Błażej Grzegorz Wójtowicz, Bartosz Chlebanowski, Grzegorz Taborski, Grzegorz Kałużyński, Marcin Domżalski, Jedrzej Lesman
{"title":"Needle Arthroscopy-Guided Anatomic Reduction and Suture Button Fixation of the Distal Tibiofibular Syndesmosis.","authors":"Błażej Grzegorz Wójtowicz, Bartosz Chlebanowski, Grzegorz Taborski, Grzegorz Kałużyński, Marcin Domżalski, Jedrzej Lesman","doi":"10.1002/atn2.70332","DOIUrl":"https://doi.org/10.1002/atn2.70332","url":null,"abstract":"<p><p>Syndesmotic malreduction remains a major contributor to poor outcomes after ankle injuries, yet conventional fixation methods rely primarily on fluoroscopic assessment and may not fully reveal rotational or subtle translational malalignment. Needle arthroscopy offers direct visualization of the distal tibiofibular interval, enabling precise assessment of the injury and real-time confirmation of reduction. This surgical technique describes a fully arthroscopic approach to anatomic reduction and dynamic stabilization of the syndesmosis using a suture button device. After arthroscopic identification of the pathological widening, a four-cortex trans-syndesmotic tunnel is created under fluoroscopic control, the medial button is deployed, and final reduction is achieved through symmetric tensioning while monitoring the syndesmosis with needle arthroscopy. This method allows accurate restoration of the fibular position within the incisura with minimal soft-tissue disruption and may reduce the risk of malreduction associated with traditional techniques.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70332"},"PeriodicalIF":1.5,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184935","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}
Guo Zheng, ZunHan Liu, JunYan Yu, MoLong Chen, YunJiao Wang, ChenKe Zhang, Lin Ma
{"title":"Arthroscopic Palmaris Longus Tendon Bridging for Augmented Repair of Bursal-Sided Partial Thickness Rotator Cuff Tears.","authors":"Guo Zheng, ZunHan Liu, JunYan Yu, MoLong Chen, YunJiao Wang, ChenKe Zhang, Lin Ma","doi":"10.1002/atn2.70285","DOIUrl":"https://doi.org/10.1002/atn2.70285","url":null,"abstract":"<p><p>The management of bursal-sided partial-thickness rotator cuff tears remains controversial. Both transtendon repair preserving the residual tendon and conversion to full-thickness repair yield satisfactory outcomes. However, treating bursal-sided partial-thickness rotator cuff tears with significant tendon retraction because of delamination is challenging. Direct repair of the retracted bursal layer under high tension results in a high retear rate. The purpose of this technical note is to describe an arthroscopic method using the palmaris longus tendon for augmented repair of bursal-sided partial-thickness rotator cuff tears, aiming to promote biological healing and reduce the retear rate.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70285"},"PeriodicalIF":1.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170979","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}
Abdullah Alanazi, Hammad Alomaim, Raghad Alaujan, Firas Alsebayel, Wazzan Aljuhani
{"title":"All-Inside Anterior Cruciate Ligament Reconstruction Using Semitendinosus Autograft Augmented With Biocomposite Scaffold: A Technical Note.","authors":"Abdullah Alanazi, Hammad Alomaim, Raghad Alaujan, Firas Alsebayel, Wazzan Aljuhani","doi":"10.1002/atn2.70292","DOIUrl":"https://doi.org/10.1002/atn2.70292","url":null,"abstract":"<p><p>Anterior cruciate ligament reconstruction using the all-inside technique offers bone preservation and minimal invasiveness. However, single hamstring tendon autografts with a diameter below 8 mm carry increased failure risk. BioBrace (ConMed), a biocomposite scaffold of bioresorbable poly(L-lactide) microfilaments and type I collagen, provides mechanical reinforcement and biological support for graft healing. The purpose of writing this article is to describe an all-inside anterior cruciate ligament reconstruction using quadrupled semitendinosus autograft augmented with BioBrace biocomposite scaffold.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70292"},"PeriodicalIF":1.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168843","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}
{"title":"Prior Creation of the Lateral Extra-articular Tenodesis Tunnel to Minimize Tunnel Convergence During Combined Anterior Cruciate Ligament Reconstruction.","authors":"Makoto Suruga, Takashi Kozu, Yoshiyuki Yahagi, Hyunho Lee, Kazuyoshi Nakanishi","doi":"10.1002/atn2.70297","DOIUrl":"https://doi.org/10.1002/atn2.70297","url":null,"abstract":"<p><p>Lateral extra-articular procedures are increasingly combined with anterior cruciate ligament (ACL) reconstruction in revision and high-risk primary cases; however, femoral tunnel convergence between ACL and lateral extra-articular tenodesis (LET) tunnels remains a cause of iatrogenic graft compromise. We describe a simple technique to minimize tunnel interference when performing LET according to the modified Lemaire technique with bone tunnel fixation. The key concept is to create the LET femoral tunnel first and leave the passing pin in situ while creating the ACL femoral tunnel under fluoroscopic guidance, allowing real-time adjustment of the guide pin trajectory. After arthroscopic confirmation that the passing pin is not visible within the ACL tunnel, it is removed while retaining a shuttle suture for graft passage. ACL reconstruction is completed in the standard manner, followed by LET graft preparation, passage posterior to the lateral collateral ligament, and fixation with a SwiveLock anchor with the lower leg in internal rotation. This sequence requires no specialized instruments and can be applied to other lateral extra-articular procedures, including anterolateral ligament reconstruction. This technique provides a practical option to reduce femoral tunnel interference and protect the ACL graft during combined procedures.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70297"},"PeriodicalIF":1.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13651427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170028","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}
Zhichen Zou, Xinbei Dong, Chuanzheng Zhu, Qinglong Wang, Zhixue Wang
{"title":"\"3D\" Techniques for Improving Safety in Posterior Knee Arthroscopy During Posterior Cruciate Ligament Avulsion Fracture Fixation: A Series of Key Technical Modifications.","authors":"Zhichen Zou, Xinbei Dong, Chuanzheng Zhu, Qinglong Wang, Zhixue Wang","doi":"10.1002/atn2.70340","DOIUrl":"https://doi.org/10.1002/atn2.70340","url":null,"abstract":"<p><p>Arthroscopic procedures in the posterior compartment of the knee are technically demanding and present an inherent risk of iatrogenic neurovascular injury because of the close proximity of the popliteal neurovascular bundle. This technical note aims to enhance surgical safety by describing a series of modifications termed the \"3D\" technique. The technique integrates 3 simple, practical, and reproducible modifications that improve visualization and tunnel accuracy while minimizing the risk of complications using only standard arthroscopic instruments.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70340"},"PeriodicalIF":1.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168001","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}
Gabriel Octavio Pérez Lloveras, Rodrigo Pérez Dávila, Diego Mengelle, Logan D Moews, Gonzalo Ezequiel Escobar
{"title":"Anchor-Free Capsular Augmentation Using the Reflected Head of the Rectus Femoris in Hip Arthroscopy.","authors":"Gabriel Octavio Pérez Lloveras, Rodrigo Pérez Dávila, Diego Mengelle, Logan D Moews, Gonzalo Ezequiel Escobar","doi":"10.1002/atn2.70312","DOIUrl":"https://doi.org/10.1002/atn2.70312","url":null,"abstract":"<p><p>Capsular integrity is a key factor in hip stability after arthroscopic procedures. Inadequate capsular closure may contribute to postoperative microinstability, persistent pain, and suboptimal outcomes, particularly in patients undergoing extensive capsulotomy or procedures affecting proximal capsular tissue. Most capsular augmentation techniques using the reflected head of the rectus femoris rely on suture anchors for tendon fixation. This technical note describes an anchor-free capsular augmentation technique using the reflected head of the rectus femoris. A capsule-tendon-capsule suture construct is created using a suture-passing device, allowing simultaneous capsular closure and reinforcement without additional implants. The technique is simple, reproducible, and cost-effective and preserves the dynamic stabilizing role of the rectus femoris while maintaining physiologic capsular excursion.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70312"},"PeriodicalIF":1.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13651428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168106","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}
{"title":"All-Arthroscopic Rotator Cuff Muscle Advancement With Pan Scapular Release and Using the Scapular Triangular View.","authors":"Hiroaki Moriyama, Masafumi Gotoh, Hiroki Ohzono, Yasuhiro Mitsui, Kosuke Tabuchi, Koji Hiraoka, Takahiro Okawa","doi":"10.1002/atn2.70301","DOIUrl":"https://doi.org/10.1002/atn2.70301","url":null,"abstract":"<p><p>An all-arthroscopic rotator cuff muscle advancement technique is presented for posterosuperior massive tears. This procedure involves subperiosteal release of the supraspinatus and infraspinatus from the scapula while preserving continuity with the levator scapulae and the rhomboid muscles. Along the medial scapular border, interposed fibrous bands, termed \"Hakusen\" (white lines), exist between the rotator cuff muscles and the levator scapulae/rhomboids. The superior and inferior Hakusen are continuously connected through the periosteum of the scapular triangular area. The fibrous unit comprising the superior Hakusen, triangular-area periosteum, and inferior Hakusen is defined as the Hakusen-triangular area complex. Incomplete release at the medial extent of this unit may limit cuff excursion. Our technique adds targeted triangular-area management and the scapular triangular view to maintain visualization of the medial scapular border and standardize the endpoint as complete sequential subperiosteal release of the Hakusen-triangular area complex to its medial extent. In our cadaveric comparison, conventional release left residual triangular-area periosteum, whereas this technique achieved continuous medial-end release including the Hakusen. By increasing lateral excursion and reducing repair tension, this approach may facilitate low-tension primary footprint repair.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70301"},"PeriodicalIF":1.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13651754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170921","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}
Peter A Bueide, Jordan D Shearer, Ryan M Peldo, Nathan W Skelley
{"title":"Augmentation of Rotator Cuff Repair With a Bioinductive Collagen Scaffold: The Arthroscopic Slide Technique.","authors":"Peter A Bueide, Jordan D Shearer, Ryan M Peldo, Nathan W Skelley","doi":"10.1002/atn2.70286","DOIUrl":"https://doi.org/10.1002/atn2.70286","url":null,"abstract":"<p><p>Rotator cuff repair continues to be one of the most common orthopaedic surgeries performed. However, depending on patient risk factors, retear rates remain high. We describe a technique for tensioning a collagen scaffold to supplement rotator cuff repair using laterally based pulley sutures. This ensures the scaffold is fixed in appropriate tension to function as a load-sharing construct with rotator cuff repair. Aside from the biologic scaffold, this technique requires minimal extra implant costs except for 2 additional sutures.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70286"},"PeriodicalIF":1.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171573","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}
George Loria, Mohamed Ahmed Mohamed, George Alexander Rublev, Irakli Gogua, Giorgi Zimlitski, Mikheil Zimlitski
{"title":"Video-Assisted Intralesional Curettage for Invasive Nonmalignant Giant Cell Tumors.","authors":"George Loria, Mohamed Ahmed Mohamed, George Alexander Rublev, Irakli Gogua, Giorgi Zimlitski, Mikheil Zimlitski","doi":"10.1002/atn2.70300","DOIUrl":"https://doi.org/10.1002/atn2.70300","url":null,"abstract":"<p><p>Giant cell tumor of bone is a locally aggressive benign neoplasm with a strong tendency for local recurrence after surgical treatment. Intralesional excision and curettage is preferred in most cases to maximize tumor removal while preserving the affected joint. The present technical note describes Video-Assisted Intralesional Curettage of Invasive Nonmalignant Giant cell tumors, a technique in which intracavitary 30° arthroscopic visualization is integrated with extended intralesional curettage. After the creation of a cortical window for Campanacci grade 2 lesions or the use of the existing cortical defect for grade 3 lesions, the arthroscope is introduced and rotated through 360° to identify residual pigmented tumor in recesses not visible to the unaided eye. Targeted recurettage, high-speed burring, and monopolar electrocautery on spray mode are then applied under direct video visualization, followed by pulsed saline lavage and reconstruction with polymethyl methacrylate cementation, with the aim of reducing residual microscopic disease at every step.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70300"},"PeriodicalIF":1.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13651582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170157","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}
{"title":"Arthroscopic Reduction and Fixation of Impacted Humeral Head Reverse Hill-Sachs Fracture With Absorbable Anchors for Acute Traumatic Posterior Shoulder Dislocation.","authors":"Yuxin Lin, Chuanqiang Liu, Jiandong Gao, Jiushan Yang, Shaoshan Wang, Lizhong Jing","doi":"10.1002/atn2.70277","DOIUrl":"https://doi.org/10.1002/atn2.70277","url":null,"abstract":"<p><p>A minimally invasive technique is presented for the treatment of acute traumatic posterior shoulder dislocation with a reverse Hill-Sachs lesion. Arthroscopic reduction was combined with internal fixation using 1 absorbable anchor. Under high-definition arthroscopic visualization, precise anatomical reduction of the impacted anteromedial humeral head compression fracture was achieved. Absorbable anchors were inserted into the subchondral bone defect beneath the reduced fragment. Initial stability was provided, and congruity of the articular surface is maintained. Compared with conventional approaches, several advantages were shown. First, anatomical restoration and functional preservation were achieved. The osseous morphology of the humeral head was restored, and the subscapularis tendon was preserved. Postoperative recovery of shoulder function, particularly internal rotation, was facilitated. Second, minimal invasiveness and biocompatibility were emphasized. Tissue trauma was reduced, and visualization was improved. Mechanical support was provided during early healing, followed by gradual degradation of the implants and progressive load transfer to newly formed bone. Long-term risks associated with metallic implants were avoided, including secondary removal and stress shielding. Finally, concomitant injuries could be managed concurrently under arthroscopic guidance.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70277"},"PeriodicalIF":1.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171263","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}