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Arthroscopic Rotator Cuff Repair With a Compressed Long Head of the Biceps Tendon Interposition Graft. 关节镜下肱二头肌长头肌腱间置移植术修复肩袖。
IF 1.5
Arthroscopy Techniques Pub Date : 2026-08-27 eCollection Date: 2026-09-01 DOI: 10.1002/atn2.70236
Wei-Jie Gong, Han-Tao Jiang, Rang-Teng Zhu
{"title":"Arthroscopic Rotator Cuff Repair With a Compressed Long Head of the Biceps Tendon Interposition Graft.","authors":"Wei-Jie Gong, Han-Tao Jiang, Rang-Teng Zhu","doi":"10.1002/atn2.70236","DOIUrl":"10.1002/atn2.70236","url":null,"abstract":"<p><p>Incomplete healing and structural failure remain major challenges after arthroscopic rotator cuff repair, particularly in large or chronic tears. These intrinsic tissue limitations continue to restrict durable tendon-to-bone healing, even in the presence of advances in suture configurations and anchor technology. Consequently, biologic augmentation strategies targeting the tendon-bone interface have gained increasing attention to enhance structural integrity and optimize the healing environment. Among available autograft options, the long head of the biceps tendon provides a biologically compatible and readily accessible tissue source that has been previously incorporated into rotator cuff reconstruction techniques. Here, we describe the use of a compressed autograft long head of the biceps tendon graft as an interposition graft in double-row rotator cuff repair.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70236"},"PeriodicalIF":1.5,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13521175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841632","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
A Biologic Hybrid Approach Combining Superior Capsular Reconstruction, Long Head of the Biceps Tendon Rerouting, and Rotator Cuff Repair. 结合上囊重建、二头肌长头肌腱改道和肩袖修复的生物混合入路。
IF 1.5
Arthroscopy Techniques Pub Date : 2026-08-25 eCollection Date: 2026-09-01 DOI: 10.1002/atn2.70245
Bo Taek Kim, Han Ju Kim, Hyun Woo Cho, Sung Woo Hong
{"title":"A Biologic Hybrid Approach Combining Superior Capsular Reconstruction, Long Head of the Biceps Tendon Rerouting, and Rotator Cuff Repair.","authors":"Bo Taek Kim, Han Ju Kim, Hyun Woo Cho, Sung Woo Hong","doi":"10.1002/atn2.70245","DOIUrl":"10.1002/atn2.70245","url":null,"abstract":"<p><p>Large to massive posterior superior rotator cuff tears remain challenging to treat because chronic tendon retraction, fatty degeneration, and muscle atrophy often preclude durable repair. Superior capsular reconstruction using fascia lata autograft has been introduced to restore superior glenohumeral stability; however, graft failure, donor site morbidity, and limited biological incorporation remain concerns. Use of the long head of the biceps tendon (LHBT) as an autologous, vascularized tissue source has been proposed to enhance biological healing and avoid allograft-related complications, although isolated LHBT-based techniques may provide limited and unpredictable stability. This technical note describes a hybrid arthroscopic technique that combines standard superior capsular reconstruction with LHBT rerouting and augmentation using available rotator cuff tissue. The procedure integrates 3 complementary components: rerouting and fixation of the LHBT as a biologic static stabilizer, dermal allograft-based superior capsular reconstruction to restore superior capsular integrity, and triple-row augmentation of remnant rotator cuff tissue over the construct to maximize footprint coverage and biological healing potential. Indications include large to massive posterior superior rotator cuff tears with an intact or minimally torn LHBT and without advanced glenohumeral arthritis. This combined approach aims to improve superior glenohumeral stability, enhance graft support, and create a favorable biological environment while maintaining a reproducible arthroscopic workflow.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70245"},"PeriodicalIF":1.5,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820023","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
Physeal Sparing Posterior Cruciate Ligament Reconstruction in Paediatric Patients With Open Physes Using an Outside-In Femoral Tunnel and a Low Tibial Tunnel. 保留骨骺的后交叉韧带重建应用股骨外-内隧道和胫骨下隧道治疗小儿开放性骨骺。
IF 1.5
Arthroscopy Techniques Pub Date : 2026-08-23 eCollection Date: 2026-09-01 DOI: 10.1002/atn2.70239
Shengkun Wu, Ruiying Pang, Ruoxi Zhang, Zhikuan Li, CongLei Dong, Jiangtao Dong
{"title":"Physeal Sparing Posterior Cruciate Ligament Reconstruction in Paediatric Patients With Open Physes Using an Outside-In Femoral Tunnel and a Low Tibial Tunnel.","authors":"Shengkun Wu, Ruiying Pang, Ruoxi Zhang, Zhikuan Li, CongLei Dong, Jiangtao Dong","doi":"10.1002/atn2.70239","DOIUrl":"10.1002/atn2.70239","url":null,"abstract":"<p><p>In recent years, with increasing participation of adolescents in sports activities, the incidence of posterior cruciate ligament (PCL) injuries in paediatric patients has been increasingly reported. Conventional PCL reconstruction techniques typically require drilling femoral and tibial tunnels that cross or are adjacent to the physes. In paediatric patients with open physes, this technique carries a risk of damage to the physes, growth arrest, and lower limb deformity. For patients with open physes, a PCL reconstruction technique that both avoids physeal injury and restores knee stability is of critical importance. We describe a PCL reconstruction technique in this technical note. On the femoral side, a retrograde outside-in drilling technique is employed to create the femoral tunnel distal to the physis. On the tibial side, using the meniscofemoral-like structure as a reference, a low tibial tunnel is recreated.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70239"},"PeriodicalIF":1.5,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13500210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814268","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
Standardized Patient Positioning and Operating Room Setup for Ankle Arthroscopy: A Technical Note. 踝关节镜标准化患者体位和手术室设置：技术说明。
IF 1.5
Arthroscopy Techniques Pub Date : 2026-08-23 eCollection Date: 2026-09-01 DOI: 10.1002/atn2.70237
Julien Paquot, David Roche, Ronny Lopes
{"title":"Standardized Patient Positioning and Operating Room Setup for Ankle Arthroscopy: A Technical Note.","authors":"Julien Paquot, David Roche, Ronny Lopes","doi":"10.1002/atn2.70237","DOIUrl":"10.1002/atn2.70237","url":null,"abstract":"<p><p>This technical note describes and standardizes patient positioning and operating room setup for ankle arthroscopy in supine, prone, and lateral decubitus positions. The proposed configuration emphasizes ergonomic optimization, efficient cable management, and improved workflow for both surgeon and assistant. A reproducible organization of the arthroscopy tower and instrument table facilitates visualization, instrument handling, and safety while minimizing sterility breaches and technical incidents. This standardized setup enhances the efficiency, reproducibility, and overall safety of ankle arthroscopy, provided that sufficient space is maintained around the operating table.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70237"},"PeriodicalIF":1.5,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13500211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814310","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
Fixation Treatment of Anterior Cruciate Ligament Avulsion Fracture via Suture-Bridge Technique Through Transtibial Tunnels. 经胫骨隧道缝桥固定治疗前交叉韧带撕脱骨折。
IF 1.5
Arthroscopy Techniques Pub Date : 2026-08-23 eCollection Date: 2026-09-01 DOI: 10.1002/atn2.70241
Peisi Hou, Chenyang Meng, Jie Xu, WenQiang Zhao, Yuhang Wei, Changxu Han
{"title":"Fixation Treatment of Anterior Cruciate Ligament Avulsion Fracture via Suture-Bridge Technique Through Transtibial Tunnels.","authors":"Peisi Hou, Chenyang Meng, Jie Xu, WenQiang Zhao, Yuhang Wei, Changxu Han","doi":"10.1002/atn2.70241","DOIUrl":"10.1002/atn2.70241","url":null,"abstract":"<p><p>Surgical intervention is usually required for type III/IV avulsion fractures of the inferior insertion of the anterior cruciate ligament. Arthroscopically assisted suture-bridge technique with anchors and trans-tibial tunnel pull-out suture fixation using high-strength sutures are currently common surgical methods. However, the biomechanical performance of anchor fixation and transosseous tunnel pull-out fixation is suboptimal. For patients with high sports demands or those who need to return to competitive sports early. It is crucial to ensure the stability and a good range of motion of the knee joint. To this end, we adopted the trans-tibial tunnel pull-out suture-bridge fixation technique. It can provide satisfactory anatomical reduction, increase the contact area of fracture fragments and fixation strength, and achieve better biomechanical outcomes.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70241"},"PeriodicalIF":1.5,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13501088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814273","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
A Modified "Suspender-Type" Traction-Preservation and Native Ligament Reconstruction Using Hamstring Autograft for Anterior Cruciate Ligament Femoral-Side Avulsion. 改良的“悬吊式”牵引保留及自体腘绳肌腱移植修复股骨侧前交叉韧带撕脱。
IF 1.5
Arthroscopy Techniques Pub Date : 2026-08-22 eCollection Date: 2026-09-01 DOI: 10.1002/atn2.70234
Haiwei Yan, Xiaoling Qin
{"title":"A Modified \"Suspender-Type\" Traction-Preservation and Native Ligament Reconstruction Using Hamstring Autograft for Anterior Cruciate Ligament Femoral-Side Avulsion.","authors":"Haiwei Yan, Xiaoling Qin","doi":"10.1002/atn2.70234","DOIUrl":"10.1002/atn2.70234","url":null,"abstract":"<p><p>Anterior cruciate ligament rupture, a common sports-related knee injury, often causes instability and functional impairment and increases the long-term risk of osteoarthritis. Traditional remnant-preserving anatomical reconstruction is the first-line treatment for midsubstance tears, but optimal management of femoral-side avulsion injuries remains challenging. The vascular femoral attachment site offers unique healing potential. However, conventional reconstruction requires extensive native tissue resection, sacrificing the remnant's proprioceptive function and biological healing capacity, making it suboptimal. The presented modified \"suspender-style\" technique addresses this by combining native ligament repair via traction-reduction with graft-based reconstruction for mechanical support. This dual approach optimizes the healing microenvironment while maximizing proprioceptive preservation. Therefore, the surgical technique described in this article presents a viable surgical approach for anterior cruciate ligament reconstruction, applicable to Sherman type I injuries.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70234"},"PeriodicalIF":1.5,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13499209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799581","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
Single-Staged Combined Retrograde Subchondral Drilling and In Situ Autologous or Micronized Cartilage Repair With Bone Marrow Aspirate Concentrate for Focal Patellofemoral Chondral Lesions. 单阶段联合逆行软骨下钻孔和骨髓抽吸浓缩液原位自体或微粉软骨修复局灶性髌股软骨病变。
IF 1.5
Arthroscopy Techniques Pub Date : 2026-08-20 eCollection Date: 2026-09-01 DOI: 10.1002/atn2.70177
S Ali Ghasemi, Ahmad Naja, Yoni Dulitzki, Gene W Shaffer, James S Raphael, Arthur R Bartolozzi
{"title":"Single-Staged Combined Retrograde Subchondral Drilling and In Situ Autologous or Micronized Cartilage Repair With Bone Marrow Aspirate Concentrate for Focal Patellofemoral Chondral Lesions.","authors":"S Ali Ghasemi, Ahmad Naja, Yoni Dulitzki, Gene W Shaffer, James S Raphael, Arthur R Bartolozzi","doi":"10.1002/atn2.70177","DOIUrl":"10.1002/atn2.70177","url":null,"abstract":"<p><p>Patellofemoral cartilage lesions are uniquely challenging to treat due to high joint contact pressures, complex tracking mechanics, and limited intrinsic healing potential. Conventional methods such as debridement, microfracture, or staged autologous chondrocyte implantation may disrupt the calcified cartilage layer, violate the subchondral bone, or require multiple procedures that may lead to fibrocartilage repair and poor long-term durability. We describe a single-stage approach for focal patellofemoral chondral defects that combines retrograde subchondral drilling with an \"island-pattern,\" in situ crush cartilage preparation technique. This method preserves the calcified cartilage layer and viable chondrocytes at the lesion border while minimizing enlargement of the lesion. Autologous or micronized cartilage is mixed with bone marrow aspirate concentrate to create a moldable scaffold that is delivered arthroscopically or through a mini-open approach and secured with fibrin glue under dry arthroscopy. If indicated, a concomitant lateral retinacular release or lengthening will improve patellar tracking and prevent excess load of the repaired lesion.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70177"},"PeriodicalIF":1.5,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13494119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799655","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
Avoiding Tunnel Collisions in Knee Posterolateral Corner Reconstructions: The "Versailles" Technique. 避免隧道碰撞在膝关节后外侧角重建：“凡尔赛”技术。
IF 1.5
Arthroscopy Techniques Pub Date : 2026-08-19 eCollection Date: 2026-09-01 DOI: 10.1002/atn2.70238
Simon Corsia, Joseph Attas, Az-Eddine Djebara, Philippe Boisrenoult, Nicolas Pujol
{"title":"Avoiding Tunnel Collisions in Knee Posterolateral Corner Reconstructions: The \"Versailles\" Technique.","authors":"Simon Corsia, Joseph Attas, Az-Eddine Djebara, Philippe Boisrenoult, Nicolas Pujol","doi":"10.1002/atn2.70238","DOIUrl":"10.1002/atn2.70238","url":null,"abstract":"<p><p>The fibular collateral ligament, the popliteo-fibular ligament and the popliteus tendon are the 3 main elements of the posterolateral corner (PLC), which is regularly injured in case of multiligament knee injuries. PLC reconstruction is recommended over repair in a large most situations, including acute cases. We describe an anatomic reconstruction of the PLC using either allografts or hamstring tendons.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70238"},"PeriodicalIF":1.5,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13489806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799694","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
Concurrent High Tibial Osteotomy, Anterior Cruciate Ligament Reconstruction, and Medial Meniscus Posterior Root Repair. 胫骨高位截骨，前交叉韧带重建，内侧半月板后根修复。
IF 1.5
Arthroscopy Techniques Pub Date : 2026-08-19 eCollection Date: 2026-09-01 DOI: 10.1002/atn2.70123
Fardis Vosoughi, Sina Aminizadeh, Seyed Mohammad Milad Seyedtabaei, Omid Salkhori, Luke V Tollefson, Robert F LaPrade
{"title":"Concurrent High Tibial Osteotomy, Anterior Cruciate Ligament Reconstruction, and Medial Meniscus Posterior Root Repair.","authors":"Fardis Vosoughi, Sina Aminizadeh, Seyed Mohammad Milad Seyedtabaei, Omid Salkhori, Luke V Tollefson, Robert F LaPrade","doi":"10.1002/atn2.70123","DOIUrl":"10.1002/atn2.70123","url":null,"abstract":"<p><p>Medial meniscus posterior root tears and anterior cruciate ligament (ACL) injuries disrupt knee biomechanics and accelerate joint degeneration, particularly in the presence of varus malalignment. This technical note describes a combined surgical approach that integrates medial meniscus posterior root repair, ACL reconstruction, and high tibial osteotomy (HTO) to restore joint stability, optimize load distribution, and prevent osteoarthritis progression. The procedure is performed arthroscopically using anteromedial and anterolateral portals. Meniscal root and ACL footprints are prepared, and sutures are passed using a loop-stitch technique. A biplanar high tibial osteotomy is then performed distal to the guide pins to correct varus alignment, with plate fixation positioned posteriorly and distally for optimal stability. The meniscal root tunnel is drilled at a 45° angle, followed by ACL tunnel placement and graft fixation using interference screws and a suspensory button system. This combined approach enables simultaneous restoration of meniscal function, knee stability, and mechanical alignment, potentially improving long-term outcomes compared with isolated procedures.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70123"},"PeriodicalIF":1.5,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13489807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799670","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 Bone Block Procedure Using Iliac Crest Autograft and Labral Advancement and Repair. 关节镜下应用自体髂骨移植物和唇推进修复的骨块手术。
IF 1.5
Arthroscopy Techniques Pub Date : 2026-08-17 eCollection Date: 2026-09-01 DOI: 10.1002/atn2.70156
K N Subramanian, Aravind Ravichandran, Nirmal Raja, Jeash Narayan
{"title":"Arthroscopic Bone Block Procedure Using Iliac Crest Autograft and Labral Advancement and Repair.","authors":"K N Subramanian, Aravind Ravichandran, Nirmal Raja, Jeash Narayan","doi":"10.1002/atn2.70156","DOIUrl":"10.1002/atn2.70156","url":null,"abstract":"<p><p>Recurrent anterior shoulder instability with significant glenoid bone loss requires bony augmentation to restore stability and prevent recurrence. Arthroscopic iliac crest bone block reconstruction offers an anatomical solution while avoiding morbidity of coracoid transfer. This Technical Note outlines a simplified, reproducible method for preoperative planning, precise portal placement, complete labral mobilization, accurate graft contouring, controlled graft passage, and secure tensioned fixation with FiberTape (Arthrex, Naples, FL). Through this article, we have attempted to simplify the procedure and provide important technical tips to increase accuracy. The offered suggestions will be useful for beginners in learning this technique. This technique ensures proper graft fixation, natural tissue integration, and restoring the glenoid anatomy to the maximum in recurrent shoulder instability cases.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70156"},"PeriodicalIF":1.5,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799726","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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