Adam V. Daniel M.D., Griffin R. Rechter M.D., Logan A. Reed M.D., Warren A. Williams M.D., Andrew D. Carbone M.D., Abhishek S. Kannan M.D.
{"title":"Patellar Tendon Repair With Bioinductive Implant Augmentation","authors":"Adam V. Daniel M.D., Griffin R. Rechter M.D., Logan A. Reed M.D., Warren A. Williams M.D., Andrew D. Carbone M.D., Abhishek S. Kannan M.D.","doi":"10.1016/j.eats.2025.103639","DOIUrl":"10.1016/j.eats.2025.103639","url":null,"abstract":"<div><div>Patellar tendon ruptures are relatively uncommon injuries that often occur in the setting of chronic patellar tendinopathy, particularly in those participating in high-level pivoting sports and jumping athletics secondary to overuse. Tear patterns vary, with the most common being avulsions from the inferior pole of the patella. For complete tears resulting in extensor mechanism compromise, surgical treatment typically entails acute repair. In this technique, we describe the use of a bioinductive bovine collagen implant to augment a patellar tendon repair in the setting of chronic patellar tendinopathy.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 7","pages":"Article 103639"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781705","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":"Plate-Controlled Correction of Sagittal Plane Knee Deformities: The Entire-Segment Rotation Technique for Correcting Varus and Posterior Tibial Slope","authors":"Akram Aldawoudy M.Ch.(Orth), F.R.C.S., IOC Dip. Sports Phys., M.Sc. S.E.M. , Mohamed Abohatab , Mohamed Ayman Aboutawila B.P.T. , Mahmoud Elagwany M.Ch.(Orth). , Hesham Mohamed Gawish M.D.","doi":"10.1016/j.eats.2025.103588","DOIUrl":"10.1016/j.eats.2025.103588","url":null,"abstract":"<div><div>Sagittal-plane deformity around the knee is usually overlooked. Correction of the sagittal plane may be performed alone or simultaneously with coronal plane correction. This proposed technique ensures an effective rotational control of the proximal tibial fragment along with precise intraoperative correction of the posterior tibial slope in degrees instead of millimeters, exactly as it was preplanned in degrees.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 7","pages":"Article 103588"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781720","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 Shoulder Labral Repair Using Knotless All-Suture Anchor With Suture Tape","authors":"Jayson Lian M.D., Michael B. Banffy M.D.","doi":"10.1016/j.eats.2025.103598","DOIUrl":"10.1016/j.eats.2025.103598","url":null,"abstract":"<div><div>Advances in shoulder arthroscopy have in large part been due to innovation in suture anchor technology. In recent years, shoulder instability surgery has been revolutionized by knotless all-suture anchor devices. All-suture anchors can prevent complications such as a free-floating intra-articular hard-body anchor while still preserving pullout strength using a smaller bone tunnel. Knotless technology can additionally reduce surgical variability by eliminating knot tying and knot stacks. Surgeons and engineers are finding ways to make smaller, stronger, and less traumatic anchors for repair of soft tissues. In this article, we describe an arthroscopic shoulder labral repair technique using a knotless all-suture anchor with suture tape.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 7","pages":"Article 103598"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781537","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}
Jian Xu M.D., Ph.D. , Jingyue Su M.D. , Shengwu Yang M.D. , Chunwu Zhang M.D., Ph.D. , Zhenhan Deng M.D., Ph.D.
{"title":"Simplified Proximal Biceps Tenodesis in Double-Row Fixation of Rotator Cuff Repair","authors":"Jian Xu M.D., Ph.D. , Jingyue Su M.D. , Shengwu Yang M.D. , Chunwu Zhang M.D., Ph.D. , Zhenhan Deng M.D., Ph.D.","doi":"10.1016/j.eats.2025.103634","DOIUrl":"10.1016/j.eats.2025.103634","url":null,"abstract":"<div><div>The long head of the biceps is a common pain generator in the shoulder that is often managed surgically with tenotomy or tenodesis. Although the clinical outcomes after the 2 techniques are comparable, tenodesis is generally performed in relatively young and active patients to avoid tenotomy-related complications, such as cosmetic deformity, early fatigue, and cramping. This Technical Note describes a proximal biceps tenodesis coanchored with the anchor of the lateral row in rotator cuff repair. This tenodesis fixation is simple and cost-effective, with no need for additional anchors.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 7","pages":"Article 103634"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781543","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}
Alexander R. Rodriguez M.D. , Nicholas J. Lanzetta M.D. , Joshua T. Finerty B.S. , Allison R. Garden B.S. , Joshua S. Everhart M.D., M.P.H.
{"title":"Adductor Lengthening and Rectus Abdominis Repair via a 2-Incision Approach for Treatment of Core Muscle Injuries: A Technique Guide","authors":"Alexander R. Rodriguez M.D. , Nicholas J. Lanzetta M.D. , Joshua T. Finerty B.S. , Allison R. Garden B.S. , Joshua S. Everhart M.D., M.P.H.","doi":"10.1016/j.eats.2025.103593","DOIUrl":"10.1016/j.eats.2025.103593","url":null,"abstract":"<div><div>Core muscle injuries are a common source of groin pain in athletes. An understanding of the pathoanatomy and clinical workup for this condition will assist in correctly identifying core muscle injuries from other causes of groin pain. In cases refractory to nonoperative management, surgical intervention may be indicated. In this Technical Note, we describe a comprehensive approach for the clinical evaluation of core muscle injuries, indications for operative intervention, and a surgical technique for adductor lengthening and rectus abdominis repair via a 2-incision approach.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 7","pages":"Article 103593"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781564","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}
David Márquez M.D., Carlos Sandoval M.D., Gonzalo Umaña M.D., Jorge Cheyre M.D., Rodrigo Dölz M.D., Agustín Molina M.D., Anthony Saravia M.D.
{"title":"Percutaneous Osteotomy of the Tibial Tubercle: A Minimally Invasive Technique Assisted by Arthroscopy and Fluoroscopy","authors":"David Márquez M.D., Carlos Sandoval M.D., Gonzalo Umaña M.D., Jorge Cheyre M.D., Rodrigo Dölz M.D., Agustín Molina M.D., Anthony Saravia M.D.","doi":"10.1016/j.eats.2025.103563","DOIUrl":"10.1016/j.eats.2025.103563","url":null,"abstract":"<div><div>The tibial tubercle osteotomy (TTO) is a versatile technique that has historically been utilized to treat several disorders of the patellofemoral joint, including patellar instability, focal chondral defects, patellofemoral dysfunction, and arthritic conditions. Traditionally, TTO has been performed in an open fashion, with variable rates of bone and wound-healing complications reported in the literature. The purpose of this article is to describe an arthroscopy-assisted minimally invasive TTO that aims to reduce the bone and soft tissue healing complications of open surgery.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 7","pages":"Article 103563"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781585","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}
Alexander C. Hayden M.D., Louis S. Kang B.S., Adam J. Tagliero M.D., Mario Hevesi M.D., Ph.D., Kelechi R. Okoroha M.D., Bruce A. Levy M.D., Aaron J. Krych M.D.
{"title":"A Stepwise Approach to Arthroscopic Management of Recalcitrant Knee Arthrofibrosis Including Arthroscopic Posterior Capsular Release","authors":"Alexander C. Hayden M.D., Louis S. Kang B.S., Adam J. Tagliero M.D., Mario Hevesi M.D., Ph.D., Kelechi R. Okoroha M.D., Bruce A. Levy M.D., Aaron J. Krych M.D.","doi":"10.1016/j.eats.2025.103646","DOIUrl":"10.1016/j.eats.2025.103646","url":null,"abstract":"<div><div>Arthrofibrosis of the knee is a difficult-to-manage complication after meniscoligamentous knee injuries, traumatic injuries with articular extension, and surgeries to treat these conditions. Treatment protocols for the management of postoperative arthrofibrosis exhaust nonoperative therapies before proceeding to the operating room for lysis of adhesions (LOA). Although LOA restores range of motion in most cases, a recurrence of arthrofibrosis is possible when postoperative therapy protocols are not strictly followed. Limited treatment options exist in the setting of recalcitrant arthrofibrosis. Revision arthroscopic LOA may be performed in this scenario. This revision procedure places neurovascular anatomy in the posterior compartment at risk. Performing a posterior capsule release in the arthroscopic management of recalcitrant arthrofibrosis is challenging but important to optimize recovery of range of motion. This Technical Note and accompanying video present a stepwise approach to LOA that demonstrates a safe method for performing an arthroscopic posterior capsule release in these challenging cases.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 7","pages":"Article 103646"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781606","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}
Roger Quesada-Jimenez M.D. , Ady H. Kahana-Rojkind M.D. , Megan E. Flynn M.D. , Isabella A. Wallace B.A. , Dharma H. Patel B.A. , Benjamin G. Domb M.D.
{"title":"Endoscopic Iliopsoas Fractional Lengthening After Total Hip Arthroplasty: Surgical Technique","authors":"Roger Quesada-Jimenez M.D. , Ady H. Kahana-Rojkind M.D. , Megan E. Flynn M.D. , Isabella A. Wallace B.A. , Dharma H. Patel B.A. , Benjamin G. Domb M.D.","doi":"10.1016/j.eats.2025.103579","DOIUrl":"10.1016/j.eats.2025.103579","url":null,"abstract":"<div><div>Iliopsoas tendinitis is a potential cause of persistent anterior hip pain after total hip arthroplasty. After infection and aseptic loosening are ruled out, the diagnosis is primarily based on clinical suspicion and radiographic analysis and is confirmed through ultrasound-guided injections. In refractory cases, surgical intervention may be required. We present a step-by-step endoscopic technique for fractional lengthening of the iliopsoas tendon. By addressing the tendon at the musculotendinous junction, this approach minimizes the impact on hip flexion and strength.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 7","pages":"Article 103579"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781594","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}
Hesham Mohamed Gawish M.D. , Mohamed Abdelmonsef Ibrahim Elghaish M.Ch.(ortho) , Waleed Hamed Hamed Ebrahim Aziz M.Ch.(ortho) , Mohamed Elfekky M.Ch.(ortho) , Ahmed Hassan Saad Abou Helwo M.Ch.(ortho) , Ahmed Hassan Taha Waly M.D.
{"title":"The Sentinel Wires Technique for Safe Open Wedge High Tibial Osteotomy","authors":"Hesham Mohamed Gawish M.D. , Mohamed Abdelmonsef Ibrahim Elghaish M.Ch.(ortho) , Waleed Hamed Hamed Ebrahim Aziz M.Ch.(ortho) , Mohamed Elfekky M.Ch.(ortho) , Ahmed Hassan Saad Abou Helwo M.Ch.(ortho) , Ahmed Hassan Taha Waly M.D.","doi":"10.1016/j.eats.2025.103591","DOIUrl":"10.1016/j.eats.2025.103591","url":null,"abstract":"<div><div>Open wedge high tibial osteotomy is an effective surgical procedure for the treatment of medial compartment arthritis. Takeuchi described 3 types of lateral hinge fractures that may jeopardize the stability of the osteotomy with undesirable outcomes. In this Technical Note, 3 protective K-wires were implemented to improve lateral hinge resistance to failure.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 7","pages":"Article 103591"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781633","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}
E. Grant Carey M.D. , Christopher M. LaPrade M.D. , G. Dillon Graham M.D. , Jonathan C. Riboh M.D.
{"title":"Arthroscopic-Assisted Fixation of Tibial Spine Avulsion Fracture Using a Tensionable Suture Construct With Dual Transtibial Tunnels and Suture Buttons","authors":"E. Grant Carey M.D. , Christopher M. LaPrade M.D. , G. Dillon Graham M.D. , Jonathan C. Riboh M.D.","doi":"10.1016/j.eats.2025.103613","DOIUrl":"10.1016/j.eats.2025.103613","url":null,"abstract":"<div><div>Tibial spine avulsion fractures are challenging knee injuries representing the functional equivalent of an anterior cruciate ligament) tear. Current surgical techniques face limitations including potential residual laxity and arthrofibrosis. This Technical Note describes an arthroscopic fixation technique using a tensionable suture construct with dual transtibial tunnels and suture buttons. The proposed technique involves arthroscopic-assisted fixation with 2 key features: dual transtibial tunnels and an additional suture tape passed through the anterior periosteum. By using an Adjustable Button System TightRope, and FiberTape, the method optimizes time-zero fixation biomechanics, improves fragment reduction, and allows immediate range-of-motion exercises. Surgical approach includes diagnostic arthroscopy, fracture site debridement, and tunnel creation. The construct distributes tensile forces across 2 tunnels, enhancing rotational stability and reduction. The anterior suture tape provides additional compression to the fracture fragment. This technique offers an alternative to traditional screw fixation, potentially reducing the risks of subsequent surgery, implant removal, and growth disturbances while facilitating early rehabilitation.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 7","pages":"Article 103613"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781638","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}