{"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}
{"title":"Arthroscopic Fixation of Unstable Adolescent Knee Osteochondritis Dissecans With Structural Tibial Cancellous Bone Autograft.","authors":"Yuta Tachibana, Tomoya Nishikawa, Tomoyuki Shimoji, Tomoki Ohori, Hiroyuki Tanaka, Seiji Okada, Kazutaka Kinugasa","doi":"10.1002/atn2.70261","DOIUrl":"https://doi.org/10.1002/atn2.70261","url":null,"abstract":"<p><p>The treatment of knee osteochondritis dissecans in young patients remains challenging. Unstable or displaced lesions and those unresponsive to conservative management require surgical treatment. Because the articular surface morphology is complex and patient-specific, preservation and fixation of the native osteochondritis dissecans fragment are ideal for maintaining anatomic congruity. Structural bone grafting is desirable in cases of unstable lesions with substantial subchondral bone loss because it provides effective defect filling, greater mechanical support for large defects, and resistance to postoperative lesion collapse. Arthroscopy offers several advantages over traditional open approaches through an arthrotomy, including reduced surgical invasiveness, improved visualization of intra-articular pathology, and accelerated postoperative recovery. However, studies describing the optimal arthroscopic techniques are limited. Therefore, this article aims to describe a step-by-step arthroscopic technique of structural strip-shaped tibial cancellous bone grafting for unstable adolescent knee osteochondritis dissecans lesions.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70261"},"PeriodicalIF":1.5,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13634663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116617","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}
Cheuk-Wai Wong, Christine Yuen-Shan Lai, Keith Hay-Man Wan, Richard Hin-Lun Lee, Eugene Pak-Lin Ng
{"title":"Combined Anterior Cruciate Ligament Reconstruction and Anterolateral Ligament Reconstruction With Hamstring Autograft Augmented With a Reinforced Bioinductive Scaffold.","authors":"Cheuk-Wai Wong, Christine Yuen-Shan Lai, Keith Hay-Man Wan, Richard Hin-Lun Lee, Eugene Pak-Lin Ng","doi":"10.1002/atn2.70315","DOIUrl":"https://doi.org/10.1002/atn2.70315","url":null,"abstract":"<p><p>Combined anterior cruciate ligament and anterolateral ligament reconstruction is indicated for patients with anterior cruciate ligament rupture and preoperative rotatory instability. In smaller patients, the smaller graft diameter and shorter lengths of the gracilis and semitendinosus graft may not be sufficient for performing a combined procedure using autologous hamstring. Graft augmentation with BioBrace, a reinforced bioinductive scaffold, can overcome this by contributing to increased graft thickness and increased biomechanical strength without additional donor site morbidity. This article describes a combined anterior cruciate ligament reconstruction and anterolateral ligament reconstruction procedure with augmentation using BioBrace, a reinforced bioinductive scaffold.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70315"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13629731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116648","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}
Arthroscopy TechniquesPub Date : 2026-09-30eCollection Date: 2026-10-01DOI: 10.1002/atn2.70268
Chun-Lin Tao, Kun-Hui Chen, En-Rung Chiang, Hsuan-Hsiao Ma
{"title":"Arthroscopic Rotator Cuff Remplissage Technique to Limit Soft Tissue Interposition.","authors":"Chun-Lin Tao, Kun-Hui Chen, En-Rung Chiang, Hsuan-Hsiao Ma","doi":"10.1002/atn2.70268","DOIUrl":"10.1002/atn2.70268","url":null,"abstract":"<p><p>Anterior shoulder instability is commonly associated with Hill-Sachs lesions and subcritical glenoid bone loss. In patients with an off-track pattern, arthroscopic Bankart repair augmented with the Remplissage procedure has been shown to reduce recurrent instability. However, conventional Remplissage techniques often require blind suture retrieval in the subacromial space, which may be time-consuming and increase the risk of soft tissue interposition. This technical note presents a simplified arthroscopic Remplissage technique that enables direct visualization and retrieval of all suture limbs through a single posterior portal and a guided lateral accessory portal. By maintaining precise cannula positioning and direct visualization of suture management throughout the procedure, this technique minimizes soft tissue interposition, preserves deltoid integrity, and streamlines the operative workflow, thereby reducing overall operative time.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70268"},"PeriodicalIF":1.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116619","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":"An Arthroscopic Technique for Hybrid Double-Row Repair Using a Cancellous Screw and Washer for Enhanced Lateral-Row Fixation in Osteoporotic Massive Rotator Cuff Tears With Long-Head Biceps Augmentation.","authors":"Pakorn Chawanpaiboon, Bhumin Chotiwatanadilok, Mohamed Munshid, Puttinan Pingpitayakul, Phob Ganokroj","doi":"10.1002/atn2.70299","DOIUrl":"10.1002/atn2.70299","url":null,"abstract":"<p><p>Massive rotator cuff tears in osteoporotic bone often fail because of many factors, including poor anchor fixation. We present an arthroscopic hybrid double-row repair technique using a unicortical cancellous screw and washer for lateral-row fixation, combined with biceps superior capsular reconstruction. This method secures multiple suture limbs through a single screw, ensures dependable bone purchase, and maintains footprint compression in fragile bone. Offering a cost-effective and practical alternative to conventional anchors, this technique is well suited for managing massive rotator cuff tears in osteoporotic patients.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70299"},"PeriodicalIF":1.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13627077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116690","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}
Arthroscopy TechniquesPub Date : 2026-09-30eCollection Date: 2026-10-01DOI: 10.1002/atn2.70272
Lorenz Fritsch, Michael Nocek, Brendon C Mitchell, Marilee P Horan, Peter J Millett
{"title":"Transosseous Double-Row Triceps Repair in a Professional Athlete.","authors":"Lorenz Fritsch, Michael Nocek, Brendon C Mitchell, Marilee P Horan, Peter J Millett","doi":"10.1002/atn2.70272","DOIUrl":"10.1002/atn2.70272","url":null,"abstract":"<p><p>Distal triceps rupture is a relatively rare pathology among muscle-tendon injuries and upper extremity trauma. The most common mechanisms include a fall onto an outstretched arm or direct trauma to the extended elbow, both of which can lead to disruption of the distal triceps tendon. The available literature on treatment outcomes remains limited; however, recent reports suggest that surgical management offers superior results compared with conservative approaches. Among surgical techniques, both suture anchors and transosseous suturing are established options. In this report, we describe the use of a transosseous double-row repair technique performed in the lateral decubitus position for the treatment of distal triceps rupture in a professional athlete. This technique incorporates the benefits of a self-reinforcing construct while increasing compressive loads at the bone-tendon interface as the tendon is loaded.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70272"},"PeriodicalIF":1.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116674","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}
Arthroscopy TechniquesPub Date : 2026-09-30eCollection Date: 2026-10-01DOI: 10.1002/atn2.70273
Matthew D Smith, Shyon K Ahmadi, James M Gregory
{"title":"Augmentation of Arthroscopic Rotator Cuff Repair Using Enthesis Interpositional Allograft and Minced Autologous Subacromial Bursa.","authors":"Matthew D Smith, Shyon K Ahmadi, James M Gregory","doi":"10.1002/atn2.70273","DOIUrl":"10.1002/atn2.70273","url":null,"abstract":"<p><p>Multiple strategies for rotator cuff augmentation have been developed to promote tendon healing and decrease retear rates. Previously published techniques and clinical studies have primarily emphasized biologic adjuncts intended to alter the local healing environment at the repair site or structural reinforcement with grafts. Although autologous subacromial bursal tissue has a potential benefit through local delivery of mesenchymal stem cells, it is difficult to maintain at the repair site. In vitro studies of scaffold augmentation with a demineralized interpositional graft are promising and would allow for the addition of biologic adjuncts directly at the repair site. Each strategy for augmentation offers distinct advantages and disadvantages, and the complimentary mechanisms of graft and biologic augmentation allow them to be combined. This technical note describes an augmentation technique for arthroscopic rotator cuff repair that incorporates an interpositional biphasic allograft in conjunction with autologous subacromial bursal tissue. The described technique provides a scaffold for healing at the enthesis while simultaneously delivering autologous tissue to promote tendon-to-bone healing. A combined strategy may represent a practical approach to optimizing repair integrity in patients at increased risk of failure after rotator cuff repair.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70273"},"PeriodicalIF":1.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116707","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}