Arthroscopy Techniques最新文献

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Anatomic All-Inside Anterior Cruciate Ligament Reconstruction With a Modified Lemaire Extra-Articular Tenodesis: Quadruple-Bundle Semitendinosus Autograft and Surgery Tips
IF 1.2
Arthroscopy Techniques Pub Date : 2025-02-01 DOI: 10.1016/j.eats.2024.103238
Jesús Jiménez-Olivares M.D. , Salvador Amor-Jiménez M.D. , Vicente Jesús León-Muñoz M.D., Ph.D. , Fernando Santonja-Medina M.D., Ph.D. , Francisco Lajara-Marco M.D., Ph.D.
{"title":"Anatomic All-Inside Anterior Cruciate Ligament Reconstruction With a Modified Lemaire Extra-Articular Tenodesis: Quadruple-Bundle Semitendinosus Autograft and Surgery Tips","authors":"Jesús Jiménez-Olivares M.D. ,&nbsp;Salvador Amor-Jiménez M.D. ,&nbsp;Vicente Jesús León-Muñoz M.D., Ph.D. ,&nbsp;Fernando Santonja-Medina M.D., Ph.D. ,&nbsp;Francisco Lajara-Marco M.D., Ph.D.","doi":"10.1016/j.eats.2024.103238","DOIUrl":"10.1016/j.eats.2024.103238","url":null,"abstract":"<div><div>The past decade has seen changing trends in anterior cruciate ligament reconstruction surgery, with the hamstring becoming the most commonly used graft. Furthermore, the importance of extra-articular lateral tenodesis has been demonstrated to offer greater control of rotational laxity and a protective effect during cruciate ligament reconstruction. In this technical note, we describe a way to elaborate the graft with quadrupled semitendinosus tendon to obtain a compact and reliable graft. We provide tips and tricks to systematize and simplify the “all-inside” reconstruction technique and modified Lemaire’s extra-articular tenodesis with femoral fixation in an independent bone tunnel under direct visualization to avoid confluence of the bone tunnels. This is a safe, reliable, and reproducible technique that causes less morbidity by removing a single hamstring tendon and preserving bone stock, with good clinical and functional results.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 2","pages":"Article 103238"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388338","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 Remplissage Before Bankart Repair With All-Suture Anchor Mattress Fixation in the Beach-Chair Position
IF 1.2
Arthroscopy Techniques Pub Date : 2025-02-01 DOI: 10.1016/j.eats.2024.103206
Alexander R. Markes M.D., Luke Sang B.S., Elliott Cole M.D., Brian T. Feeley M.D.
{"title":"Arthroscopic Remplissage Before Bankart Repair With All-Suture Anchor Mattress Fixation in the Beach-Chair Position","authors":"Alexander R. Markes M.D.,&nbsp;Luke Sang B.S.,&nbsp;Elliott Cole M.D.,&nbsp;Brian T. Feeley M.D.","doi":"10.1016/j.eats.2024.103206","DOIUrl":"10.1016/j.eats.2024.103206","url":null,"abstract":"<div><div>A common procedure for treatment of Hill-Sachs lesions in the setting of anterior shoulder instability is arthroscopic remplissage. Remplissage consists of using the posterior capsule and infraspinatus tendon to fill the Hill-Sachs lesion and convert it into an extra-articular defect. Previous versions of this technique have not specified the timing in which remplissage and Bankart repair occur and have been performed with the patient in the lateral decubitus position. In this Technical Note, we describe our technique where we perform the remplissage before Bankart repair using all-suture anchor mattress fixation with the patient in the beach-chair position. By performing the remplissage before Bankart repair, the shoulder is reduced to allow for easier execution of the remplissage and reduce difficulties that might prevent its completion if done after Bankart repair. Further, by completing remplissage before Bankart repair in the beach-chair position, the humeral head is moved posteriorly with the cuff to allow for better access for the following labral repair and allows for the standardization between arthroscopic and open shoulder instability management.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 2","pages":"Article 103206"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387076","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
Blind-Tie Remplissage: Technique and Sequence
IF 1.2
Arthroscopy Techniques Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103168
Weston B. Gentry M.D., Larry D. Field M.D.
{"title":"Blind-Tie Remplissage: Technique and Sequence","authors":"Weston B. Gentry M.D.,&nbsp;Larry D. Field M.D.","doi":"10.1016/j.eats.2024.103168","DOIUrl":"10.1016/j.eats.2024.103168","url":null,"abstract":"<div><div>Patients with recurrent anterior shoulder instability and an associated Hill-Sachs lesion are commonly encountered by orthopaedic surgeons. Effective management of the Hill-Sachs lesion can be performed using an arthroscopic remplissage technique to fill the bony defect with the infraspinatus and posterior capsule. Various surgical techniques, anchor configurations, and tying mechanisms can be used to accomplish the remplissage procedure. The goal of this Technical Note is to describe our technique and sequence for accomplishing an arthroscopic “blind-tie” remplissage procedure. In this remplissage technique, the suture anchor sutures placed into the Hill-Sachs defect are tied in a blind fashion over the infraspinatus fascia without direct visualization from within the subacromial space.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 1","pages":"Article 103168"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173813","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 Modified McLaughlin Procedure and Posterior Labral Repair in the Lateral Decubitus Position
IF 1.2
Arthroscopy Techniques Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103178
Te-Feng A. Chou M.D., Eloy Tabeayo M.D., Konrad I. Gruson M.D.
{"title":"Arthroscopic Modified McLaughlin Procedure and Posterior Labral Repair in the Lateral Decubitus Position","authors":"Te-Feng A. Chou M.D.,&nbsp;Eloy Tabeayo M.D.,&nbsp;Konrad I. Gruson M.D.","doi":"10.1016/j.eats.2024.103178","DOIUrl":"10.1016/j.eats.2024.103178","url":null,"abstract":"<div><div>Traumatic posterior shoulder dislocations are commonly associated with a posterior labral tear and an impaction fracture involving the anterior humeral head referred to as a reverse Hill-Sachs lesion (RHSL). This humeral defect can engage on the posterior glenoid rim during shoulder cross-body adduction combined with shoulder elevation and may require surgical intervention. Depending on the size of the RHSL relative to the articular arc of the humeral head, traditional open surgical options including transfer of the subscapularis tendon alone, subscapularis transfer with the attached lesser tuberosity into the humeral impaction injury, or reconstruction using allograft for more severe defects have been described. We present an all-arthroscopic technique performed in the lateral decubitus position involving concomitant repair of the posterior labral tear and transfer of the subscapularis tendon (reverse remplissage or arthroscopic modified McLaughlin procedure) into a moderately sized RHSL.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 1","pages":"Article 103178"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173815","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
Nonanatomic Posterolateral Tenodesis for Posterior Ligament Reconstruction Augmentation
IF 1.2
Arthroscopy Techniques Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103167
Emiliano Álvarez-Salinas M.D. , Leandro Civetta M.D. , Javier Reparaz M.D. , Joan Carles Monllau M.D., Ph.D. (Prof.) , Rodolfo Morales-Avalos M.D., M.Sc., Ph.D.
{"title":"Nonanatomic Posterolateral Tenodesis for Posterior Ligament Reconstruction Augmentation","authors":"Emiliano Álvarez-Salinas M.D. ,&nbsp;Leandro Civetta M.D. ,&nbsp;Javier Reparaz M.D. ,&nbsp;Joan Carles Monllau M.D., Ph.D. (Prof.) ,&nbsp;Rodolfo Morales-Avalos M.D., M.Sc., Ph.D.","doi":"10.1016/j.eats.2024.103167","DOIUrl":"10.1016/j.eats.2024.103167","url":null,"abstract":"<div><div>A successful posterior cruciate ligament (PCL) reconstruction depends on multiple factors. Various techniques have been described for PCL reconstruction. Despite the constant evolution of reconstructive techniques, 26% of residual laxity cases with grade I and II positive posterior drawer tests have been reported in the literature in patients undergoing PCL reconstruction. Part of these failures is associated with the lack of control of the posterior translation of the tibia and the increase in external tibial rotation. We describe a surgical technique in which a posterolateral tenodesis augmentation associated with a single-bundle reconstruction of the PCL is performed. It is proposed for use in isolated reconstructions of the PCL in cases of grade III ruptures associated with or unassociated with low-grade posterolateral corner injuries.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 1","pages":"Article 103167"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174396","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 “V” Configuration Anatomic Reconstruction of Chronic Acromioclavicular Joint Dislocations Using Double-Bundled Autogenous Gracilis Tendon Graft Reinforced With FiberTape Internal Brace 使用纤维胶带内支架加固的双束自体肱骨肌腱移植物,在关节镜下对慢性肩锁关节脱位进行 "V "型解剖重建
IF 1.2
Arthroscopy Techniques Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103154
Ayyappan V. Nair D.Ortho, D.N.B., M.N.A.M.S., Pramod Kumar Mohan M.S. Ortho., Ajit Jangale M.S., M.R.C.S., Pavan Krishna M.S. Ortho., Prince Shanavas Khan D.Ortho, M.S. Ortho., Maythilisharan Rambhojun M.S. Ortho., Sreejith Thampy M.S. Ortho.
{"title":"Arthroscopic “V” Configuration Anatomic Reconstruction of Chronic Acromioclavicular Joint Dislocations Using Double-Bundled Autogenous Gracilis Tendon Graft Reinforced With FiberTape Internal Brace","authors":"Ayyappan V. Nair D.Ortho, D.N.B., M.N.A.M.S.,&nbsp;Pramod Kumar Mohan M.S. Ortho.,&nbsp;Ajit Jangale M.S., M.R.C.S.,&nbsp;Pavan Krishna M.S. Ortho.,&nbsp;Prince Shanavas Khan D.Ortho, M.S. Ortho.,&nbsp;Maythilisharan Rambhojun M.S. Ortho.,&nbsp;Sreejith Thampy M.S. Ortho.","doi":"10.1016/j.eats.2024.103154","DOIUrl":"10.1016/j.eats.2024.103154","url":null,"abstract":"<div><div>We present an arthroscopic technique for chronic acromioclavicular joint dislocations that involves reconstructing the acromioclavicular and coracoclavicular ligaments using an autogenous gracilis tendon graft reinforced with FiberTape. We describe the technique using 2 tunnels in the clavicle and a coracoid tunnel to re-create the anatomic double-bundle coracoclavicular ligaments and also reconstruct the acromioclavicular ligament, providing both horizontal and vertical stability for the acromioclavicular joint. The advantage of our technique is the reduced use of implants and also providing stable reconstruction, a good chance for tendon integration into the coracoid, and fewer recurrences due to graft stretching, enabling good stability to the joint.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 1","pages":"Article 103154"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850090","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
Achilles Rupture Repair: Modified Gift-Box With a Proximal Myotendinous Backup Fixation Technique
IF 1.2
Arthroscopy Techniques Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103180
Nicholas D. Cominos B.S. , Joseph S. Tramer M.D. , Andrew J. Peace M.D. , Matthew A. Zaborowicz M.D. , Erik B. Eller M.D. , Lafi S. Khalil M.D.
{"title":"Achilles Rupture Repair: Modified Gift-Box With a Proximal Myotendinous Backup Fixation Technique","authors":"Nicholas D. Cominos B.S. ,&nbsp;Joseph S. Tramer M.D. ,&nbsp;Andrew J. Peace M.D. ,&nbsp;Matthew A. Zaborowicz M.D. ,&nbsp;Erik B. Eller M.D. ,&nbsp;Lafi S. Khalil M.D.","doi":"10.1016/j.eats.2024.103180","DOIUrl":"10.1016/j.eats.2024.103180","url":null,"abstract":"<div><div>Achilles tendon tears are not an uncommon injury, with a predominance in explosive athletes and weekend warriors in the third to fifth decade of life. Consideration of operative intervention is commonplace in young athletes, whereas less active and older individuals may opt for nonsurgical treatment. Surgical treatment is reported to improve functional outcomes in high-demand individuals and demonstrates increased plantarflexion power, better return to sports rates, and a reduced rerupture rate. Traditionally, a primary end-to-end repair of the Achilles tendon was the surgical treatment of choice. More recently, alternative advanced techniques and minimally invasive constructs have been proposed in an effort to improve repair construct while reducing soft tissue complications. This technical note describes a technique that combines a modified gift-box primary repair with backup fixation using calcaneal anchors. This technique is performed with a small, medially based incision that reduces wound and nerve complications, while promoting end-to-end tendon healing by reducing tension across the repair site through the calcaneal backup fixation.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 1","pages":"Article 103180"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172354","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
Distal Biceps Tendon Repair: An Arthroscopic-Assisted Technique With Suture Anchors
IF 1.2
Arthroscopy Techniques Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103171
Enrico Guerra M.D., Federico Coliva M.D., Catello Buondonno M.D., Alessandro Marinelli M.D.
{"title":"Distal Biceps Tendon Repair: An Arthroscopic-Assisted Technique With Suture Anchors","authors":"Enrico Guerra M.D.,&nbsp;Federico Coliva M.D.,&nbsp;Catello Buondonno M.D.,&nbsp;Alessandro Marinelli M.D.","doi":"10.1016/j.eats.2024.103171","DOIUrl":"10.1016/j.eats.2024.103171","url":null,"abstract":"<div><div>Distal biceps tendon ruptures are rare injuries that can lead to significant limitations in forearm supination strength and elbow flexion. Although conservative treatment leads to satisfactory results in many cases, surgical treatment is indicated in high-demanding patients, heavy workers, and athletes. Many different surgical techniques have been described, but the percentage of complications after surgery remains high (almost 25%). The purpose of this article is to describe our preferred surgical approach for acute distal biceps tendon ruptures with an arthroscopic-assisted technique and suture anchor fixation method. We believe that this technique can be easily reproducible and that it might lead to a reduction in the complication rate because it is less invasive.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 1","pages":"Article 103171"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174421","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
The Beveled Rim Technique for Labral Reconstruction
IF 1.2
Arthroscopy Techniques Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103156
Ady H. Kahana-Rojkind M.D. , Jessica C. Keane B.S. , Yasemin E. Kingham B.A. , Roger Quesada-Jimenez M.D. , Tyler R. McCarroll M.D. , Benjamin G. Domb M.D.
{"title":"The Beveled Rim Technique for Labral Reconstruction","authors":"Ady H. Kahana-Rojkind M.D. ,&nbsp;Jessica C. Keane B.S. ,&nbsp;Yasemin E. Kingham B.A. ,&nbsp;Roger Quesada-Jimenez M.D. ,&nbsp;Tyler R. McCarroll M.D. ,&nbsp;Benjamin G. Domb M.D.","doi":"10.1016/j.eats.2024.103156","DOIUrl":"10.1016/j.eats.2024.103156","url":null,"abstract":"<div><div>Arthroscopic trimming of the acetabular rim in labral reconstruction is used to create a suitable bony surface with adequate blood flow, thereby promoting the biological conditions necessary for the healing of the labrum. The aim of this Technical Note is to present an improvement to the current arthroscopic rim preparation technique. The technique involves creating an inward beveled acetabular rim to increase the contact area of the graft on the femoral head, in order to create a greater suction seal and strategically distribute the forces generated during femoral head distraction onto both the labral graft and the acetabular rim.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 1","pages":"Article 103156"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174425","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
Suture Repair and Suspensory Button Fixation of Avulsion Fracture of the Fibular Styloid (Arcuate Fracture)
IF 1.2
Arthroscopy Techniques Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103182
Surasak Srimongkolpitak M.D. , Pratchaya Manop M.D. , Bancha Chernchujit M.D.
{"title":"Suture Repair and Suspensory Button Fixation of Avulsion Fracture of the Fibular Styloid (Arcuate Fracture)","authors":"Surasak Srimongkolpitak M.D. ,&nbsp;Pratchaya Manop M.D. ,&nbsp;Bancha Chernchujit M.D.","doi":"10.1016/j.eats.2024.103182","DOIUrl":"10.1016/j.eats.2024.103182","url":null,"abstract":"<div><div>The fibular head is attached to posterolateral corner structures, which are responsible for stabilization of the varus knee, external rotation, and posterior translation stability. The arcuate sign is a large piece of the fibular head that has avulsed longitudinally from the posterolateral corner. If the fixation system is not sufficient to secure the various stabilities of the knee, it will fail and cause significant knee instability. Concomitant involvement of the proximal tibiofibular joint (PTFJ) may also occur. Many patients, even after fixation, continue to experience persistent proximal knee pain and instability. PTFJ instability is often ignored and misdiagnosed, especially in cases involving the arcuate sign. Numerous fixation systems have been invented and reported in the literature, but they tend to focus solely on the fracture site and anatomic reduction, neglecting PTFJ instability. Suture repair and suspensory button fixation of an avulsion fracture of the fibular styloid (arcuate fracture) aims to establish fixation stability, provide a robust system, minimize the rate of fixation failure, reduce the incidence of implant irritation, and address PTFJ instability.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 1","pages":"Article 103182"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173339","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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