Arthroscopy Techniques最新文献_第2页

Arthroscopic Targeted Screw Placement: A Minimally Invasive Approach for Hindfoot Fractures 关节镜下定向螺钉置入：后足骨折的微创治疗方法

IF 1.1

Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-11-12 DOI: 10.1016/j.eats.2025.103988

Srihan Anand B.S. , Kevin D. Martin D.O., F.A.A.O.S., F.A.A.N.A.

{"title":"Arthroscopic Targeted Screw Placement: A Minimally Invasive Approach for Hindfoot Fractures","authors":"Srihan Anand B.S. , Kevin D. Martin D.O., F.A.A.O.S., F.A.A.N.A.","doi":"10.1016/j.eats.2025.103988","DOIUrl":"10.1016/j.eats.2025.103988","url":null,"abstract":"<div><div>Arthroscopic techniques have emerged as a promising alternative to traditional open reduction internal fixation in the treatment of foot and ankle fractures, offering minimally invasive methods to address intra-articular fractures. These techniques provide direct visualization of the fracture site while preserving the soft tissue envelope and osseous blood supply, mitigating risks associated with open surgical approaches such as infection, malunion, and soft tissue complications. This Technical Note highlights the surgical technique and applications of arthroscopic targeted screw placement (ATSP) for talus fractures, trimalleolar ankle fractures, and distal tibia fractures. Utilizing preoperative imaging for surgical planning, the procedure involves arthroscopic reduction, debridement, and minimally invasive fixation under fluoroscopic guidance. Advantages of ATSP include reduced operative morbidity, earlier mobilization, and detection of subtle intra-articular injuries often missed by conventional methods. However, barriers to widespread adoption include the learning curve, costs of arthroscopic equipment, and the need for specialized training. Despite these challenges, arthroscopic techniques have shown improved functional outcomes, reduced postoperative pain, and lower complication rates compared to open reduction internal fixation. This Technical Note describes ATSP in detail, outlining its potential applications, procedural steps, pearls, pitfalls, and considerations for cost and training.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103988"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814096","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}

引用次数: 0

Hyaluronic Acid-Biocompatible Implant System for Rotator Cuff Augmentation 透明质酸-生物相容性植入系统肩袖增强

IF 1.1

Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1016/j.eats.2025.103990

Raahil Patel M.D., M.B.A. , Andrew Moore M.D. , Collin Chase M.D. , Michael Kucharik M.D. , Viki Sochor M.S. , Humberto Cardona B.S. , Christopher Baker M.D.

{"title":"Hyaluronic Acid-Biocompatible Implant System for Rotator Cuff Augmentation","authors":"Raahil Patel M.D., M.B.A. , Andrew Moore M.D. , Collin Chase M.D. , Michael Kucharik M.D. , Viki Sochor M.S. , Humberto Cardona B.S. , Christopher Baker M.D.","doi":"10.1016/j.eats.2025.103990","DOIUrl":"10.1016/j.eats.2025.103990","url":null,"abstract":"<div><div>Rotator cuff tears continue to have a high incidence of retear rates despite improvements in implants and repair techniques. The management of rotator cuff tears remains challenging because of the variability in both patient and tear pathology, without any universally accepted treatment to improve repair outcomes. Biologic patch augmentation has gained interest to enhance tendon healing, reduce retear rates, and restore the rotator cuff footprint. This Technical Note aims to describe a surgical technique using a hyaluronic acid-based biocompatible implant for both partial- and full-thickness rotator cuff tears. For partial-thickness tears, an onlay technique is used, placing the implant directly on the bursal surface of the tendon without formal suture repair. In full-thickness tears, the implant is applied over a completed standard rotator cuff repair construct to augment tendon-to-bone healing. This technique offers an alternative to currently utilized rotator cuff repair augmentation options.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103990"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814216","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}

引用次数: 0

Revision Endoscopic Proximal Hamstring Repair with Suture Staples 内镜下腘绳近端缝合钉修复

IF 1.1

Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-10-07 DOI: 10.1016/j.eats.2025.103928

Christian L. Blough M.D., Michael B. Banffy M.D.

引用次数: 0

The Dual-Fixed Slotted Cannula for Hip Arthroscopy: Surgical Technique 髋关节镜双重固定开槽插管：外科技术

IF 1.1

Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-09-27 DOI: 10.1016/j.eats.2025.103867

Christopher R. Orear B.S. , Kyle S. Jamar B.S. , Jessica H. Lee M.D. , James W. Genuario M.D. , Jacob L. Segil Ph.D. , Omer Mei-Dan M.D.

引用次数: 0

Slope Increasing Medial Opening Wedge Proximal Tibial Osteotomy for Preventive Offloading of the Posterior Cruciate Ligament and to Correct Varus Malalignment in the Setting of a Failed Posterior Cruciate Ligament Reconstruction 斜增加内侧开口楔形胫骨近端截骨预防后交叉韧带卸骨和纠正后交叉韧带重建失败后内翻错位

IF 1.1

Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-10-22 DOI: 10.1016/j.eats.2025.103948

Kaitlyn H. Smith B.S. , Nicholas K. Retzer B.S. , Benjiman J. Wilebski M.D., A.T.C. , Luke V. Tollefson B.S. , Matthew T. Rasmussen M.D. , Dustin R. Lee M.D. , Robert F. LaPrade M.D., Ph.D.

{"title":"Slope Increasing Medial Opening Wedge Proximal Tibial Osteotomy for Preventive Offloading of the Posterior Cruciate Ligament and to Correct Varus Malalignment in the Setting of a Failed Posterior Cruciate Ligament Reconstruction","authors":"Kaitlyn H. Smith B.S. , Nicholas K. Retzer B.S. , Benjiman J. Wilebski M.D., A.T.C. , Luke V. Tollefson B.S. , Matthew T. Rasmussen M.D. , Dustin R. Lee M.D. , Robert F. LaPrade M.D., Ph.D.","doi":"10.1016/j.eats.2025.103948","DOIUrl":"10.1016/j.eats.2025.103948","url":null,"abstract":"<div><div>The primary role of the posterior cruciate ligament (PCL) is to prevent posterior tibial translation (PTT). PCL graft forces increase as the posterior tibial slope decreases. Therefore, in the setting of a failed PCL reconstruction, the posterior tibial slope should be evaluated as a potential factor to offload the PCL graft. Patients with a failed PCL reconstruction or chronic PCL instability have an additional risk of meniscal tear and osteoarthritis (OA) development. PCL reconstruction failures may be associated with a decreased tibial slope and varus malalignment, which further increases the risk of subsequent meniscal and cartilage injuries. A slope increasing medial opening-wedge proximal tibial osteotomy (MOWPTO) has been shown to slow progression of medial knee OA, decrease the amount of PTT in the PCL-deficient knee, protect PCL reconstructions, and postpone the need for a total knee arthroplasty. A revision second-stage PCL reconstruction may be indicated to address ligament instability after the slope increasing MOWPTO heals, if the patient has symptomatic residual PTT. This Technical Note outlines the technique for a slope increasing MOWPTO to offload the PCL and to correct varus malalignment that may accelerate degenerative effects on the medial compartment in the setting of a failed PCL reconstruction and medial compartment OA.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103948"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814256","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}

引用次数: 0

Arthroscopic Biologic Tuberoplasty With Cable Reconstruction: A Technique for Massive Irreparable Rotator Cuff Tears 关节镜下生物结节成形术及缆索重建：一种治疗大量不可修复的肩袖撕裂的技术

IF 1.1

Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1016/j.eats.2025.103986

Misty Suri M.D., M.S. , Manik Dham , Cameron King M.D. , Brenton Hill , Christopher Adams

{"title":"Arthroscopic Biologic Tuberoplasty With Cable Reconstruction: A Technique for Massive Irreparable Rotator Cuff Tears","authors":"Misty Suri M.D., M.S. , Manik Dham , Cameron King M.D. , Brenton Hill , Christopher Adams","doi":"10.1016/j.eats.2025.103986","DOIUrl":"10.1016/j.eats.2025.103986","url":null,"abstract":"<div><div>Massive irreparable rotator cuff tears present a significant challenge in shoulder pathology, particularly for patients who are not suitable candidates for arthroplasty. Such tears disrupt the mechanical function of the shoulder joint, leading to progressive deterioration of the glenohumeral joint cartilage and the eventual development of rotator cuff arthropathy. Patients typically exhibit pain and a decline in functional capacity, subsequently facing the difficult task of selecting from a multitude of available treatment options. Among these options, arthroscopic biologic tuberoplasty has shown satisfactory clinical outcomes alongside a low rate of reoperation. In addition, the rotator cuff cable, a critical anatomical structure within the shoulder, has been identified as a significant contributor to glenohumeral joint stability. The preservation of the rotator cuff cable's integrity is vital for maintaining function and alleviating strain on the remaining rotator cuff tissue. Consequently, we propose an enhancement to our previous technique of biologic tuberoplasty, which now encompasses anterior/posterior medial cable reconstruction.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103986"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814378","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}

引用次数: 0

A Simple, Anatomical, and Reproducible Technique for Harvesting a Partial-Thickness Layered Rectangular Quadriceps Tendon–Bone Autograft: Using Standard Surgical Instruments 一种简单、解剖、可重复的获取部分厚度层状矩形股四头肌肌腱-骨自体移植物的技术：使用标准手术器械

IF 1.1

Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-10-10 DOI: 10.1016/j.eats.2025.103918

Yasukazu Yonetani M.D., Ph.D. , Kazunori Shimomura M.D., Ph.D. , Akira Tsujii M.D., Ph.D. , Ayaka Tanaka M.D. , Ryo Miyazaki M.D. , Hidekazu Suzuki M.D. , Masayuki Hamada M.D., Ph.D.

{"title":"A Simple, Anatomical, and Reproducible Technique for Harvesting a Partial-Thickness Layered Rectangular Quadriceps Tendon–Bone Autograft: Using Standard Surgical Instruments","authors":"Yasukazu Yonetani M.D., Ph.D. , Kazunori Shimomura M.D., Ph.D. , Akira Tsujii M.D., Ph.D. , Ayaka Tanaka M.D. , Ryo Miyazaki M.D. , Hidekazu Suzuki M.D. , Masayuki Hamada M.D., Ph.D.","doi":"10.1016/j.eats.2025.103918","DOIUrl":"10.1016/j.eats.2025.103918","url":null,"abstract":"<div><div>Anatomic anterior cruciate ligament reconstruction (ACLR) aims to replicate the native 3-dimensional architecture of the anterior cruciate ligament (ACL), including its fiber orientation and insertion site, to restore normal knee biomechanics. The anatomic rectangular tunnel ACLR technique, pioneered by Shino et al., creates rectangular tunnels that better replicate the native ACL's fiber alignment compared with conventional round tunnels. Recently, the quadriceps tendon−bone autograft has gained attention because of its large cross-sectional area, strong tensile properties, and lower incidence of anterior knee pain compared with bone−patellar tendon−bone grafts. This technical note describes a layered quadriceps tendon−bone harvesting technique that preserves the third tendon layer while harvesting a sufficient graft with a rectangular bone block. The method uses minimal instruments and relies on anatomical landmarks to ensure reproducibility and graft quality. Benefits of this technique include anatomical reconstruction of the ACL, decreased graft-tunnel mismatch, potential for reduced tunnel widening, and favorable healing as the result of bone-to-bone integration. Limitations include the technical complexity of tendon harvesting, risk of patellar fracture, and a steep learning curve. With appropriate anatomical knowledge and surgical experience, this approach can be a reliable and effective option for anatomic ACLR.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103918"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814381","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}

引用次数: 0

Accessory Biceps Femoris Tenotomy and Tenodesis to Biceps Femoris Tendon for Symptomatic Lateral Knee Snapping in Athletes 股骨二头肌附件肌腱切开术和股二头肌肌腱固定术治疗运动员症状性膝外侧折断

IF 1.1

Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1016/j.eats.2025.103965

Dustin J. Kress M.A., Patrick Waldron D.O., Amber N. Lopez B.S., Anderson Lee M.D., Lucas Voyvodic M.D., Nicolas A. Artz M.S.C., Kyle Cantave B.A., Patrick McGahan M.D., Ajith Malige M.D., James L. Chen M.D., M.P.H.

{"title":"Accessory Biceps Femoris Tenotomy and Tenodesis to Biceps Femoris Tendon for Symptomatic Lateral Knee Snapping in Athletes","authors":"Dustin J. Kress M.A., Patrick Waldron D.O., Amber N. Lopez B.S., Anderson Lee M.D., Lucas Voyvodic M.D., Nicolas A. Artz M.S.C., Kyle Cantave B.A., Patrick McGahan M.D., Ajith Malige M.D., James L. Chen M.D., M.P.H.","doi":"10.1016/j.eats.2025.103965","DOIUrl":"10.1016/j.eats.2025.103965","url":null,"abstract":"<div><div>Snapping biceps femoris tendon represents a rare but clinically significant cause of lateral knee pain in young athletes. Anomalous tendon insertions can create pathologic subluxation across the fibular head during knee motion, resulting in mechanical symptoms resistant to conservative treatment. We describe a surgical technique for managing this condition. A 20-year-old male athlete presented with lateral knee snapping caused by accessory biceps femoris insertion on the anterosuperior fibular head. The surgical technique involves release of the accessory tendon band from its aberrant insertion and tenodesis to the native biceps femoris insertion on the posterior fibular head using figure-of-8 suture configuration. This approach preserves tendon function while eliminating pathologic snapping through anatomic restoration of the tendon vector. Biceps femoris accessory tendon tenodesis offers an effective treatment option that maintains biomechanical function while addressing the underlying pathology.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103965"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814436","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}

引用次数: 0

Single-Bundle Medial Patellofemoral Ligament Reconstruction Using Adjustable-Length Loop Cortical Button Patella Fixation and Interference Screw Femoral Fixation 单束髌股内侧韧带重建应用可调长度环皮质钮扣髌骨固定和干涉螺钉股骨固定

IF 1.1

Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-10-31 DOI: 10.1016/j.eats.2025.103968

Christos K. Yiannakopoulos M.D., Ph.D. , Georgios Kalinterakis M.D. , Apostolos Champipis M.D.

{"title":"Single-Bundle Medial Patellofemoral Ligament Reconstruction Using Adjustable-Length Loop Cortical Button Patella Fixation and Interference Screw Femoral Fixation","authors":"Christos K. Yiannakopoulos M.D., Ph.D. , Georgios Kalinterakis M.D. , Apostolos Champipis M.D.","doi":"10.1016/j.eats.2025.103968","DOIUrl":"10.1016/j.eats.2025.103968","url":null,"abstract":"<div><div>Many techniques have been described for the reconstruction of the medial patellofemoral ligament (MPFL) in patients with acute or recurrent instability. Most commonly, an MPFL hamstring tendon auto- or allograft is used, attached to the patella and medial femoral condyle using bone tunnels and various fixation implants to ensure stable fixation and graft healing. We describe a surgical technique in which an MPFL semitendinosus graft is inserted in a partial-width transverse patellar bone tunnel (typically 6-6.5 mm in diameter and 15-20 mm in length) and stabilized using adjustable loop cortical button fixation. In the femur, a tunnel is drilled in an oblique superolateral direction (typically 6-6.5 mm in diameter and 30 mm in length), and the graft is inserted and stabilized using an absorbable interference screw. The graft is tightened at 60° of knee flexion and retensioned after knee cycling as necessary, with the adjustable loop button. The described technique affords sufficient initial graft fixation strength, thereby eliminating the need for postoperative immobilization.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103968"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814438","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}

引用次数: 0

Arthroscopic Suspensory Construct for Acute Acromioclavicular Joint Separation 关节镜下悬吊装置治疗急性肩锁关节分离

IF 1.1

Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-10-07 DOI: 10.1016/j.eats.2025.103903

Dezhou Tang M.Med., Yang Chi B.S., Yuchen He M.D., Junliang Liu B.S., Ding Zhou M.D., Qi Tang M.D., Weihong Zhu M.D.

引用次数: 0