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}
Ashok Selvaraj M.B.B.S., M.S.Ortho., F.A.S.M., Billy Paul Wilson M.B.B.S., M.S.Ortho., F.R.C.S., Senthilvelan Rajagopalan M.B.B.S., M.R.C.S., F.R.C.S., D.Ortho., Robin G. Alex M.B.B.S., D.Ortho., D.N.B.Ortho.
{"title":"Anatomic Medial Patellofemoral Ligament Reconstruction Using “Double-Socket” Technique","authors":"Ashok Selvaraj M.B.B.S., M.S.Ortho., F.A.S.M., Billy Paul Wilson M.B.B.S., M.S.Ortho., F.R.C.S., Senthilvelan Rajagopalan M.B.B.S., M.R.C.S., F.R.C.S., D.Ortho., Robin G. Alex M.B.B.S., D.Ortho., D.N.B.Ortho.","doi":"10.1016/j.eats.2024.103318","DOIUrl":"10.1016/j.eats.2024.103318","url":null,"abstract":"<div><div>In young individuals, recurrent patellar dislocation is a common issue. Surgical treatment often involves reconstructing the medial patellofemoral ligament. Various techniques exist, but most involve large transpatellar tunnels or suture anchors. Our medial patellofemoral ligament reconstruction technique uses 2 small sockets on the medial border of the patella. There are no implants in the patella, which reduces the risk of patellar fracture. The graft, which is already secured in these sockets, obtains additional attachment to the roughened medial patellar border, thereby promoting robust healing and stability. This approach is both effective and cost-efficient.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103318"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874850","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}
Brett L. Heldt M.D., Justin L. Lomax M.D., Anna E. Bozzone B.A., Stephen A. Parada M.D.
{"title":"Open Posterior Capsular Reconstruction Using Acellular Dermal Allograft","authors":"Brett L. Heldt M.D., Justin L. Lomax M.D., Anna E. Bozzone B.A., Stephen A. Parada M.D.","doi":"10.1016/j.eats.2024.103280","DOIUrl":"10.1016/j.eats.2024.103280","url":null,"abstract":"<div><div>Posterior shoulder instability accounts for a minority of shoulder instability cases. There is a lack of data and treatment algorithms compared to anterior shoulder instability; moreover, many of the proposed techniques focus on bony reconstruction. We describe an open technique of capsular reconstruction in the absence of glenoid bone loss using dermal allograft tissue secured with knotless fixation. This technique offers the advantage of direct visualization of graft placement and simplifies suture management.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103280"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873969","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}
Jared T. Lee M.D. , Marco Adriani M.D. , Mikalyn T. DeFoor M.D. , Ryan J. Whalen B.S., C.S.C.S. , Natalie Cortes M.S. , Matthew T. Provencher M.D., M.B.A., CAPT MC USNR (Ret.)
{"title":"Humeral Head Bone Grafting of a Large Off-Track Hill-Sachs Lesion Using Femoral Condyle Osteochondral Allograft Through a Percutaneous Posterior Approach","authors":"Jared T. Lee M.D. , Marco Adriani M.D. , Mikalyn T. DeFoor M.D. , Ryan J. Whalen B.S., C.S.C.S. , Natalie Cortes M.S. , Matthew T. Provencher M.D., M.B.A., CAPT MC USNR (Ret.)","doi":"10.1016/j.eats.2024.103288","DOIUrl":"10.1016/j.eats.2024.103288","url":null,"abstract":"<div><div>Hill-Sachs lesions (HSLs) are commonly associated with anterior shoulder instability with or without glenoid bone defects. Treatment decision mainly depends on the size and location of the defect on the humeral head. Osteochondral allograft transplantation has been described for the treatment of large off-track HSLs. However, concerns have been raised due to concerns accessing the HSL and associated complications, predominantly due to the anterior aspect of the deltopectoral approach and subscapularis tenotomy used to gain access to these lesions. In addition, most of the studies used a lemon-wedge-shaped allograft to restore the defect, which can be technically demanding and time-consuming. This Technical Note aims to describe a posterior approach to the humeral head through an infraspinatus split that allows for accurate humeral head reconstruction with cylindrical osteochondral allografts in the setting of primary or recurrent anterior shoulder instability with large, off-track HSLs.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103288"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873972","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}
Robert A. Cecere B.S., Anna B. Williams B.A., Lawrence V. Gulotta M.D.
{"title":"The Remplissage Technique as a Treatment for Shoulder Instability","authors":"Robert A. Cecere B.S., Anna B. Williams B.A., Lawrence V. Gulotta M.D.","doi":"10.1016/j.eats.2024.103292","DOIUrl":"10.1016/j.eats.2024.103292","url":null,"abstract":"<div><div>Patients with a history of shoulder instability commonly experience recurrent shoulder dislocations. Correcting their shoulder instability is vital to preventing recurrence and debilitating injury. Patients presenting with an engaging Hill-Sachs lesion are at a particularly high risk of future dislocations. The remplissage procedure, designed as a supplement to the Bankart repair, prevents the Hill-Sachs lesion from engaging with the glenoid, decreasing the risk of future dislocations when compared with arthroscopic Bankart repair alone. One barrier to its use has been the technical difficulty of the procedure. We present the senior author’s technique for performing remplissage.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103292"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873975","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}
Jewel A. Stone B.S., B.A. , Evan P. Shoemaker B.A. , Luke V. Tollefson B.S. , Erik L. Slette M.D. , Nathan J. Jacobson M.D. , Robert F. LaPrade M.D., Ph.D.
{"title":"Concomitant Medial Patellofemoral Ligament Reconstruction, Tibial Tubercle Osteotomy, Trochleoplasty, and Osteochondral Autograft Transfer to the Patella","authors":"Jewel A. Stone B.S., B.A. , Evan P. Shoemaker B.A. , Luke V. Tollefson B.S. , Erik L. Slette M.D. , Nathan J. Jacobson M.D. , Robert F. LaPrade M.D., Ph.D.","doi":"10.1016/j.eats.2024.103299","DOIUrl":"10.1016/j.eats.2024.103299","url":null,"abstract":"<div><div>Recurrent patellar instability increases the risk of developing patellofemoral arthritis, among other complications. Chronic patellar instability frequently evolves into a debilitating issue that necessitates surgical intervention. Lateral patellar dislocation caused by a torn medial patellofemoral ligament (MPFL) is commonly addressed with an isolated MPFL reconstruction. Risk factors of MPFL graft failure and further patellar instability include patella alta and elevated tibial-tubercle trochlear-groove distance, which are addressed by a tibial tubercle osteotomy with distalization and/or medialization. Trochlear dysplasia is addressed through a sulcus-deepening trochleoplasty. An osteochondral autograft transfer is used to transfer healthy cartilage from a lesser-articulating surface to address areas of small cartilage defects. We describe a concomitant MPFL reconstruction, tibial tubercle osteotomy, trochleoplasty, and osteochondral autograft transfer to address chronic recurrent lateral patellar instability, patella alta, trochlear dysplasia, and a full-thickness patellar osteochondral defect.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103299"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874741","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}
Zhenxing Li M.D. , Al-Ameer Wail Hussein Ahmed M.D. , Qiyu Chen B.D. , Yimi Li B.D. , Pei Fan Ph.D.
{"title":"A Technique for Resecting Symptomatic Osteochondromas Using Single-Channel Transforaminal Endoscope","authors":"Zhenxing Li M.D. , Al-Ameer Wail Hussein Ahmed M.D. , Qiyu Chen B.D. , Yimi Li B.D. , Pei Fan Ph.D.","doi":"10.1016/j.eats.2024.103359","DOIUrl":"10.1016/j.eats.2024.103359","url":null,"abstract":"<div><div>Osteochondromas are the most common benign bone tumors, consisting of trabecular bone covered by a cartilage cap. Symptomatic osteochondromas are conventionally treated with open surgical excision. This article introduces a minimally invasive technique using a single-channel transforaminal endoscope to resect osteochondromas. The patient is placed in the supine position. A 2-cm skin incision is made with the aid of a guidewire. A working sleeve is inserted over the guidewire, followed by the insertion of a 30° spinal transforaminal endoscope with a 6.2-mm working channel. Tissue dissection is performed, and a custom-made osteotome is used to excise the osteochondroma from the host bone. The osteochondroma is then removed with forceps. The incisions are closed with interrupted sutures, which are smaller and more cosmetically beneficial. The use of a single-channel transforaminal endoscope for resecting osteochondromas is a reproducible and straightforward minimally invasive technique. This method may be applicable to the treatment of similar musculoskeletal osteochondromas in the future.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103359"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874746","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}
Amber Carroll B.S., Chris Brice P.T., D.P.T., Chaitu Malempati D.O.
{"title":"Radiofrequency Controlled Ablation Technique for Arthroscopic Meniscectomy of the Knee","authors":"Amber Carroll B.S., Chris Brice P.T., D.P.T., Chaitu Malempati D.O.","doi":"10.1016/j.eats.2024.103316","DOIUrl":"10.1016/j.eats.2024.103316","url":null,"abstract":"<div><div>Despite mixed responses in the literature regarding knee arthroscopies, radiofrequency (RF) ablation remains a preferred method for partial meniscectomy of the knee. This technique is believed to offer advantages over traditional shaving methods, such as reduced risk of long-term fissure propagation and enhanced precision. However, existing literature does not yield a conclusive status of RF’s risk-benefit profile, contributing to a mixed response to its recognized utility and safety in the arthroscopic community. This article details a procedure for performing partial meniscectomy with RF ablation using a feedback-controlled bipolar RF device (WEREWOLF FLOW50 Wand; ArthroCare/Smith & Nephew, Austin, TX), with a focus on parameters that can influence intervention safety. These parameters include device-specific factors such as energy transmission type and field density, as well as surgeon-specific factors such as rest/shutoff time, translation speed, and instrumentation depth. Postoperative care typically involves physical therapy, emphasizing early mobilization and strengthening exercises to ensure optimal recovery. Although our clinic has observed positive results with feedback-controlled bipolar RF for partial meniscectomy, further studies are necessary to conclusively determine the risk-benefit profile of this technique, including long-term follow-up to assess durability and patient satisfaction. Additionally, comparisons with other techniques could provide a more comprehensive understanding of its efficacy and overall impact on patient outcomes.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103316"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874751","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}
Charles Churk Hang Li M.B.Ch.B., F.H.K.C.O.S., F.H.K.A.M. , Tun Hing Lui M.B.B.S. (H.K.), F.R.C.S. (Edin.), F.H.K.A.M., F.H.K.C.O.S. , Amanda Mun Yee Slocum M.B.B.S. (H.K.), F.R.C.S.Ed. (Orth.), F.H.K.A.M., F.H.K.C.O.S.
{"title":"Arthroscopically Assisted Reconstruction of Lateral Metatarsosesamoid Suspensory and Lateral Metatarsophalangeal Collateral Ligaments in the Management of Iatrogenic Hallux Varus Deformity","authors":"Charles Churk Hang Li M.B.Ch.B., F.H.K.C.O.S., F.H.K.A.M. , Tun Hing Lui M.B.B.S. (H.K.), F.R.C.S. (Edin.), F.H.K.A.M., F.H.K.C.O.S. , Amanda Mun Yee Slocum M.B.B.S. (H.K.), F.R.C.S.Ed. (Orth.), F.H.K.A.M., F.H.K.C.O.S.","doi":"10.1016/j.eats.2024.103290","DOIUrl":"10.1016/j.eats.2024.103290","url":null,"abstract":"<div><div>The medial and lateral metatarsosesamoid suspensory ligaments together with the sesamoid apparatus are the main contributors to the rotational stability of the first metatarsophalangeal joint (MTPJ). Rotational instability of first MTPJ is a major factor in the development of hallux valgus and varus deformities. As the great toe starts to rotate, the muscle pulls across the first MTPJ, causing it to become imbalanced and lead to progressive medial or lateral deviation of the great toe. The gold standard and most reliable option for hallux varus deformity is first MTPJ fusion. However, it results in stiffness and loss of joint function and is reserved for arthritic and stiff first MTPJ. Flexible iatrogenic hallux varus is corrected by optimally anatomic ligament reconstruction. The purpose of this Technical Note is to describe the details of arthroscopically assisted reconstruction of lateral metatarsosesamoid suspensory and lateral metatarsophalangeal collateral ligaments in management of iatrogenic hallux varus deformity. We reconstruct the lateral metatarsosesamoid suspensory ligament to restore the rotational stability of the first MTPJ in hallux varus deformity. This together with reconstruction of the lateral metatarsophalangeal collateral ligament anatomically corrects both the medial deviation and rotation deformity of the great toe.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 4","pages":"Article 103290"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874766","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}