Arthroscopy Techniques最新文献_第3页

Pedicled Anterior Cruciate Ligament Reconstruction and Lateral Extra-articular Tenodesis Without Additional Implants—“PARLET” Technique 带蒂前交叉韧带重建和外侧关节外肌腱固定术，无需额外植入物-“PARLET”技术

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Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-11-05 DOI: 10.1016/j.eats.2025.103989

Piotr Wodzinski M.D., Ph.D. , Tomasz Zoraw M.D. , Andrzej Wielgus M.D., Ph.D. , Boguslaw Sadlik M.D., Ph.D. , Szymon Dragan M.D., Ph.D.

{"title":"Pedicled Anterior Cruciate Ligament Reconstruction and Lateral Extra-articular Tenodesis Without Additional Implants—“PARLET” Technique","authors":"Piotr Wodzinski M.D., Ph.D. , Tomasz Zoraw M.D. , Andrzej Wielgus M.D., Ph.D. , Boguslaw Sadlik M.D., Ph.D. , Szymon Dragan M.D., Ph.D.","doi":"10.1016/j.eats.2025.103989","DOIUrl":"10.1016/j.eats.2025.103989","url":null,"abstract":"<div><div>Despite constant development of surgical techniques, the outcomes of anterior cruciate ligament (ACL) reconstructions remain unpredictable, and the failure rate remains unacceptably high. Among many factors influencing results, the graft-healing process called ligamentization has recently been highly emphasized. Improvement of healing potential, connected with graft diameter optimization and the addition of lateral extra-articular tenodesis, might lead to superior treatment results. We describe a simple technique of combined anterior cruciate ligament reconstruction with a pedicled hamstring graft of case-specific diameter and lateral extra-articular tenodesis with limited hardware. “PARLET” stands for pedicled anterior cruciate ligament reconstruction and lateral extra-articular tenodesis without additional implants. Three options of graft preparation (3, 4, or 6 strands) enable diameter versatility and optimization during surgery. Preserving the hamstring pedicle and limiting its interference with tibial fixation due to the use of an ACL adjustable cortical button might improve graft healing potential. Fixation of lateral tenodesis with a femoral ACL cortical button solves the problem of tunnel or implant interference.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103989"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814458","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}

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Arthroscopy-Assisted Anatomic Global Reconstruction of Acromioclavicular Joint Separation 关节镜辅助下肩锁关节分离解剖整体重建

IF 1.1

Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-10-09 DOI: 10.1016/j.eats.2025.103915

Gaurav Kumar Gupta M.S., D.N.B. , Rajkumar S. Amaravathi D.N.B. , Jerin Jeevo M.S., D.N.B. , Velpula Mohan Babu M.S. , Bibin Selvin M.S. , Anoop Pilar M.S., D.N.B. , Mahesh Shekoba M.S. , Padmanaban Sekaran M.Sc., P.T.

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Reconstruction of the Anterior Cruciate Ligament and Anterolateral Ligament Using Internal Brace 内支重建前交叉韧带和前外侧韧带

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Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-10-04 DOI: 10.1016/j.eats.2025.103840

Sergio Augusto Campolina de Azeredo M.D. , Maria Mascarenhas , Rodrigo de Paula Mascarenhas Vaz M.D. , Camila Cohen Kaleka M.D., Ph.D. , Pedro Debieux M.D., Ph.D.

{"title":"Reconstruction of the Anterior Cruciate Ligament and Anterolateral Ligament Using Internal Brace","authors":"Sergio Augusto Campolina de Azeredo M.D. , Maria Mascarenhas , Rodrigo de Paula Mascarenhas Vaz M.D. , Camila Cohen Kaleka M.D., Ph.D. , Pedro Debieux M.D., Ph.D.","doi":"10.1016/j.eats.2025.103840","DOIUrl":"10.1016/j.eats.2025.103840","url":null,"abstract":"<div><div>The integration of extra-articular procedures in anterior cruciate ligament (ACL) reconstruction is crucial, especially in the context of the high incidence of ACL injuries, which are a leading cause of knee instability and potential progression to post-traumatic osteoarthritis. Injuries to the anterolateral ligament (ALL) and knee capsule are present in nearly 90% of ACL ruptures and are associated with significant rotational instability and grade 3 pivot-shift displacement. This study outlines a technique using the internal brace, a biocompatible device made of ultra-high-molecular-weight polyethylene fibers, not only to augment the ACL reconstruction but also to reinforce the ALL repair. Historically used across various ligament reconstructions, the internal brace aims to enhance postsurgical stability of the knee without increasing morbidity. This approach combines primary ACL reconstruction through arthroscopy with percutaneous reinforcement of the ALL. The method is designed to improve knee function and stability after reconstruction, thereby reducing the risk of ACL rerupture, protecting meniscal repairs, and increasing the rate of return to preinjury athletic performance.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103840"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814090","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}

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Surgical Management of Combined Patellofemoral and Proximal Tibiofibular Joint Instability in a Patient With Ehlers-Danlos Syndrome ehers - danlos综合征患者髌股和胫腓骨近端联合不稳定的手术治疗

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Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-10-09 DOI: 10.1016/j.eats.2025.103902

Sebastian Schmidt M.D. , Chilan B.G. Leite M.D., Ph.D. , Domenico Franco M.D. , Omar Protzuk M.D. , Nathan Sherman M.D. , Christian Lattermann M.D.

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Arthroscopic Noninvasive Transtendon Double-Pulley Suture Bridge Repair of Partial Articular Supraspinatus Tendon Avulsions 关节镜下无创跨口双滑轮缝合桥修复部分冈上肌腱撕脱

IF 1.1

Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-03-14 DOI: 10.1016/j.eats.2025.103506

Peiguan Huang M.Med., Xiaoxu Wang M.D., Yong Fu M.D., Zhengmao Li M.D., Bin Peng M.Med., Min He M.Med., Chunrong He M.D.

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Thumb Ulnar Collateral Ligament Repair Using Suture Anchors and Suture Tape Augmentation 缝合锚钉与缝合带增强修复拇指尺侧副韧带

IF 1.1

Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1016/j.eats.2025.103957

Dustin J. Kress M.A., Lucas C. Voyvodic M.D., Nicholas Pettinelli B.S., Patrick Waldron D.O., Ethan Vallellanes B.S., Sydney Solis B.S., Ravleen Kang B.S., Arina Caliman B.A., Chloe Kung B.S., James L. Chen M.D., M.P.H., Ajith Malige M.D.

{"title":"Thumb Ulnar Collateral Ligament Repair Using Suture Anchors and Suture Tape Augmentation","authors":"Dustin J. Kress M.A., Lucas C. Voyvodic M.D., Nicholas Pettinelli B.S., Patrick Waldron D.O., Ethan Vallellanes B.S., Sydney Solis B.S., Ravleen Kang B.S., Arina Caliman B.A., Chloe Kung B.S., James L. Chen M.D., M.P.H., Ajith Malige M.D.","doi":"10.1016/j.eats.2025.103957","DOIUrl":"10.1016/j.eats.2025.103957","url":null,"abstract":"<div><div>Injury to the ulnar collateral ligament of the thumb metacarpophalangeal joint is commonly encountered in clinical practice, particularly among athletes. Although repair using suture anchors is currently the gold standard, recent evidence suggests suture tape augmentation offers superior initial construct strength, allowing for earlier mobilization. This technical note describes a reproducible technique for thumb ulnar collateral ligament repair using suture tape augmentation. The procedure involves primary repair with a 1.3-mm Suturetape (Arthrex, Naples, FL) followed by internal bracing using FiberTape (Arthrex) secured with dual 3.5-mm SwiveLock anchors (Arthrex) spanning the joint. The metacarpophalangeal joint is positioned at 30° of flexion during repair to achieve optimal tension. Suture tape augmentation provides significantly higher maximum load and load at clinical failure than repair alone, with improved resistance to gap formation under cyclic loading. This enhanced construct allows for accelerated rehabilitation protocols with potentially faster return to sport and work activities in 5 to 6 weeks. The technique preserves native ligament proprioception while providing additional stability during early healing phases.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103957"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814222","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}

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Arthroscopic Acromioclavicular Joint Stabilization Using Autologous Biceps for Horizontal Neutralization (AutoBAHN) Technique 关节镜下应用自体肱二头肌水平中和（AutoBAHN）技术稳定肩锁关节

IF 1.1

Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-10-25 DOI: 10.1016/j.eats.2025.103945

Markus Scheibel M.D. , Tobias Gruber , Irina Todiraş M.D. , Philipp Vetter M.D.

{"title":"Arthroscopic Acromioclavicular Joint Stabilization Using Autologous Biceps for Horizontal Neutralization (AutoBAHN) Technique","authors":"Markus Scheibel M.D. , Tobias Gruber , Irina Todiraş M.D. , Philipp Vetter M.D.","doi":"10.1016/j.eats.2025.103945","DOIUrl":"10.1016/j.eats.2025.103945","url":null,"abstract":"<div><div>The surgical treatment of chronic acromioclavicular joint (ACJ) instability is most commonly performed using tendon grafts combined with synthetic stabilization. However, autografts can be associated with donor site morbidity, while allografts often have inferior tissue quality and a higher risk of graft failure. We present a technique of arthroscopically assisted ACJ stabilization using an autologous, rerouted long head of the biceps (LHB) tendon transfer, augmented with a suture button pulley construct for the treatment of symptomatic bidirectional ACJ instability. The LHB tendon is tenodesed to the humerus near the musculotendinous junction and tenotomized just proximal to the fixation point. The proximal attachment of the LHB tendon is preserved. The distal free end of the LHB tendon is rerouted transarticularly and passed anterior to the glenoid, proximally through the lateral end of the clavicle. Intraosseous fixation is achieved using an interference screw. The distal LHB tendon portion spans the superior aspect of the ACJ, providing horizontal stabilization. The autologous biceps acromioclavicular and horizontal neutralization technique offers a local, robust, and cost-effective graft option that avoids potential donor site morbidity, preserves the anatomic origin of the LHB tendon, and provides sufficient length for both vertical and horizontal ACJ stabilization.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103945"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814225","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}

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Quadriceps Tendon Allograft for Anterior Cruciate Ligament Reconstruction With and Without a Bone Block 同种异体股四头肌肌腱移植重建前交叉韧带，有无骨块

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Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-10-09 DOI: 10.1016/j.eats.2025.103921

Caleb Berta B.S. , Aqeel Nizar B.S. , Isaiah Hoffman M.S. , Rucker Staggers M.D. , Brian Gilmer M.D. , Amit Momaya M.D.

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An Arthroscopy-Assisted All-Suture Adjustable System for Anatomic Reduction of Acromioclavicular Joint Separation: N-way Technique 关节镜辅助下全缝线可调系统用于肩锁关节分离解剖复位：n路技术

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Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-09-30 DOI: 10.1016/j.eats.2025.103906

Tao Yuan M.D., Ph.D., Xiaojiang Yang M.D., Ph.D., Jia Meng M.D., Ph.D., Hui Jiang M.D., Ph.D., Hong Qian M.D., Ph.D., Nirong Bao M.D., Ph.D.

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In-Office Needle Endoscopic 4-Compartment Fasciotomy for Lower-Leg Chronic Exertional Compartment Syndrome 室内针内窥镜四室筋膜切开术治疗下肢慢性运动筋膜室综合征

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Arthroscopy Techniques Pub Date : 2025-12-01 Epub Date: 2025-12-03 DOI: 10.1016/j.eats.2025.103864

Guillaume Robert , Jared Rubin B.A. , Cody R. Perskin M.D. , James J. Butler M.B., B.Ch. , Alexander Tham M.B.Ch.B. , Arianna L. Gianakos D.O. , John G. Kennedy M.D., M.M.Sc., M.Ch., F.F.S.E.M., F.R.C.S.(Orth.)

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