vezza M.D. ,&nbsp;Fortunato Giustra M.D. ,&nbsp;Alessandro Massè M.D.","doi":"10.1016/j.eats.2024.103091","DOIUrl":"10.1016/j.eats.2024.103091","url":null,"abstract":"<div><div>This technical note aims to provide a detailed description of our arthroscopic technique for suture fixation of posterior cruciate ligament (PCL) tibial avulsion fractures. Various surgical approaches have been described, including both open and arthroscopic techniques. The arthroscopic approach can be less disruptive and more accurate in visualizing anatomic landmarks. It also may ensure good and reliable fracture reduction and fixation. This article describes a technique for arthroscopic all-inside fixation of PCL avulsion fractures using a double-tunnel pullout method. The procedure involves trans-septal visualization and whipstitching suturing of the PCL with 1.5-mm high-strength, nonresorbable transverse ribbon suture (LabralTape; Arthrex, Naples, FL) and a crosstie-like suture with a high-strength, nonresorbable suture tape (FiberTape; Arthrex) embracing the PCL from anterior to posterior. Finally, the avulsion fracture is secured by tensioning a high-strength suture tape from the femur to the tibia along the PCL structure as an InternalBrace ligament augmentation (Arthrex). This technique allows for anatomic reduction and stable fixation of the displaced fracture through optimal trans-septal visualization and the PCL whipstitching technique, further secured by the InternalBrace ligament augmentation, enabling early and intensive rehabilitation.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532645","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 Biologic Acromiotuberoplasty for Irreparable Rotator Cuff Tears 关节镜下生物喙突成形术治疗无法修复的肩袖撕裂
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103073
Jarod A. Richards M.D., David R. Woodard M.D., H. Mike Kim M.D.
{"title":"Arthroscopic Biologic Acromiotuberoplasty for Irreparable Rotator Cuff Tears","authors":"Jarod A. Richards M.D.,&nbsp;David R. Woodard M.D.,&nbsp;H. Mike Kim M.D.","doi":"10.1016/j.eats.2024.103073","DOIUrl":"10.1016/j.eats.2024.103073","url":null,"abstract":"<div><div>Recent attention has turned toward the prevention of acromiohumeral abutment in the treatment of irreparable rotator cuff tears (IRCTs). This can be achieved through tendon transfer with a bridging allograft, superior capsular reconstruction, dermal allograft application to the greater tuberosity (biologic tuberoplasty), bursal acromial reconstruction, or subacromial balloon spacer placement. Recent literature has demonstrated increased graft thickness is associated with improved clinical outcomes after superior capsular reconstruction, suggesting a potential role of a direct bone-to-bone contact between the greater tuberosity and acromion in symptom generation in patients with IRCTs. In keeping with this ethos and building on the principle of both biologic tuberoplasty and bursal acromial reconstruction, the authors propose biologic acromiotuberoplasty as a treatment for IRCTs wherein a 3-mm dermal allograft is fixated to both the greater tuberosity of the humerus and the undersurface of the acromion for a total of 6 mm of allograft interposition.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532738","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
“Mini-Incision” Transtendon Double-Pulley Suture-Bridge Repair of PASTA Lesion "微型切口 "经腱双滑轮缝合桥修复 PASTA 病损
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103068
{"title":"“Mini-Incision” Transtendon Double-Pulley Suture-Bridge Repair of PASTA Lesion","authors":"","doi":"10.1016/j.eats.2024.103068","DOIUrl":"10.1016/j.eats.2024.103068","url":null,"abstract":"<div><div>Transtendon repair is increasingly applied in the treatment of PASTA (partial articular supraspinatus tendon avulsion) lesions, but a “tendon hole” from anchor insertion, which will break the intact bursal layer and potentially result in tear completion, is an unavoidable problem. The “mini-incision” transtendon double-pulley suture bridge presented in the study is a pragmatic technique in treatment of PASTA lesion. The 4 suture strands on the medial-row anchor provide enough biomechanical strength on the reattached articular layer, the “mini-incision” minimizes iatrogenic trauma on the bursal layer, and double-pulley suture-bridge smoothly covers the “mini-incision” so as to achieve anatomical reduction of articular and bursa side of supraspinatus tendon. The surgical technique is described, as well as pearls, pitfalls, advantages, and disadvantages.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141415667","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
Olecranon Fossa Fenestration Approach to the Coronoid and Anterior Elbow: The Way OFF. 肘关节冠状窝和肘关节前部栅栏入路：关闭方法。
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103078
Paolo Arrigoni M.D. , Valeria Vismara M.D. , Alfonso Liccardi M.D. , Jane Messina M.D. , Pietro Simone Randelli M.D.
{"title":"Olecranon Fossa Fenestration Approach to the Coronoid and Anterior Elbow: The Way OFF.","authors":"Paolo Arrigoni M.D. ,&nbsp;Valeria Vismara M.D. ,&nbsp;Alfonso Liccardi M.D. ,&nbsp;Jane Messina M.D. ,&nbsp;Pietro Simone Randelli M.D.","doi":"10.1016/j.eats.2024.103078","DOIUrl":"10.1016/j.eats.2024.103078","url":null,"abstract":"<div><div>Hypertrophic osteoarthritis of the elbow is a challenging condition that can vary from mild to severe, affecting patients’ quality of life due to pain and loss of range of motion. A consensus about its treatment does not exist. Open arthrolysis with capsular release, synovectomy, Outerbridge-Kashiwagi fenestration, and removal of loose bodies and osteophytes demonstrated good results. In more recent times, an arthroscopic procedure has been shown to have the same efficacy as the open one. The aim of this Technical Note is to describe an all-arthroscopic procedure to reach the coronoid tip, in a safe and reproducible manner, through an olecranon fossa fenestration with a direct transtricipital posterior portal and an anterior cruciate ligament guide.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532732","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 Subpectoral Tenodesis of the Long Head of the Biceps Brachii 关节镜下肱二头肌长头腱鞘切除术
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103079
{"title":"Arthroscopic Subpectoral Tenodesis of the Long Head of the Biceps Brachii","authors":"","doi":"10.1016/j.eats.2024.103079","DOIUrl":"10.1016/j.eats.2024.103079","url":null,"abstract":"<div><div>The long head of the biceps brachii is a common pain generator in the shoulder that is often managed surgically with tenotomy or tenodesis. The clinical outcomes after tenotomy and tenodesis are comparable. However, tenodesis is preferred in the active population owing to complications associated with tenotomy, including cosmetic deformity, early fatigue, and cramping. Controversy surrounds both the approach and location of tenodesis. Both open and arthroscopic techniques have been described. An arthroscopic approach is used for tenodesis within the intertubercular groove between the humeral head articular margin and superior border of the pectoralis major but has the drawback of pathologic tendon retained in the groove. An open approach is generally reserved for subpectoral tenodesis, which has the advantage of no retained pathologic tendon but has the drawbacks of an open approach. We describe an all-arthroscopic technique for subpectoral tenodesis of the long head of the biceps brachii at the lower border of the pectoralis major.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141275790","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 Debridement and Fixation of Osteochondritis Dissecans Lesions of the Medial Femoral Condyle 关节镜下股骨内侧髁骨软骨炎脱落病变的清创和固定术
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103111
Charles L. Holliday M.D., Xuankang Pan B.S., Adam J. Tagliero M.D., Daniel B.F. Saris M.D., Ph.D., Todd A. Milbrandt M.D., Aaron J. Krych M.D., Mario Hevesi M.D., Ph.D.
{"title":"Arthroscopic Debridement and Fixation of Osteochondritis Dissecans Lesions of the Medial Femoral Condyle","authors":"Charles L. Holliday M.D.,&nbsp;Xuankang Pan B.S.,&nbsp;Adam J. Tagliero M.D.,&nbsp;Daniel B.F. Saris M.D., Ph.D.,&nbsp;Todd A. Milbrandt M.D.,&nbsp;Aaron J. Krych M.D.,&nbsp;Mario Hevesi M.D., Ph.D.","doi":"10.1016/j.eats.2024.103111","DOIUrl":"10.1016/j.eats.2024.103111","url":null,"abstract":"<div><div>Unstable osteochondritis dissecans lesions of the medial femoral condyle have classically been treated with open reduction and fixation under direct visualization through an open arthrotomy. Given the value of avoiding open arthrotomies, we present an arthroscopic approach for lesion elevation, debridement, and fixation. The lesion is first elevated using an arthroscopic elevator, leaving a laterally based osseous hinge. Once elevated, fibrous debris is debrided from the base of the lesion. Subsequently, the fragment is reduced, and percutaneous transpatellar instrumentation is used for fixation. The use of this technique allows for excellent mobilization, debridement, and fixation of the osteochondritis dissecans lesion while minimizing violation of periarticular soft tissues.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853030","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 and Anterolateral Ligament Reconstruction Using the Superficial Layer Quadriceps Tendon Graft: Surgical Technique Description 使用浅层股四头肌肌腱移植重建前交叉韧带和前外侧韧带：手术技术描述
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103067
Bernardo Garcia Barroso M.D. , Sergio Marinho de Gusmão Canuto M.D. , Camilo Partezani Helito M.D., Ph.D. , Márcio Cabral Fagundes Rêgo M.D. , Felipe Silveira Martins M.D. , Marcelo Cabral Fagundes Rêgo M.D.
{"title":"Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction Using the Superficial Layer Quadriceps Tendon Graft: Surgical Technique Description","authors":"Bernardo Garcia Barroso M.D. ,&nbsp;Sergio Marinho de Gusmão Canuto M.D. ,&nbsp;Camilo Partezani Helito M.D., Ph.D. ,&nbsp;Márcio Cabral Fagundes Rêgo M.D. ,&nbsp;Felipe Silveira Martins M.D. ,&nbsp;Marcelo Cabral Fagundes Rêgo M.D.","doi":"10.1016/j.eats.2024.103067","DOIUrl":"10.1016/j.eats.2024.103067","url":null,"abstract":"<div><div>We present a technique for the combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction using the superficial layer quadriceps tendon graft. Anatomic reconstruction is achieved with outside-in femoral tunnel drilling. The femoral drill guide has an intra-articular placement at the femoral footprint of the ACL and an extra-articular placement at the femoral ALL attachment. This surgical technique does not need any special instruments and consists of 3 bone tunnels. The long length and customized superficial quadriceps tendon graft is harvested in a minimally invasive manner and allows an accessible and low-cost reconstruction of both ligaments.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532642","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
Revision Meniscal Repair With Amniotic Membrane Augmentation 羊膜增强翻修半月板修复术
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103072
{"title":"Revision Meniscal Repair With Amniotic Membrane Augmentation","authors":"","doi":"10.1016/j.eats.2024.103072","DOIUrl":"10.1016/j.eats.2024.103072","url":null,"abstract":"<div><div>Meniscal injury is common, and despite modern techniques, the failure rate following repair remains high. While there are recent treatment advances in the form of biologics, there is limited evidence and agreement on these emerging therapies and their role in meniscal healing. Amniotic tissue (umbilical cord allograft) is a biologic augmentation therapy that has been utilized in other musculoskeletal applications but has not been reported for use in meniscal repair. We describe a technique to deliver an allograft amniotic membrane into a meniscus tear repair site, potentially optimizing healing.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141414719","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
Microfragmented Adipose Tissue Associated With Collagen Membrane in the Treatment of Focal Knee Cartilage Defect 与胶原蛋白膜相关的微碎脂肪组织在治疗局部膝关节软骨缺损中的应用
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103075
{"title":"Microfragmented Adipose Tissue Associated With Collagen Membrane in the Treatment of Focal Knee Cartilage Defect","authors":"","doi":"10.1016/j.eats.2024.103075","DOIUrl":"10.1016/j.eats.2024.103075","url":null,"abstract":"<div><div>Focal articular cartilage defects are an important factor that leads to dysfunction of the knee joint. Several different surgical approaches have been tried, most of them showing poor results in the long term. The use of orthobiologics in the context of focal chondral lesion has emerged as a potential tool in the treatment of this condition. In this article, we present a surgical technique for the treatment of focal chondral lesions using a collagen membrane associated with microfragmented adipose tissue graft.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141279343","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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