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Endoscopic Application of a Collagen Scaffold for Treatment of Achilles Tendinopathy 内窥镜应用胶原支架治疗跟腱病变
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103071
{"title":"Endoscopic Application of a Collagen Scaffold for Treatment of Achilles Tendinopathy","authors":"","doi":"10.1016/j.eats.2024.103071","DOIUrl":"10.1016/j.eats.2024.103071","url":null,"abstract":"<div><div>This technical note explores Achilles tendinopathy treatment, focusing on the endoscopic application of a bioinductive collagen scaffold, a different approach to this prevalent condition. Indications include symptoms of midportion Achilles tendinopathy that have not responded to nonsurgical treatment. A co-axial 2-portal Achilles tendoscopy using a 30° 4-mm arthroscope is performed with the patient in a prone position. The procedure involves standard Achilles tendoscopic debridement and adhesiolysis, followed by the scaffold’s introduction through the proximal portal in a rolled-up state; this bioinductive collagen scaffold is then unfolded arthroscopically and on-laid over the tendinopathy site under tendoscopic visualization. The bioinductive scaffold is then anchored with soft-tissue anchors, after which the portal incision can be closed and the patient rehabilitated according to standard protocol. This technique is notable, as it negated the need for an open incision and instead uses endoscopy for the application of this collagen scaffold which can be a stand-alone treatment option for Achilles tendinopathy; or used in conjunction with other minimally invasive Achilles tendon treatment procedures such as an endoscopic flexor hallucis longus transfer.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141276265","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 Belt Capsulodesis Using a Knotless Soft Suture Anchor for Extruded Medial Meniscus 使用无结软缝合锚对挤出的内侧半月板进行关节镜带状囊切除术
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103070
Hiroshi Nakayama M.D., Ph.D. , Ryo Kanto M.D., Ph.D. , Shintaro Onishi M.D., Ph.D. , Toshiya Tachibana M.D., Ph.D. , Shinichi Yoshiya M.D., Ph.D. , Tomoya Iseki M.D., Ph.D.
{"title":"Arthroscopic Belt Capsulodesis Using a Knotless Soft Suture Anchor for Extruded Medial Meniscus","authors":"Hiroshi Nakayama M.D., Ph.D. ,&nbsp;Ryo Kanto M.D., Ph.D. ,&nbsp;Shintaro Onishi M.D., Ph.D. ,&nbsp;Toshiya Tachibana M.D., Ph.D. ,&nbsp;Shinichi Yoshiya M.D., Ph.D. ,&nbsp;Tomoya Iseki M.D., Ph.D.","doi":"10.1016/j.eats.2024.103070","DOIUrl":"10.1016/j.eats.2024.103070","url":null,"abstract":"<div><div>In recent years, degenerative meniscal lesions have received increasing attention as an etiologic factor of knee osteoarthritis. Among various relevant factors, medial meniscal extrusion has been shown to be an independent predictor of the onset and progression of knee osteoarthritis. Therefore, surgical reduction of the extruded medial meniscus to restore meniscal function is key to preventing osteoarthritis of the knee. The arthroscopic centralization technique using knotless anchors has been developed and refined to reduce meniscal extrusion in the posteromedial region of the knee. Although a short-term study has reported favorable outcomes, the technique presents some pitfalls and can be technically challenging. This article describes the rationale and procedure for arthroscopic belt capsulodesis using 2 knotless anchors for reduction of medial meniscal extrusion. The reported procedure is technically simple and efficiently reduces meniscal extrusion by repairing the meniscotibial capsule, and it may be useful in the prevention of osteoarthritic progression.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690643","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
Meniscus Reconstruction Using Autologous Tendon Combined With Open-Wedge High Tibial Osteotomy: A Technique to Achieve Rigid Fixation and Avoid Interference Between Locking Screws and Tibial Bone Tunnel 使用自体肌腱结合开刃式胫骨高位截骨术进行半月板重建：实现刚性固定和避免锁定螺钉与胫骨隧道干扰的技术
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103064
Shu Takagawa M.D., Ph.D. , Ryohei Takeuchi M.D., Ph.D. , Naomi Kobayashi M.D., Ph.D. , Yohei Yukizawa M.D., Ph.D. , Kunihito Hirotomi M.D. , Shota Higashihira M.D., Ph.D. , Yutaka Inaba M.D., Ph.D.
{"title":"Meniscus Reconstruction Using Autologous Tendon Combined With Open-Wedge High Tibial Osteotomy: A Technique to Achieve Rigid Fixation and Avoid Interference Between Locking Screws and Tibial Bone Tunnel","authors":"Shu Takagawa M.D., Ph.D. ,&nbsp;Ryohei Takeuchi M.D., Ph.D. ,&nbsp;Naomi Kobayashi M.D., Ph.D. ,&nbsp;Yohei Yukizawa M.D., Ph.D. ,&nbsp;Kunihito Hirotomi M.D. ,&nbsp;Shota Higashihira M.D., Ph.D. ,&nbsp;Yutaka Inaba M.D., Ph.D.","doi":"10.1016/j.eats.2024.103064","DOIUrl":"10.1016/j.eats.2024.103064","url":null,"abstract":"<div><div>Meniscal posterior root tears reportedly result in accelerated cartilage degeneration and spontaneous insufficiency fractures of the knee. While meniscus repair combined with open-wedge high tibial osteotomy is an optional method, the healing rate is not sufficiently high. Therefore, this Technical Note describes a technique for meniscal reconstruction combined with open-wedge high tibial osteotomy that may offer improvements in meniscal healing rates and clinical results.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532640","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
Posterior Lateral Meniscal Root Repair Through Lateral Tunnel and Anterior Cruciate Ligament Revision: How to Avoid Tunnel Overlapping 通过外侧隧道和前十字韧带翻修进行后外侧半月板根部修复：如何避免隧道重叠
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103089
Fabrizio Matassi M.D., Zyad A. Taha M.D., Alessandro Civinini M.D., Andrea Di Muro M.D., Jacopo Corti M.D., Roberto Civinini M.D.
{"title":"Posterior Lateral Meniscal Root Repair Through Lateral Tunnel and Anterior Cruciate Ligament Revision: How to Avoid Tunnel Overlapping","authors":"Fabrizio Matassi M.D.,&nbsp;Zyad A. Taha M.D.,&nbsp;Alessandro Civinini M.D.,&nbsp;Andrea Di Muro M.D.,&nbsp;Jacopo Corti M.D.,&nbsp;Roberto Civinini M.D.","doi":"10.1016/j.eats.2024.103089","DOIUrl":"10.1016/j.eats.2024.103089","url":null,"abstract":"<div><div>Posterior lateral meniscal root (PLMR) tears are commonly observed in conjunction with anterior cruciate ligament (ACL) injuries. The presence of PLMR tears exacerbates knee instability, increasing stress on ACL grafts and accelerating joint degeneration if left untreated. Anatomical repair of PLMR tears is therefore crucial for restoring native knee kinematics and reducing tibiofemoral contact pressures, thereby safeguarding the ACL graft. However, the standard use of a single medial tunnel approach for concomitant PLMR and revision ACL reconstruction may require reconsideration to prevent the potential risks of tunnel overlapping, which could undermine graft anatomical integrity. This article, to prevent the risk of tunnel overlapping, introduces a surgical approach that employs an additional lateral tibial tunnel for PLMR repair, instead of the typically used single medial one, for PLMR repair during simultaneous revision ACL reconstruction.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532644","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
An Innovative, Cost-Effective, and Flexible Traction Alternative for Shoulder Arthroscopy in Lateral Decubitus Position 创新、经济、灵活的肩关节镜手术侧卧位牵引替代方案
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103088
Wenbin Luo M.D. , Ao Wang M.D. , Yahui Li M.B.B.S. , Zhiyao Zhao M.D. , Fangzheng Zhou M.D. , Ye Zhang M.B.B.S. , Xiaoning Liu M.D.
{"title":"An Innovative, Cost-Effective, and Flexible Traction Alternative for Shoulder Arthroscopy in Lateral Decubitus Position","authors":"Wenbin Luo M.D. ,&nbsp;Ao Wang M.D. ,&nbsp;Yahui Li M.B.B.S. ,&nbsp;Zhiyao Zhao M.D. ,&nbsp;Fangzheng Zhou M.D. ,&nbsp;Ye Zhang M.B.B.S. ,&nbsp;Xiaoning Liu M.D.","doi":"10.1016/j.eats.2024.103088","DOIUrl":"10.1016/j.eats.2024.103088","url":null,"abstract":"<div><div>During shoulder arthroscopic surgery in the lateral decubitus position, effective and stable continuous traction is a basic requirement for the smooth progression of the surgery. Herein, we describe a safe, reliable, and cost-effective lateral decubitus traction assembly.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532731","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
Basics of Shoulder Arthroscopy Part III: Lateral Decubitus Patient Positioning and Operating Room Setup 肩关节镜基础知识第三部分：患者侧卧位和手术室设置
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103080
Marisa N. Ulrich M.D., Fabien Meta M.D., Xuankang Pan B.S., Kelechi R. Okoroha M.D., Christopher L. Camp M.D.
{"title":"Basics of Shoulder Arthroscopy Part III: Lateral Decubitus Patient Positioning and Operating Room Setup","authors":"Marisa N. Ulrich M.D.,&nbsp;Fabien Meta M.D.,&nbsp;Xuankang Pan B.S.,&nbsp;Kelechi R. Okoroha M.D.,&nbsp;Christopher L. Camp M.D.","doi":"10.1016/j.eats.2024.103080","DOIUrl":"10.1016/j.eats.2024.103080","url":null,"abstract":"<div><div>Shoulder arthroscopy is one of the most common orthopaedic procedures. Since its introduction in the 1970s, significant advances have been made in surgical techniques and instrumentation. Shoulder arthroscopy is often performed in either the beach-chair or lateral decubitus position, and each positioning technique has its own benefits. In this work, we will describe the history of lateral decubitus positioning for shoulder arthroscopy. We outline a detailed guide for safe and consistent lateral decubitus positioning, and key steps of lateral decubitus positioning will be emphasized. Pearls, pitfalls, advantages, and disadvantages of this positioning technique will also be discussed. With appropriate technique, lateral decubitus positioning is safe and effective for arthroscopic treatment of various shoulder pathologies.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532734","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
Double-Anchor Stapled Repair of the Medial Meniscus Posterior Root 内侧半月板后根双腔缝合修复术
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103076
{"title":"Double-Anchor Stapled Repair of the Medial Meniscus Posterior Root","authors":"","doi":"10.1016/j.eats.2024.103076","DOIUrl":"10.1016/j.eats.2024.103076","url":null,"abstract":"<div><div>There are various treatment options for medial meniscus posterior root tears, such as conservative management, meniscectomy, pull-out repair, and suture anchor repair. However, the ultimate repair technique for optimal meniscal healing remains a topic of discussion, as each technique has its own set of risks and pitfalls. This technique provides a stable and straightforward approach that minimizes fixation-related concerns. However, to determine the optimal applicability of this medial meniscus posterior root tear repair method, further research is needed to compare the biomechanical properties of this repair method with established techniques.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141279027","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 Anatomic Lateral Ankle Reconstruction Using Allograft: A Simplified Approach 使用同种异体移植的关节镜解剖外侧踝关节重建术：简化方法
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103063
{"title":"Arthroscopic Anatomic Lateral Ankle Reconstruction Using Allograft: A Simplified Approach","authors":"","doi":"10.1016/j.eats.2024.103063","DOIUrl":"10.1016/j.eats.2024.103063","url":null,"abstract":"<div><div>Ankle instability is a common medical condition that frequently necessitates surgical intervention to achieve ankle joint stability and enhance functional outcomes after failure of conservative treatment. Many surgical techniques have been described in the literature to restore joint stability, including repair or reconstruction of the anterior talofibular ligament and the calcaneofibular ligament. In this article, we describe a simplified arthroscopic technique for anatomic lateral ankle ligament reconstruction using an extensor hallucis longus allograft and involving percutaneous creation of the calcaneal tunnel after identification of the calcaneofibular ligament distal footprint insertion relative to the lateral malleolus.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141276748","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 Mobilization Techniques for Retracted Immobile Rotator Cuff Tears 肩袖撕裂牵拉不动的关节镜活动技术
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103087
Anthony J. Marois M.D., Larry D. Field M.D.
{"title":"Arthroscopic Mobilization Techniques for Retracted Immobile Rotator Cuff Tears","authors":"Anthony J. Marois M.D.,&nbsp;Larry D. Field M.D.","doi":"10.1016/j.eats.2024.103087","DOIUrl":"10.1016/j.eats.2024.103087","url":null,"abstract":"<div><div>The treatment of massive, retracted rotator cuff tears remains a significant challenge to orthopaedic surgeons. While debridement and partial repair has been described as a viable option, surgeons seeking to perform a complete repair often must employ advanced mobilization techniques to lateralize retracted immobile rotator cuff tissue. Tears that appear irreparable often may be effectively mobilized with elements of capsular release, anterior interval slide, or posterior interval slide. When rotator cuff tissue is mobilized to the medial aspect of the anatomic footprint, a low-tension repair can be performed with good clinical outcomes.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532739","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
Basics of Shoulder Arthroscopy Part IV: Diagnostic Arthroscopy in the Lateral Decubitus Position 肩关节镜检查基础第四部分：侧卧位关节镜诊断检查
IF 1.2
Arthroscopy Techniques Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103081
Fabien Meta M.D., Marisa N. Ulrich M.D., Sean C. Clark B.S., Jonathan D. Barlow M.D., Kelechi R. Okoroha M.D., Christopher L. Camp M.D.
{"title":"Basics of Shoulder Arthroscopy Part IV: Diagnostic Arthroscopy in the Lateral Decubitus Position","authors":"Fabien Meta M.D.,&nbsp;Marisa N. Ulrich M.D.,&nbsp;Sean C. Clark B.S.,&nbsp;Jonathan D. Barlow M.D.,&nbsp;Kelechi R. Okoroha M.D.,&nbsp;Christopher L. Camp M.D.","doi":"10.1016/j.eats.2024.103081","DOIUrl":"10.1016/j.eats.2024.103081","url":null,"abstract":"<div><div>Shoulder arthroscopy is a versatile method for treating a variety of shoulder pathologies in a minimally invasive manner. Typically, it is performed with the patient positioned in a beach-chair or lateral decubitus position with the latter being conventionally preferred for shoulder instability work given the use of traction and creation of a distracted joint. This allows ideal visualization and accessibility of the anterior, inferior, and posterior aspects of the glenoid, labrum, and axillary pouch. Despite the apparent advantages, the lateral decubitus position comes with its own technical challenges. Many of these may stem from surgeon training, experience, and level of familiarity with the positioning and arthroscopic view. This Technical Note demonstrates a reproducible and teachable method for efficient and effective diagnostic shoulder arthroscopy in the lateral decubitus position, along with presenting its associated advantages and disadvantages.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532735","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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