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Arthroscopic Assisted Surgical Technique of Impaction Bone Grafting and Autologous Matrix-Induced Chondrogenesis for Deep Osteochondral Knee Defects
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103243
Kaya Turan M.D. , Filippos Zigras M.D. , Vasileios Mitrousias M.D. , Michael Hantes Ph.D.
{"title":"Arthroscopic Assisted Surgical Technique of Impaction Bone Grafting and Autologous Matrix-Induced Chondrogenesis for Deep Osteochondral Knee Defects","authors":"Kaya Turan M.D. ,&nbsp;Filippos Zigras M.D. ,&nbsp;Vasileios Mitrousias M.D. ,&nbsp;Michael Hantes Ph.D.","doi":"10.1016/j.eats.2024.103243","DOIUrl":"10.1016/j.eats.2024.103243","url":null,"abstract":"<div><div>Osteochondral knee defects typically affect young, active patients, altering knee biomechanics and eventually leading to joint degeneration. There are several treatment methods; one less expensive and potentially effective option is the combination of autologous impaction bone grafting with autologous matrix-induced chondrogenesis (BG-AMIC). BG-AMIC is a safe and effective treatment for deep knee osteochondral lesions, with a statistically significant and clinically relevant improvement in patient-reported outcomes. We describe a single-stage, safe, and efficient approach whose efficacy has already been proven.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103243"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682880","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
Anterior-Horn Repair Using Conventional All-Inside Repair Device and Standard Arthroscopic Portals for Bucket-Handle Medial Meniscal Tear
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103252
Napatpong Thamrongskulsiri M.D. , Thanawat Tantimethanon M.D. , Danaithep Limskul M.D. , Thanathep Tanpowpong M.D. , Somsak Kuptniratsaikul M.D. , Thun Itthipanichpong M.D.
{"title":"Anterior-Horn Repair Using Conventional All-Inside Repair Device and Standard Arthroscopic Portals for Bucket-Handle Medial Meniscal Tear","authors":"Napatpong Thamrongskulsiri M.D. ,&nbsp;Thanawat Tantimethanon M.D. ,&nbsp;Danaithep Limskul M.D. ,&nbsp;Thanathep Tanpowpong M.D. ,&nbsp;Somsak Kuptniratsaikul M.D. ,&nbsp;Thun Itthipanichpong M.D.","doi":"10.1016/j.eats.2024.103252","DOIUrl":"10.1016/j.eats.2024.103252","url":null,"abstract":"<div><div>The bucket-handle tear, characterized by its oblique longitudinal and vertical pattern, poses challenges in meniscal repair, particularly when addressing the anterior horn. Although conventional outside-in techniques are common, all-inside approaches face limitations. This article proposes an alternative technique using the Infinity AIM all-inside repair device (ConMed, Utica, NY), which allows deployment after increasing the bend in the device’s tip.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103252"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682891","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 Hybrid Repair Technique of Combined All-Inside Reconstruction and Primary Repair With Internal Bracing Augmentation for Anterior Cruciate Ligament Injury
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103273
Nanxin Zhang M.D. , Yuchao Lai M.D. , Hongwei Chen M.D. , Si Zhu M.D. , Qiang Li M.D.
{"title":"A Modified Hybrid Repair Technique of Combined All-Inside Reconstruction and Primary Repair With Internal Bracing Augmentation for Anterior Cruciate Ligament Injury","authors":"Nanxin Zhang M.D. ,&nbsp;Yuchao Lai M.D. ,&nbsp;Hongwei Chen M.D. ,&nbsp;Si Zhu M.D. ,&nbsp;Qiang Li M.D.","doi":"10.1016/j.eats.2024.103273","DOIUrl":"10.1016/j.eats.2024.103273","url":null,"abstract":"<div><div>Anterior cruciate ligament (ACL) primary repair techniques have gained increasing interest as an alternative to ACL reconstruction because of several advantages, including preservation of proprioception and restoration of tension for the injured ACL remnant. In recent years, surgical approaches for ACL repair have progressed from direct repair to augmentation techniques using internal or external reinforcement. To make the augmented primary repair more effective and economical, we adapted the internal brace augmentation technique to use only 1 semitendinosus autograft without additional grafts or anchors. This article describes our modified, simplified approach for ACL repair.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103273"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682895","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 4-Anchor Double-Pulley Suture-Bridge Repair of Large Rotator Cuff Tear
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103248
Peiguan Huang M.Med., Xiaoxu Wang M.Med., Yong Fu M.D., Xiaojun Tang M.D., Zhihong Xiao M.D., Zhengmao Li M.D., Chunrong He M.D.
{"title":"Arthroscopic 4-Anchor Double-Pulley Suture-Bridge Repair of Large Rotator Cuff Tear","authors":"Peiguan Huang M.Med.,&nbsp;Xiaoxu Wang M.Med.,&nbsp;Yong Fu M.D.,&nbsp;Xiaojun Tang M.D.,&nbsp;Zhihong Xiao M.D.,&nbsp;Zhengmao Li M.D.,&nbsp;Chunrong He M.D.","doi":"10.1016/j.eats.2024.103248","DOIUrl":"10.1016/j.eats.2024.103248","url":null,"abstract":"<div><div>Currently, suture bridge (SB) is a popular way to treat large rotator cuff tears. However, the restricted number of sutures used for tendon fixation, the knotted medial row, and the excessive number of tendon holes created from suture hook piercing are the shortcomings of SB repair. Arthroscopic 4-anchor double-pulley suture-bridge (DPSB) repair is a pragmatic surgical technique and can overcome these shortcomings of SB repair. In the repair of large rotator cuff tears with the 4-anchor DPSB technique, 8 sets of DPSBs can obtain powerful fixation strength on the tendon, and sufficient tendon-to-bone coverage area, a knotless medial row, and only 4 tendon holes created from suture hook piercing can reduce the type 2 retear rate.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103248"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682970","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-Portal Arthroscopic Treatment of Posterior Shoulder Instability With Labral Tear With Reverse Hill-Sachs Remplissage Using MGHL
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103271
George El Rassi M.D. , Joseph Maalouly M.D. , Toufic Lakkis M.D. , Julien Abou Chaaya M.D.
{"title":"Single-Portal Arthroscopic Treatment of Posterior Shoulder Instability With Labral Tear With Reverse Hill-Sachs Remplissage Using MGHL","authors":"George El Rassi M.D. ,&nbsp;Joseph Maalouly M.D. ,&nbsp;Toufic Lakkis M.D. ,&nbsp;Julien Abou Chaaya M.D.","doi":"10.1016/j.eats.2024.103271","DOIUrl":"10.1016/j.eats.2024.103271","url":null,"abstract":"<div><div>Posterior glenohumeral dislocations are uncommon shoulder injuries accounting for up to 2% to 5% of all shoulder dislocations. They are caused by high-energy traumas, seizures, or electrocution as well as repetitive microtraumas related to sports or other activities. They can cause reverse Hill-Sachs lesions and in this Technical Note we describe a technique to treat this pathology.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103271"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682999","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
Anatomic Posterolateral Corner Reconstruction With Single Tibialis Allograft and Suspensory Tibial Fixation
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103265
Brandon Cabarcas M.D. , Raahil Patel M.D. , Raegan Mahler B.S. , Neil Kumar M.D. , Drew Warnick M.D.
{"title":"Anatomic Posterolateral Corner Reconstruction With Single Tibialis Allograft and Suspensory Tibial Fixation","authors":"Brandon Cabarcas M.D. ,&nbsp;Raahil Patel M.D. ,&nbsp;Raegan Mahler B.S. ,&nbsp;Neil Kumar M.D. ,&nbsp;Drew Warnick M.D.","doi":"10.1016/j.eats.2024.103265","DOIUrl":"10.1016/j.eats.2024.103265","url":null,"abstract":"<div><div>Injuries to the posterolateral corner (PLC) of the knee are difficult challenges for orthopaedic surgeons to manage. The original LaPrade anatomic reconstruction technique using 2 allografts from a split Achilles tendon has become a well-recognized reconstructive approach for addressing injury to the PLC. In this article, we present our modified technique of anatomic PLC reconstruction using a single tibialis allograft and suspensory tibial fixation. We describe the tunnel position, graft passage, and fixation strategies to achieve anatomic reconstruction of the 3 main stabilizers of the PLC (fibular collateral ligament, popliteus tendon, and popliteofibular ligament) while using a single allograft tendon. Suspensory fixation on the tibia is used to allow for individual tensioning of each limb of the reconstruction in an optimal knee position. We review the associated advantages, challenges, and technical pearls and pitfalls associated with our technique. We consider this modified approach a viable alternative to achieve a stable PLC reconstruction while still abiding by the established core anatomic reconstructive principles.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103265"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682644","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 “Crisscross” Fixation Technique for Avulsion Fracture of the Posterior Cruciate Ligament From the Tibia
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103277
Chirag Thonse M.S.(Orth), Mohit Thapa Magar M.S.(Orth), Dhruv Paul M.S.(Orth)
{"title":"Arthroscopic “Crisscross” Fixation Technique for Avulsion Fracture of the Posterior Cruciate Ligament From the Tibia","authors":"Chirag Thonse M.S.(Orth),&nbsp;Mohit Thapa Magar M.S.(Orth),&nbsp;Dhruv Paul M.S.(Orth)","doi":"10.1016/j.eats.2024.103277","DOIUrl":"10.1016/j.eats.2024.103277","url":null,"abstract":"<div><div>This study describes a method of fixing posterior cruciate ligament (PCL) avulsion fractures called the arthroscopic crisscross technique. PCL avulsion fracture is a rare injury that generally occurs in young patients. A displaced avulsion fracture at the tibial attachment of the PCL is an indication for surgical reduction and internal fixation given that nonunion, posterior instability, and early degenerative changes of the knee are common consequences of conservative treatment. This study describes all-arthroscopic fixation of the PCL avulsion injury using 2 No. 2 FiberTape sutures (nonabsorbable polyblend; Arthrex) via the arthroscopic crisscross technique. The No. 2 FiberTapes crisscross each other over the avulsed fragment. Through tensioning of both No. 2 FiberTapes, they are fixed anteriorly using a suture button. This technique can be considered a safe and effective method using minimal resources for the fixation of the avulsed PCL from its tibial footprint.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103277"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682647","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 Anterior Cruciate Ligament Primary Repair With Suture Combined With Femoral Double Bone Tunnel Suspension Fixation
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103275
Chao Liu M.Med., Dan Chen M.D., Zhu Dai M.D.
{"title":"Arthroscopic Anterior Cruciate Ligament Primary Repair With Suture Combined With Femoral Double Bone Tunnel Suspension Fixation","authors":"Chao Liu M.Med.,&nbsp;Dan Chen M.D.,&nbsp;Zhu Dai M.D.","doi":"10.1016/j.eats.2024.103275","DOIUrl":"10.1016/j.eats.2024.103275","url":null,"abstract":"<div><div>Anterior cruciate ligament (ACL) injury is a common orthopaedic sports injury. Arthroscopic anterior cruciate ligament reconstruction (ACLR) is the gold standard for treatment. In recent years, with the popularization and precision of arthroscopic techniques, as well as the discovery that acute ACL rupture has the potential to heal itself, arthroscopic ACL primary repair has become an alternative surgical treatment. This Technical Note describes an arthroscopic ACL primary repair with suture combined with femoral double bone tunnel suspension fixation. It tightens the tendon-bone contact, increases the contact area, and strengthens the fixation, all of which contribute to better tendon-bone healing. Thus, this can be used as a surgical method for ACL repair.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103275"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682648","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 Suture Bridge Combined All-Inside Fixation for Delaminated Rotator Cuff Tears
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103276
Hong Qian M.D. , Xiaojiang Yang M.D. , Zhongyang Lv M.D. , Shao Yu M.D. , Jingwei Lu M.D. , Jichun Liu M.D. , Ninrong Bao M.D.
{"title":"Arthroscopic Suture Bridge Combined All-Inside Fixation for Delaminated Rotator Cuff Tears","authors":"Hong Qian M.D. ,&nbsp;Xiaojiang Yang M.D. ,&nbsp;Zhongyang Lv M.D. ,&nbsp;Shao Yu M.D. ,&nbsp;Jingwei Lu M.D. ,&nbsp;Jichun Liu M.D. ,&nbsp;Ninrong Bao M.D.","doi":"10.1016/j.eats.2024.103276","DOIUrl":"10.1016/j.eats.2024.103276","url":null,"abstract":"<div><div>The anatomic repair of delaminated rotator cuff tears presents a surgical challenge, necessitating innovative solutions for optimal outcomes. This Technical Note describes the arthroscopic suture bridge combined with all-inside fixation, a novel approach tailored for small yet deep-layer dominant delaminated tears. The method involves addressing the upper-layer tear beneath the acromion and employing all-inside suturing in the glenohumeral joint for the lower-layer tear, decoupling the outer tear size from limiting the treatment of the deeper tear. Accurate tear identification and preoperative planning are critical for success. This technique offers advantages in overcoming the outer tear’s impact on lower tear repair, potentially reducing patient costs. Proficiency in tear identification and surgical planning is essential for successful execution. Considerations include reserving sutures as a precaution and inapplicability to posteriorly located delaminated tears. This approach provides a valuable contribution to arthroscopic techniques, especially for smaller delaminated tears.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103276"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682886","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
Focal Knee Cartilage Defect Treatment With Nanofracture and All-Arthroscopic Autologous Matrix-Induced Chondrogenesis Using Dry Arthroscopy
IF 1.2
Arthroscopy Techniques Pub Date : 2025-03-01 DOI: 10.1016/j.eats.2024.103272
Joseph Jon-Yin Wan M.R.C.S.(Eng), James Sir-Young Loh F.R.C.S.(Edin Surg), F.R.C.S. (Edin Orth)
{"title":"Focal Knee Cartilage Defect Treatment With Nanofracture and All-Arthroscopic Autologous Matrix-Induced Chondrogenesis Using Dry Arthroscopy","authors":"Joseph Jon-Yin Wan M.R.C.S.(Eng),&nbsp;James Sir-Young Loh F.R.C.S.(Edin Surg), F.R.C.S. (Edin Orth)","doi":"10.1016/j.eats.2024.103272","DOIUrl":"10.1016/j.eats.2024.103272","url":null,"abstract":"<div><div>Autologous matrix-induced chondrogenesis (AMIC) combined with nanofracture had been shown to produce superior results in treating knee defects and has become increasingly popular. This technique can be achieved via open surgery or arthroscopy. The technical challenges to arthroscopic implantation of the scaffold include compromise of the operative view by soft tissue and fluid, difficult scaffold delivery through the portal, or scaffold damage. Carbon dioxide (CO<sub>2</sub>) insufflation and special equipment have been reported to facilitate scaffold implantation with favorable outcomes. The authors describe their technique of scaffold implantation with a slotted cannula and a dissector through an enlarged working portal with no CO<sub>2</sub> insufflation. Effective implantation of the scaffold is made possible through attention to soft tissue, equalization of the air pressure within and outside the joint, and the unique geometry of readily available instruments in the orthopaedic operating theatre.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103272"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682896","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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