{"title":"Preparation of Fascia Lata Autograft for Mihata Technique Superior Capsule Reconstruction","authors":"Paul B. Roache M.D., Arati Mallik Dunbar M.D.","doi":"10.1016/j.eats.2024.103289","DOIUrl":"10.1016/j.eats.2024.103289","url":null,"abstract":"<div><div>The great success of fascia lata autograft for superior capsule reconstruction (SCR) as described by Mihata for massive and irreparable rotator cuff tears is the direct result of creating a thick and stiff autograft. This requires proper harvesting of the graft and correct preparation of the graft. A graft of 6 to 8 mm thick is fashioned by folding and compressing the fascia, resulting in a stiff, rubbery consistency. The healing biology and biomechanical restoration of superior stability of a properly fashioned fascia lata autograft are well documented. The clinical success of the Mihata SCR with fascia lata autograft is directly related to the extremely high healing rates of this specific graft. We present our technique for preparing the fascia lata autograft for performing the SCR per the Mihata technique.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103289"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873973","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}
Melissa L. Carpenter B.S. , Juan Bernardo Villarreal-Espinosa M.D. , Benjamin Kerzner M.D. , Fernando Gómez-Verdejo M.D. , Kristofer J. Jones M.D. , Dean Wang M.D. , Cameron Gerhold B.S. , Udit Dave B.S. , Jorge Chahla M.D., Ph.D.
{"title":"Minimally Invasive Unicompartmental Articular Resurfacing","authors":"Melissa L. Carpenter B.S. , Juan Bernardo Villarreal-Espinosa M.D. , Benjamin Kerzner M.D. , Fernando Gómez-Verdejo M.D. , Kristofer J. Jones M.D. , Dean Wang M.D. , Cameron Gerhold B.S. , Udit Dave B.S. , Jorge Chahla M.D., Ph.D.","doi":"10.1016/j.eats.2024.103351","DOIUrl":"10.1016/j.eats.2024.103351","url":null,"abstract":"<div><div>Osteochondral defects in the knee can be managed in a variety of ways on the basis of location, size, and activity level. Current strategies to address these lesions produce variable long-term clinical outcomes and are associated with prolonged postoperative rehabilitation. In this Technical Note, we describe a reproducible, single-staged surgical technique for use of the OvertureTi Minimally Invasive Unicompartmental Articular Knee Resurfacing System. This system provides a viable alternative to biological surgical options or knee arthroplasty by selectively treating focal chondral lesions, while preserving healthy surrounding cartilage and meniscus.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103351"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874753","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":"Endoscopic Abductor Repairs of the Hip Simplified: Double-Pulley Suture-Passage Free Technique","authors":"Ting Zhang M.D. , Brendan Swift M.D., F.R.C.S.C. , Fauzen Akhter B.Sc. , Olufemi Ayeni M.D., Ph.D., F.R.C.S.C. , Mahmoud Almasri M.D., F.R.C.S.C.","doi":"10.1016/j.eats.2024.103306","DOIUrl":"10.1016/j.eats.2024.103306","url":null,"abstract":"<div><div>Greater trochanteric pain syndrome is a prevalent cause of lateral-sided hip pain. In this Technical Note, we propose an endoscopic double-pulley technique that demonstrates gluteus medius and minimus repair via a double-row tape-bridge configuration. Our approach facilitates abductor repair in a consistent and reproducible manner using 3 to 4 peritrochanteric portals while avoiding the difficulties of antegrade or retrograde suture passage. This surgical technique is useful for high-grade partial tears, minimally retracted full-thickness tears, or refractory greater trochanteric pain syndrome with gluteal tendinopathy.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103306"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874653","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}
Peiguan Huang M.Med., Xiaoxu Wang M.Med., Yong Fu M.D., Zhengmao Li M.D., Bin Peng M.D., Min He M.D., Chunrong He M.D.
{"title":"Arthroscopic “Mini-Incision” Transtendon Repair Combined With Tri-Anchor Double-Pulley Suture-Bridge Repair of PASTA Lesion","authors":"Peiguan Huang M.Med., Xiaoxu Wang M.Med., Yong Fu M.D., Zhengmao Li M.D., Bin Peng M.D., Min He M.D., Chunrong He M.D.","doi":"10.1016/j.eats.2024.103355","DOIUrl":"10.1016/j.eats.2024.103355","url":null,"abstract":"<div><div>Currently, transtendon repair is a popular way to treat PASTA (partial articular supraspinatus tendon avulsion) lesions. However, tendon trauma on the bursal layer, which may cause tendon retear, is a defect of transtendon repair. Arthroscopic “mini-incision” transtendon repair combined with tri-anchor double-pulley suture-bridge (DPSB) repair is a pragmatic surgical technique. In the treatment of PASTA lesions, the mini-incision can minimize tendon trauma; crossing sutures of 4 sets of DPSBs can perfectly close the mini-incision; and 2 lateral-row anchors can reduce the stress of the DPSB and make the suture structure stronger.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103355"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874661","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}
Andrew Renshaw M.D., Evans Few M.D., Noah Schneider, Karim Meijer M.D.
{"title":"Anatomic 2-Incision Distal Biceps Technique Using Unicortical Buttons","authors":"Andrew Renshaw M.D., Evans Few M.D., Noah Schneider, Karim Meijer M.D.","doi":"10.1016/j.eats.2024.103343","DOIUrl":"10.1016/j.eats.2024.103343","url":null,"abstract":"<div><div>Most patients with distal biceps tendon ruptures would benefit from surgical intervention, however, there has yet to be a clear consensus regarding the optimal technique and method of distal biceps fixation. Techniques can be broadly classified by approach—1-incision or 2-incision approach—and method of fixation—including options such as bone tunnel, cortical button, suture anchor, and interference screw fixation. In this article, we describe a technique for anatomic fixation of the distal biceps tendon, utilizing 2 looped sutures and 2 unicortical suture buttons. The described technique is performed through a muscle-splitting, 2-incision approach but can be performed through a 1-incision approach.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103343"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874665","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":"Posterior Stabilization and Reverse Hill-Sachs Remplissage Using Linked Knotless Anchors","authors":"Nasri H. Zreik M.B. Ch.B. (Hons), B.Sc. (Hons), M.Sc. (Res), P.G.Cert. (Med; Ed;), F.R.C.S. (Orth)., F.E.B.O.T., F.H.E.A., Magnus Arnander M.Sc. , F.R.C.S. (Orth)., Dip. Hand Surg., Eyiyemi Pearse B.M., B.Ch. (Oxon), B.A. (Hons), M.A. (Oxon), F.R.C.S., (Orth)., Duncan Tennent B.Sc. (Hons), F.R.C.S. (Orth), Pg.Cert. (MedEd), M.A.cadM.Ed., F.F.S.T.Ed.","doi":"10.1016/j.eats.2024.103285","DOIUrl":"10.1016/j.eats.2024.103285","url":null,"abstract":"<div><div>Posterior glenohumeral dislocation can result in impaction fractures to the anteromedial humeral head, known as a reverse Hill-Sachs lesion. They may also cause damage to the posterior capsuloligamentous structures. This can lead to ongoing posterior instability and altered biomechanics resulting in early degenerative changes. Ongoing symptoms may result in challenges to a patient’s day-to-day and sporting activities. Early intervention to stabilize the shoulder may help avoid these. We present a reproducible technique for posterior stabilization using linked knotless anchors to perform a remplissage of the subscapularis into the reverse Hill-Sachs lesion defect that avoids the need for exposure of the subcoracoid bursa.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103285"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873913","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":"Simple Intraoperative Method for Administration of Local Antibiotic Powder in Orthopaedic Surgery","authors":"Zachary Reynolds M.D., Joshua Eskew M.D., Justin Vaida M.D., Michael Sridhar M.D.","doi":"10.1016/j.eats.2024.103342","DOIUrl":"10.1016/j.eats.2024.103342","url":null,"abstract":"<div><div>Surgical site infections have a profound impact on patient outcomes and health care costs. Recent orthopaedic literature highlights the efficacy of using local antibiotic powder to mitigate these infections, particularly in high-risk orthopaedic cases such as open fractures and for patients with significant comorbidities. Often, particularly in deep surgical sites, it is difficult to get a sufficient amount of the powder to the targeted location. We describe a simple technique for much more precise antibiotic administration utilizing readily available supplies in the operating room, including a 10-cc syringe. This technique offers a straightforward and cost-effective means of administering antibiotic powder at specific locations to the surgical site without the frustration of powder loss from the wound.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103342"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874652","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":"Chinese Knot Stitch Technique: A Simple Technique for Arthroscopic Biceps Tenodesis","authors":"Jiapeng Zheng M.M. , Wuyuan Zheng M.M.","doi":"10.1016/j.eats.2024.103377","DOIUrl":"10.1016/j.eats.2024.103377","url":null,"abstract":"<div><div>Lesions of the long head of the biceps tendon are commonly associated with shoulder pain and functional impairment. Surgical treatment through tenodesis has proven to be effective, but there is no consensus on the optimal technique. In this study, we present an all-arthroscopic biceps tenodesis technique inspired by the Chinese knot. This technique is relatively simple for experienced arthroscopic surgeons and has a short learning curve. It provides superior gripping strength to the biceps tendon through a double-locking suture loop, restoring its length-tension relationship.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103377"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874664","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}
Olivia M. Jochl A.B. , Daniel Kopolovich M.D. , Eddie K. Afetse B.S., B.A. , Jasmine V. Hartman Budnik B.S. , Marc J. Philippon M.D.
{"title":"Arthroscopic Treatment of Acetabular Chondral Delamination","authors":"Olivia M. Jochl A.B. , Daniel Kopolovich M.D. , Eddie K. Afetse B.S., B.A. , Jasmine V. Hartman Budnik B.S. , Marc J. Philippon M.D.","doi":"10.1016/j.eats.2024.103286","DOIUrl":"10.1016/j.eats.2024.103286","url":null,"abstract":"<div><div>Acetabular cartilage debonding is associated with an intraoperative finding known as the wave sign. As the result of the difficulties of identifying chondral injuries on preoperative imaging, the wave sign, also known as the bubble sign or carpet phenomenon, provides necessary information on the condition of the acetabular cartilage. Because the wave sign is often observed alongside cam lesions, cartilage debonding may progress to full-thickness defects, exposure of subchondral bone, and degenerative arthritis if not addressed. The objective of this Technical Note is to describe an anatomic arthroscopic repair of delaminate acetabular cartilage associated with the wave sign.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103286"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874840","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}
Zhenlong Liu M.D. , Zhenchen Hou M.D. , Tong Pan M.D. , Weixin Ye M.D. , Chang Liu M.D. , Yingfang Ao M.D. , Xi Gong M.D.
{"title":"Tissue Engineered Cartilage Repair Using Small-Incision Implantation of Decalcified Corticocancellous Bone Scaffold","authors":"Zhenlong Liu M.D. , Zhenchen Hou M.D. , Tong Pan M.D. , Weixin Ye M.D. , Chang Liu M.D. , Yingfang Ao M.D. , Xi Gong M.D.","doi":"10.1016/j.eats.2024.103346","DOIUrl":"10.1016/j.eats.2024.103346","url":null,"abstract":"<div><div>Treatment of cartilage injuries is a prominent topic internationally. Recently, tissue engineering has been used to repair cartilage injury. In China, several scaffolds have been approved for clinical trials aimed at cartilage repairing. The successful implantation of scaffold in cartilage defect areas is crucial for effective treatment. The procedure is crucial in ensuring that the scaffold is implanted successfully, which is fundamental for a good prognosis. International reports on tissue-engineered scaffold implantation technologies highlight both advantages and disadvantages. Because of limitations in the required equipment and materials, some of the surgical techniques used internationally are not applicable in China. To optimize the technology of tissue-engineered scaffolds for cartilage repair in China, this Technical Note discusses the implantation techniques and skills involved, focusing on small-incision implantation of decalcified cortex-cancellous bone scaffolds. This work contributes to standardizing the surgical procedures for tissue engineering scaffold technology in repairing cartilage injuries.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103346"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874842","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}