Luke V. Tollefson B.S., Evan P. Shoemaker B.A., Matthew T. Rasmussen M.D., Dustin R. Lee M.D., Robert F. LaPrade M.D., Ph.D.
{"title":"Repair of a Primary Patellar Tendon Midsubstance Rupture With Hamstring Autograft Augmentation","authors":"Luke V. Tollefson B.S., Evan P. Shoemaker B.A., Matthew T. Rasmussen M.D., Dustin R. Lee M.D., Robert F. LaPrade M.D., Ph.D.","doi":"10.1016/j.eats.2025.103543","DOIUrl":"10.1016/j.eats.2025.103543","url":null,"abstract":"<div><div>Patellar tendon ruptures are traumatic injuries disrupting the extensor mechanism. Common presentations include patellar alta, knee extension deficits, and a tendon gap. Although nonoperative treatment can be considered for partial tears or microtearing, full patellar tendon ruptures should be treated surgically. Acute treatment is also critical to prevent the patella from scarring in a proximal position. This technique describes an augmented repair of an acute patellar tendon midsubstance tear. Hamstring autografts, routed through the tibial tubercle and patella, are used to augment a repair of the patellar tendon.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103543"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481205","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}
Clay A. Rahaman B.A., Dev Dayal B.S., Henry V. Bonner M.D., Maxwell L. Harrell B.S., Thomas B. Evely D.O., Eugene W. Brabston M.D., Aaron J. Casp M.D., Amit M. Momaya M.D.
{"title":"Rotator Cuff Repair With a Sutureless PEEK Implant","authors":"Clay A. Rahaman B.A., Dev Dayal B.S., Henry V. Bonner M.D., Maxwell L. Harrell B.S., Thomas B. Evely D.O., Eugene W. Brabston M.D., Aaron J. Casp M.D., Amit M. Momaya M.D.","doi":"10.1016/j.eats.2025.103526","DOIUrl":"10.1016/j.eats.2025.103526","url":null,"abstract":"<div><div>Rotator cuff tears are one of the most common tendon injuries. Despite advancements in rotator cuff repair techniques, outcomes remain variable. We describe repair of small rotator cuff tears with a sutureless PEEK (polyether ether ketone) implant, which eliminates the need for suture management, avoids knot tying, provides multiple fixation points, and distributes compression over a broad surface area that may enhance blood flow and healing.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103526"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481697","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}
Ricardo de Paula L. Cury M.D., Ph.D., Viktor Nelson M. Correa M.D., Rafael Romano Rahal M.D., Alfredo dos S. Netto M.D., M.Sc., Victor Marquês de Oliveira M.D., Ph.D., Marcos Barbieri Mestriner M.D., M.Sc.
{"title":"Double-Bundle Posterior Cruciate Ligament Reconstruction Using Superficial Quadriceps and Semitendinosus Tendon Autografts","authors":"Ricardo de Paula L. Cury M.D., Ph.D., Viktor Nelson M. Correa M.D., Rafael Romano Rahal M.D., Alfredo dos S. Netto M.D., M.Sc., Victor Marquês de Oliveira M.D., Ph.D., Marcos Barbieri Mestriner M.D., M.Sc.","doi":"10.1016/j.eats.2025.103460","DOIUrl":"10.1016/j.eats.2025.103460","url":null,"abstract":"<div><div>Posterior cruciate ligament (PCL) injuries are an important cause of knee instability. Recent advancements in understanding PCL anatomy and biomechanics have significantly improved surgical approaches. Double-bundle reconstruction, targeting the anterolateral and posteromedial bundles, has shown superior outcomes in restoring both subjective knee stability and objective biomechanics. However, the reliance on allografts for this procedure limits its feasibility in certain settings, driving the need for viable autologous graft alternatives that eliminate dependence on tissue banks. This study describes a double-bundle PCL reconstruction technique using autologous grafts: the superficial quadriceps (rectus femoris) for the anterolateral bundle and the semitendinosus for the posteromedial bundle.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103460"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481722","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}
Xingwang Liu M.D., Xicheng Gu M.D., Yinghui Hua M.D., Ph.D.
{"title":"Arthroscopic Marginalization and Repair of Thickened Central Portion for Large Posterolateral Corner Loss Type of Discoid Lateral Meniscus","authors":"Xingwang Liu M.D., Xicheng Gu M.D., Yinghui Hua M.D., Ph.D.","doi":"10.1016/j.eats.2025.103472","DOIUrl":"10.1016/j.eats.2025.103472","url":null,"abstract":"<div><div>Discoid lateral meniscus is the most prevalent anatomical variant in the Asian population, with the posterolateral corner loss type being the second most prevalent tear pattern. This tear typically affects the posterior horn and midbody of the lateral meniscus, often necessitating subtotal meniscectomy. However, long-term follow-up indicates a high incidence of early degenerative changes after such procedures. Recent advancements in arthroscopic techniques provide opportunities to reconstruct the meniscus, restoring its normal morphology and function. Here, we describe the arthroscopic marginalization technique, which allows for complete repair of the posterolateral corner loss−type discoid lateral meniscus using the thickened central portion that would otherwise be removed during subtotal meniscectomy.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103472"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481724","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}
Wenbin Luo Ph.D. , Ao Wang Ph.D. , Chengyuan Qu M.D. , Zhiyao Zhao M.D. , Fangzheng Zhou M.D. , Yaohui Yang M.D. , Xiaoning Liu Ph.D.
{"title":"A Modified Minimally Invasive Outside-in to All-Inside Hybrid Meniscal Suture Technique: Simple, Secure, Versatile, and Cost-Effective","authors":"Wenbin Luo Ph.D. , Ao Wang Ph.D. , Chengyuan Qu M.D. , Zhiyao Zhao M.D. , Fangzheng Zhou M.D. , Yaohui Yang M.D. , Xiaoning Liu Ph.D.","doi":"10.1016/j.eats.2025.103473","DOIUrl":"10.1016/j.eats.2025.103473","url":null,"abstract":"<div><div>The meniscus is vital for knee joint function and stability. Treatment aims to maximize meniscal preservation. Although current mainstream repair techniques have specific indications and limitations, we describe a modified technique for repairing the anterior horn or anterior portion of the meniscal body, combining the advantages of both approaches. We call this technique the \"outside-in to all-inside hybrid suturing technique.\"</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103473"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481725","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}
{"title":"Arthroscopic Superior Capsule Reconstruction Using an Acellular Dermal Allograft Augmented With Biceps Rerouting for Irreparable Rotator Cuff Tear: “Tent-Pitching” Technique","authors":"Po-Yao Wang M.D. , Jia-Lin Wu M.D., M.S.","doi":"10.1016/j.eats.2025.103467","DOIUrl":"10.1016/j.eats.2025.103467","url":null,"abstract":"<div><div>Superior capsular reconstruction is a surgical technique for the treatment of massive irreparable rotator cuff tears. Different types of grafts have been used. Human dermal allograft has the advantage of avoiding autograft harvest-site morbidity but may elongate with graft loading, resulting in eventual superior humeral head migration. The purpose of this Technical Note is to describe an arthroscopic technique using the long head of the biceps tendon rerouting in superior capsular reconstruction with nonirradiated human acellular dermis for irreparable rotator cuff tears.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103467"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480626","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}
{"title":"Subacromial-First Approach to Minimize Infraspinatus Damage for Massive Rotator Cuff Tears Repair","authors":"Wittawat Boonyanuwat M.D. , Chatchavan Charoenthamruksa M.D. , Adisak Nartthanarung M.D. , Pinkawas Kongmalai M.D.","doi":"10.1016/j.eats.2025.103510","DOIUrl":"10.1016/j.eats.2025.103510","url":null,"abstract":"<div><div>We present a tendon-preserving approach for massive rotator cuff tears, focusing on the subacromial space rather than entering the glenohumeral joint. This technique aims to minimize iatrogenic injury to already compromised tendons, particularly the infraspinatus, while improving visualization and surgical efficiency. By accessing the subacromial space first, manipulation of retracted and weakened posterior cuff tissues is avoided, reducing the risk of further damage. The procedure is performed in the beach-chair position using 4 portals strategically placed for optimal visualization and precise anchor placement. After addressing the subscapularis tear, a double-row supraspinatus repair is completed without the need for intra-articular exploration. Preserving tendon integrity may enhance biomechanical stability and potentially decrease retear rates. Additionally, the retracted tendon edges often provide an indirect view of intra-articular structures, allowing for the management of biceps or labral lesions. Although selective intra-articular inspection may still be required in certain cases, this approach represents a paradigm shift in managing massive cuff tears. Future studies comparing outcomes, such as functional recovery and retear rates, with conventional intra-articular techniques are warranted to further validate this subacromial-first method.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103510"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481693","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}
F. Okke Lambers Heerspink M.D., Ph.D. , Alexandra M. Leenders M.D. , Freek Hollman M.D., Ph.D.
{"title":"Arthroscopic Subscapularis Tendon Repair Using a Transpectoral Viewing Portal","authors":"F. Okke Lambers Heerspink M.D., Ph.D. , Alexandra M. Leenders M.D. , Freek Hollman M.D., Ph.D.","doi":"10.1016/j.eats.2025.103515","DOIUrl":"10.1016/j.eats.2025.103515","url":null,"abstract":"<div><div>The subscapularis is the strongest muscle in the rotator cuff and is essential for shoulder function and stability. Arthroscopic repair of the subscapularis tendon can be challenging as the result of muscle retraction, the proximity of the axillary nerve, and impaired visualization. In some cases, a 70° arthroscope is required to enhance the tendon view. We describe the use of a transpectoral viewing portal to facilitate arthroscopic repair of subscapularis tears.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103515"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481694","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}
{"title":"Arthroscopic Suture and Transfemoral Fixation for Acute Posterior Cruciate Ligament Femoral Avulsion Fracture","authors":"Xian Zhang M.D., Bo Ren Ph.D., M.D.","doi":"10.1016/j.eats.2025.103462","DOIUrl":"10.1016/j.eats.2025.103462","url":null,"abstract":"<div><div>Acute posterior cruciate ligament (PCL) femoral avulsion fractures in adults are rare. This is a very specific injury often diagnosed with magnetic resonance imaging to evaluate PCL continuity, and avulsion fractures are evaluated preoperatively via 3-dimensional computed tomography. We describe a modified technique for arthroscopic transfemoral suture of the PCL–femoral ligament combined with Versalok fixation to preserve the native femoral insertion of the PCL and ligament tension.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103462"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480373","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}
Henry B. Colaço M.Sc., F.R.C.S. (Tr.&Orth.), M.F.S.T.Ed. , Nikhil Ponugoti M.B.B.S., D.N.B. Ortho., M.R.C.S.
{"title":"Acromioclavicular Joint Reconstruction Using an Artificial Ligament With Palmaris Longus Autograft Augmentation","authors":"Henry B. Colaço M.Sc., F.R.C.S. (Tr.&Orth.), M.F.S.T.Ed. , Nikhil Ponugoti M.B.B.S., D.N.B. Ortho., M.R.C.S.","doi":"10.1016/j.eats.2025.103466","DOIUrl":"10.1016/j.eats.2025.103466","url":null,"abstract":"<div><div>Acromioclavicular joint disruption is one of the commonest shoulder injuries, particularly in the young male athletic population. There are several techniques described in literature to treat acute and chronic injuries, although there is no gold standard. In this Technical Note, we describe an open technique to treat high-grade acute and chronic acromioclavicular joint disruption using an artificial ligament along with palmaris longus graft augmentation to replicate the conoid and trapezoid ligaments.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 6","pages":"Article 103466"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480625","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}