{"title":"A Simple and Atraumatic Loop-Passing Technique for Tibial Anterolateral Ligament Graft Passage in Sonnery-Cottet Anterior Cruciate Ligament + Anterolateral Ligament Reconstruction.","authors":"Yukio Nakajima, Koichi Muramatsu, Kazue Hayakawa, Yosuke Kaneko, Sho Nojiri, Yusuke Kawano, Nobuyuki Fujita","doi":"10.1002/atn2.70305","DOIUrl":"10.1002/atn2.70305","url":null,"abstract":"<p><p>The purpose of this technical note is to describe a simple and atraumatic loop-passing technique that facilitates tibial anterolateral ligament (ALL) graft passage in Sonnery-Cottet combined anterior cruciate ligament and ALL reconstruction. In the Sonnery-Cottet technique, 2 converging tibial tunnels are created for the ALL, requiring a passing loop to shuttle the graft between tunnels. Conventionally, a needle-mounted braided suture is advanced blindly through subcutaneous tissue, which can be unreliable in patients with thick subcutaneous tissue and may increase the risk of cortical breach or extraosseous passage. We describe a knot-pusher-assisted loop-passing technique using a 0 silk suture. A knot pusher loaded with the silk suture is introduced through 1 tibial tunnel and positioned at the tunnel convergence zone. The silk loop is retrieved from the second tunnel using a probe, creating a continuous loop for graft passage. This technique provides a simple, reliable, and atraumatic method for tibial ALL graft passage in Sonnery-Cottet combined anterior cruciate ligament and ALL reconstruction.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70305"},"PeriodicalIF":1.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13648935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138852","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}
Thomas Ripoll, Victor Sonnery-Cottet, Ophélie Manchec, Vincent Martinel, Regis Pailhe, Etienne Cavaignac
{"title":"Arthroscopic Continuous Anterior Cruciate Ligament-Medial Collateral Ligament Reconstruction Using a Single Rectus Femoris Autograft With Posterior Oblique Ligament Reconstruction: A Technical Note.","authors":"Thomas Ripoll, Victor Sonnery-Cottet, Ophélie Manchec, Vincent Martinel, Regis Pailhe, Etienne Cavaignac","doi":"10.1002/atn2.70304","DOIUrl":"https://doi.org/10.1002/atn2.70304","url":null,"abstract":"<p><p>Multiligament knee injuries are challenging to manage and often require harvesting multiple grafts. Rectus femoris tendon autograft provides predictable length and diameter, making it a promising option for anterior cruciate ligament (ACL) reconstruction and combined procedures. In this technical note, we describe an arthroscopic technique for combined reconstruction of the ACL and medial-sided structure-the medial collateral ligament (MCL) and posterior oblique ligament-in the setting of acute ACL, MCL and posterior oblique ligament rupture. A single rectus femoris autograft is used to reconstruct both ACL and MCL in a continuous fashion, whereas an allograft is used for posterior oblique ligament reconstruction. This technique offers an efficient graft construct for combined ACL and MCL reconstruction, minimizes the need for multiple autograft harvests, preserves the hamstring tendons, and reduces the risk of tunnel convergence.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70304"},"PeriodicalIF":1.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171459","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}
Xiaohua Pan, Tun Hing Lui, Charles Churk Hang Li, Amanda Mun Yee Slocum, Jingsong Hong, Xiaomin Wu, Yu Pan
{"title":"Endoscopic Plantar Partial Sesamoidectomy for the Management of Metatarsalgia of the First Metatarsal Head After Arthrodesis of the First Metatarsophalangeal Joint.","authors":"Xiaohua Pan, Tun Hing Lui, Charles Churk Hang Li, Amanda Mun Yee Slocum, Jingsong Hong, Xiaomin Wu, Yu Pan","doi":"10.1002/atn2.70308","DOIUrl":"10.1002/atn2.70308","url":null,"abstract":"<p><p>First metatarsophalangeal arthrodesis has been used to treat various pathologies of the great toe with good clinical outcome. First metatarsal head metatarsalgia can occur after first metatarsophalangeal arthrodesis. Surgery is indicated if conservative measures cannot alleviate the symptoms. If there is isolated excessive plantar pressure of the first metatarsophalangeal joint without significant sagittal deformity of the first metatarsophalangeal joint, plantar partial ostectomy of the sesamoid bone(s) is indicated. The purpose of this technical note is to describe the technical details of endoscopic plantar partial sesamoidectomy for the management of metatarsalgia of the first metatarsal head after arthrodesis of the first metatarsophalangeal joint. This all-endoscopy approach allows partial ostectomy of the sesamoid bone from its plantar side dorsally and is a more direct approach than arthroscopic sesamoidectomy to eliminate the plantar pressure point. The extent of partial ostectomy can be titrated according to the intraoperative assessment of plantar pressure distribution across the metatarsal heads. The aim is to eliminate the pressure point underneath the first metatarsal head without excessive bone removal and create excessive pressure underneath the second metatarsal head.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70308"},"PeriodicalIF":1.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13648567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138950","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}
Haitham Kamel Haroun, Ahmed Nageeb Mahmoud, Mostafa Aly Elabd
{"title":"Inframalleolar Harvest of Split-Thickness Peroneus Longus Tendon Autograft for Anterior Cruciate Ligament Reconstruction.","authors":"Haitham Kamel Haroun, Ahmed Nageeb Mahmoud, Mostafa Aly Elabd","doi":"10.1002/atn2.70309","DOIUrl":"https://doi.org/10.1002/atn2.70309","url":null,"abstract":"<p><p>The peroneus longus tendon has emerged as a viable autograft choice for single-bundle anterior cruciate ligament reconstruction. However, ankle donor-site morbidity remains a significant concern. More recently, the anterior half of the peroneus longus tendon has been suggested as an alternative graft to avoid possible ankle morbidity. However, when harvested through a retromalleolar incision, its usable length may be insufficient for preparing an anterior cruciate ligament graft with an adequate diameter. Our technique for inframalleolar harvest of a partial-thickness peroneus longus tendon aims to provide a longer tendon length sufficient for preparing an anterior cruciate ligament graft of adequate diameter.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70309"},"PeriodicalIF":1.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170380","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 Trochlear Osteochondral Scaffold Matrix Implantation for Osteochondral Defects of the Femoral Trochlea.","authors":"Matthew Varacallo, Jared Ham","doi":"10.1002/atn2.70306","DOIUrl":"10.1002/atn2.70306","url":null,"abstract":"<p><p>The treatment of osteochondral defects via an aragonite-based osteochondral scaffold has been established via mini-arthrotomy. This report describes a variation of the established procedure to perform and complete the scaffold implantation in the femoral trochlea via a reproducible, all-arthroscopic technique. Emphasis is placed on patient selection, portal planning, perpendicular socket preparation, syringe-based implant delivery, and recessed press-fit fixation. Technical pearls and pitfalls specific to the patellofemoral joint are highlighted to facilitate safe and accurate execution.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70306"},"PeriodicalIF":1.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13648936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138912","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}
Mauricio Drummond, Jason D Brenner, Christopher J Ball, Jessica R Weinberg, Mohamed Said, Eric D Fornari, Alexa J Karkenny
{"title":"Patellar Tendon Imbrication With a Double-Row Configuration for the Treatment of Patella Alta in Skeletally Immature Patients.","authors":"Mauricio Drummond, Jason D Brenner, Christopher J Ball, Jessica R Weinberg, Mohamed Said, Eric D Fornari, Alexa J Karkenny","doi":"10.1002/atn2.70288","DOIUrl":"https://doi.org/10.1002/atn2.70288","url":null,"abstract":"<p><p>Patella alta is a major anatomical risk factor for patellar instability. Although a tibial tubercle osteotomy with distalization has been described in this context, a patellar tendon imbrication more directly addresses the pathoanatomy and avoids the risk of physeal and apophyseal injury in skeletally immature patients. This technical note describes a transection-free patellar tendon imbrication technique using a double-row configuration that allows for predictable correction of patella alta, avoidance of risks associated with osteotomy, and the ability to medialize the patellar tendon, optimizing extensor mechanism alignment.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70288"},"PeriodicalIF":1.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170312","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":"Application of the Oval Femoral Tunnel Technique in Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction: Fujian Union Technique.","authors":"Weihuang Lin, Chengjie Lian, Chengjian Wu, Zhi Chen, Zhengru Wu, Hua Zhang","doi":"10.1002/atn2.70271","DOIUrl":"10.1002/atn2.70271","url":null,"abstract":"<p><p>Anterior cruciate ligament (ACL) reconstruction aims to restore both the anatomical footprint and the biomechanical stability of the knee joint. However, traditional femoral tunnel techniques, typically round in shape, often fail to accurately replicate the oval femoral insertion of the ACL. This discrepancy can compromise rotational stability and hinder graft integration. The oval femoral tunnel technique addresses this issue by creating a tunnel that more closely matches the anatomical dimensions of the ACL footprint. This article describes the oval femoral tunnel dilator and its accompanying instruments, detailing their application as a surgical technique for ACL reconstruction.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70271"},"PeriodicalIF":1.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13648568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138897","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}
Ziyad El Qirem, Wael Al-Atout, Mohamad Makahleh, Barakat Elsaqa
{"title":"Arthroscopic All-Inside Meniscal Tying for Anterior Horn Bucket-Handle Meniscal Injuries.","authors":"Ziyad El Qirem, Wael Al-Atout, Mohamad Makahleh, Barakat Elsaqa","doi":"10.1002/atn2.70267","DOIUrl":"https://doi.org/10.1002/atn2.70267","url":null,"abstract":"<p><p>Anterior horn meniscal tear is a relatively uncommon injury to be seen in our knee arthroscopy surgeries. It can be a part of a bucket-handle tear or less commonly in isolation. Several repair techniques have been used to treat this injury, with the most commonly used ones being the outside-in and inside-out techniques, with the disadvantage of opening a 1- to 2-cm skin incision and a possible knot irritation. We describe an all-inside arthroscopic technique for an anterior horn bucket-handle medial meniscus tear using an arthroscopic retrieval and a suture passer to perfectly pass the repair wire and then tying it arthroscopically. We believe that this technique has the advantage of avoiding any skin complications. Also, it allows more control over the passing location of the repair wire to allow good reduction and repair of the meniscal tear.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70267"},"PeriodicalIF":1.5,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13637427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116629","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":"Double-Bundle Medial Patellofemoral Ligament Reconstruction Using Free Rectus Femoris Autograft.","authors":"Samo Novak, Matic Povh","doi":"10.1002/atn2.70263","DOIUrl":"https://doi.org/10.1002/atn2.70263","url":null,"abstract":"<p><p>The rectus femoris tendon autograft represents a relatively new graft option, primarily used in anterior cruciate ligament revision surgery. In this technical note, we describe a technique for medial patellofemoral ligament reconstruction using a double-bundle rectus femoris autograft. This approach combines the favorable biomechanical characteristics of the rectus femoris tendon-providing greater tensile strength and load-to-failure capacity than hamstring autografts-with the anatomical precision of a free graft reconstruction. Unlike the classical quadriceps tendon medial patellofemoral ligament technique, which preserves the native quadriceps insertion at the superior pole of the patella and thus deviates from true medial patellofemoral ligament anatomy, our method allows an anatomic patellar fixation.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70263"},"PeriodicalIF":1.5,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13634665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116662","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}
Jose Leonardo Rocha de Faria, Igor Araujo Farias, Rafael Erthal de Paula, Sandra Tie Nishibe Minamoto, Diego Ariel, Yuri Di Cavalcanti Sampaio, Naasson Trindade Cavanellas, João Antonio Matheus Guimarães, Geraldo da Rocha Motta, José Paulo Gabbi Aramburú Filho, Camilo Partezani Helito, Phelippe Valente Maia
{"title":"Hybrid Sequential Meniscal Suture Technique.","authors":"Jose Leonardo Rocha de Faria, Igor Araujo Farias, Rafael Erthal de Paula, Sandra Tie Nishibe Minamoto, Diego Ariel, Yuri Di Cavalcanti Sampaio, Naasson Trindade Cavanellas, João Antonio Matheus Guimarães, Geraldo da Rocha Motta, José Paulo Gabbi Aramburú Filho, Camilo Partezani Helito, Phelippe Valente Maia","doi":"10.1002/atn2.70265","DOIUrl":"https://doi.org/10.1002/atn2.70265","url":null,"abstract":"<p><p>Meniscal preservation is a priority in the treatment of knee injuries because of the fundamental role of the meniscus in load absorption, joint stability, and chondral protection. Several repair techniques have been described, including inside-out, outside-in, and all-inside approaches. More recently, continuous suturing techniques have emerged as a promising alternative, allowing multiple fixation points with shorter operative time and reduced costs. We describe a hybrid continuous meniscal repair technique that combines initial all-inside fixation with additional outside-in sutures using the excess suture limb from the implant. The repair begins with meniscal fixation using an all-inside device, after which the free suture end is redirected percutaneously through successive outside-in passages, creating a continuous vertical suture construct. This strategy enables multiple fixation points from a single device, potentially enhancing biomechanical stability and reducing the need for additional implants. The integration of all-inside and outside-in fixation allows the entire extent of the tear to be addressed in a safe, reproducible, and cost-effective manner. The described hybrid technique expands the applicability of continuous meniscal suturing and may contribute to improved clinical outcomes in meniscal preservation.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70265"},"PeriodicalIF":1.5,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13634664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116634","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}