{"title":"Percutaneous Spinal Needle–Assisted Suture Passing in Medial Meniscal Posterior Root Tear Repair","authors":"Ahmet Emin Okutan Ph.D. , Serkan Surucu Ph.D. , Kerim Öner Ph.D. , Lokman Kehribar Ph.D.","doi":"10.1016/j.eats.2024.103245","DOIUrl":"10.1016/j.eats.2024.103245","url":null,"abstract":"<div><div>The medial meniscal posterior root (MMPR) is essential for absorbing hoop stress and preventing meniscal extrusion. MMPR tears lead to significant alterations in knee joint kinematics, increasing tibiofemoral contact pressure and accelerating knee osteoarthritis. Given the poor prognosis of untreated meniscal root tears, there has been growing interest in surgical repair techniques. The percutaneous spinal needle–assisted suture-passing technique offers a cost-effective, minimally invasive alternative that reduces iatrogenic damage to articular cartilage and eliminates the need for medial collateral ligament release compared with currently widely used suture passers. This technique allows for precise suture placement and minimizes meniscal injury during suture passing, providing a promising option for repair of the MMPR tear.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103245"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682894","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}
Peiguan Huang M.Med., Xiaoxu Wang M.Med., Yong Fu M.D., Zhihong Xiao M.D., Zhengmao Li M.D., Bin Peng M.D., Chunrong He M.D.
{"title":"Arthroscopic Tri-anchor Double-Pulley Suture-Bridge Reduction of Greater Tuberosity Fracture","authors":"Peiguan Huang M.Med., Xiaoxu Wang M.Med., Yong Fu M.D., Zhihong Xiao M.D., Zhengmao Li M.D., Bin Peng M.D., Chunrong He M.D.","doi":"10.1016/j.eats.2024.103263","DOIUrl":"10.1016/j.eats.2024.103263","url":null,"abstract":"<div><div>Currently, cannulated screws, plates, and suture bridges are widely applied in the treatment of greater tuberosity fracture; however, further fragmentation of the fracture, risk of loss of fracture reduction, implant impingement, and anchor pullout are the drawbacks. Therefore, we present a pragmatic surgical technique called the arthroscopic tri-anchor double-pulley suture-bridge technique that uses a double-loaded metallic anchor as a lateral-row anchor. In the treatment of greater tuberosity fracture, this hybrid repair including 4 sets of double-pulley suture bridges and 2 sets of single rows can obtain powerful stiffness of the suture construct, the metallic anchor used as a lateral-row anchor can significantly reduce the risk of anchor pullout, the single-row process can lessen the overall surgical time, and implant impingement will not occur postoperatively.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103263"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682971","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}
Chuan Zhang M.D., Wang-Yu Lu M.D., Jiang-Tao Ma M.D., Wen-Sheng Wang M.D., Sui-Zhu Huang M.D.
{"title":"All-Arthroscopic Ulnar Nerve Release and Subcutaneous Transposition","authors":"Chuan Zhang M.D., Wang-Yu Lu M.D., Jiang-Tao Ma M.D., Wen-Sheng Wang M.D., Sui-Zhu Huang M.D.","doi":"10.1016/j.eats.2024.103253","DOIUrl":"10.1016/j.eats.2024.103253","url":null,"abstract":"<div><div>Cubital tunnel syndrome is a common compressive neuropathy in the upper limb. When nonoperative management has failed to sufficiently improve the condition, various surgical techniques including in situ decompression and ulnar nerve anterior transposition have been undertaken to decompress the nerve, and these can be performed via open or arthroscopic assisted approaches. With open surgery or arthroscopic surgery, good clinical results have been reported. We describe a technique of all-arthroscopic medial bi-portal ulnar nerve release with an anterolateral portal for transient nerve retraction and transposition. This technique allows for a more complete release and maximum protection of the ulnar nerve while reducing surgical scars, relieving postoperative pain, and shortening the recovery time.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103253"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682885","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}
Kyu-Cheol Noh M.D., Ph.D. , Jun Lang M.D. , Ji-Ung Oh M.D. , Yong-Tae Kim M.D., Ph.D. , Vivek Kumar Morya Ph.D.
{"title":"Arthroscopic-guided Release of Supraspinatus and Infraspinatus Muscles for Repair of Large-to-Massive Rotator Cuff Tear and Suprascapular Nerve Release","authors":"Kyu-Cheol Noh M.D., Ph.D. , Jun Lang M.D. , Ji-Ung Oh M.D. , Yong-Tae Kim M.D., Ph.D. , Vivek Kumar Morya Ph.D.","doi":"10.1016/j.eats.2024.103267","DOIUrl":"10.1016/j.eats.2024.103267","url":null,"abstract":"<div><div>This technical note presents an all-arthroscopic technique designed to release and advance the supraspinatus and infraspinatus muscles in cases of massive posterosuperior rotator cuff tears involving the retracted muscles. The aim is to avoid neuromuscular damage and facilitate tension-free repair by reducing the anatomical tendon footprint. Traditionally, such tears have been considered irreparable and have been treated with superior capsular reconstruction or tendon-transfer procedures. The all-arthroscopic approach detailed here involves muscle detachment and advancement, enhancing tendon mobilization, and enabling tension-free repair. The key to this technique is resection of the acromioclavicular joint to aid in muscle advancement, particularly for the supraspinatus muscle.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103267"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682877","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}
Roberto Yáñez Ph.D., M.D. , Anthony Saravia M.D. , Hector Zamorano M.D. , Gaston Caracciolo M.D. , Cristobal Yañez-Rojo M.D. , Alejandro Neira M.Sc. , Carlos De la Fuente Ph.D.
{"title":"Anatomical Repair With Achilles Tendon Allograft Augmentation for Distal Medial Collateral Ligament Ruptures","authors":"Roberto Yáñez Ph.D., M.D. , Anthony Saravia M.D. , Hector Zamorano M.D. , Gaston Caracciolo M.D. , Cristobal Yañez-Rojo M.D. , Alejandro Neira M.Sc. , Carlos De la Fuente Ph.D.","doi":"10.1016/j.eats.2024.103234","DOIUrl":"10.1016/j.eats.2024.103234","url":null,"abstract":"<div><div>Several conditions may require medial collateral ligament (MCL) surgery, especially when high physical demands are required. Thus, we described a technique for anatomical repair of distal MCL rupture using a distal anchor and MCL augmentation through Achilles tendon allograft with proximal bone block and interference screw. This procedure fixes an anchor distally at the tibia. Then, the ligament endings are sutured using a continuous simple-type technique. Subsequently, a low-radiated Achilles tendon allograft is attached proximally and fixed through an interference screw. Finally, the allograft is sutured using a continuous simple-type technique. Our anatomical MCL repair and augmentation allows a reinforced anatomical technique to control the valgus instability caused by MCL distal ruptures, considering the MCL axial traction and posterior oblique ligament fiber orientations.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103234"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682881","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}
Amanda Azer M.D. , David Ge M.D. , Ferdinand J. Chan M.D.
{"title":"Eccentric Reaming to Correct Nonanatomic Anterior Cruciate Ligament Tibial Tunnel Placement","authors":"Amanda Azer M.D. , David Ge M.D. , Ferdinand J. Chan M.D.","doi":"10.1016/j.eats.2024.103261","DOIUrl":"10.1016/j.eats.2024.103261","url":null,"abstract":"<div><div>Anatomic tibial tunnel placement remains an essential aspect of anterior cruciate ligament reconstruction success. Incorrect placement is a common cause of failure and revision reconstruction. Our technique allows repositioning a suboptimal tibial tunnel without the need to remove the initial guide pin for proper tunnel placement. The use of the eccentric reaming technique allows for this to take place, ensuring the more likely success of anterior cruciate ligament reconstruction procedures.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103261"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682890","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}
Grace Guerin B.S., Taidhgin Keel B.S., Luke V. Tollefson B.S., Evan P. Shoemaker B.A., Erik L. Slette M.D., Nathan J. Jacobson M.D., Robert F. LaPrade M.D., Ph.D.
{"title":"Excision of Femoral Heterotopic Ossification and Lysis of Adhesions After Medial Collateral Ligament Reconstruction","authors":"Grace Guerin B.S., Taidhgin Keel B.S., Luke V. Tollefson B.S., Evan P. Shoemaker B.A., Erik L. Slette M.D., Nathan J. Jacobson M.D., Robert F. LaPrade M.D., Ph.D.","doi":"10.1016/j.eats.2024.103270","DOIUrl":"10.1016/j.eats.2024.103270","url":null,"abstract":"<div><div>Heterotopic ossification (HO) and arthrofibrosis are known complications after medial collateral ligament (MCL) reconstruction and other arthroscopic procedures. They can result in clinically significant symptoms such as pain, swelling, and ankylosis. Surgical removal of HO and adhesions may provide relief of symptoms, as well as increased knee range of motion. HO excision in the setting of MCL reconstruction is not well documented in the literature. This article describes the excision of femoral HO and arthroscopic lysis of adhesions after prior MCL reconstruction and concomitant multiple-ligament knee reconstruction.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103270"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682897","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 Exposure for Anterosuperior Rotator Cuff Repair","authors":"Gaspard Lebot M.D., Lucile Breyne M.D., Arnaud Godenèche M.D.","doi":"10.1016/j.eats.2024.103246","DOIUrl":"10.1016/j.eats.2024.103246","url":null,"abstract":"<div><div>Anterosuperior cuff tear involves the subscapularis and supraspinatus and should be analyzed and repaired as a single, large, continuous tear. This presupposes recognition of the complex anatomical anterosuperior shoulder area and a step-by-step approach knowing elements to release and those to preserve. This Technical Note describes a technique for arthroscopic release enabling optimal exposure of the anterosuperior structures as a key step for successful anatomical reconstruction.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103246"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682968","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}
Tun Hing Lui M.B.B.S. (H.K.), F.R.C.S. (Edin.), F.H.K.A.M., F.H.K.C.O.S. , Charles Churk Hang Li M.B.C.h.B., M.R.C.S. (H.K.), F.R.C.S.Ed. (Ortho.), F.H.K.C.O.S., F.H.K.A.M. (Ortho.) , Amanda Mun Yee Slocum M.B.B.S. (H.K.), M.R.C.S. (H.K.), F.R.C.S.Ed. (Ortho.), F.H.K.C.O.S., F.H.K.A.M. (Ortho.) , Siu Kei Kam M.B.Ch.B.
{"title":"Refinement of Modified Endoscopic Lateral Soft-Tissue Procedure for Correction of Hallux Valgus Deformity","authors":"Tun Hing Lui M.B.B.S. (H.K.), F.R.C.S. (Edin.), F.H.K.A.M., F.H.K.C.O.S. , Charles Churk Hang Li M.B.C.h.B., M.R.C.S. (H.K.), F.R.C.S.Ed. (Ortho.), F.H.K.C.O.S., F.H.K.A.M. (Ortho.) , Amanda Mun Yee Slocum M.B.B.S. (H.K.), M.R.C.S. (H.K.), F.R.C.S.Ed. (Ortho.), F.H.K.C.O.S., F.H.K.A.M. (Ortho.) , Siu Kei Kam M.B.Ch.B.","doi":"10.1016/j.eats.2024.103240","DOIUrl":"10.1016/j.eats.2024.103240","url":null,"abstract":"<div><div>Hallux valgus is a common orthopaedic problem, and surgical correction frequently is indicated for symptomatic deformity. The modified endoscopic distal soft-tissue procedure has been reported to provide a minimally invasive approach of hallux valgus correction with augmentation of the medial metatarsosesamoid suspensory ligament and intermetatarsal ligament. The purpose of this Technical Note is to describe the refinements of the modified endoscopic distal soft-tissue procedure to achieve more anatomical augmentation of the medial metatarsosesamoid ligament and intermetatarsal ligament, which can provide more stable reconstruction and prevent stiffness of the first metatarsophalangeal joint.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 3","pages":"Article 103240"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683064","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":"Computer-Assisted Hip Arthroscopic Surgery for Secondary Femoroacetabular Impingement After Rotational Acetabular Osteotomy Using Capsular Takedown Techniques","authors":"Shota Higashihira M.D., Ph.D. , Yohei Yukizawa M.D., Ph.D. , Ayahiro Kadowaki M.D. , Shu Takagawa MD., Ph.D. , Hyonmin Choe M.D., Ph.D. , Yutaka Inaba M.D., Ph.D. , Naomi Kobayashi M.D., Ph.D.","doi":"10.1016/j.eats.2024.103193","DOIUrl":"10.1016/j.eats.2024.103193","url":null,"abstract":"<div><div>Secondary femoroacetabular impingement (FAI) is a severe complication observed after acetabular osteotomy; however, the diagnostic and treatment strategies of FAI have not been well established, especially with respect to arthroscopic techniques. We here describe hip arthroscopic osteochondroplasty for secondary FAI using computer-assisted techniques. The main features and tips of our technique are preoperative computed tomography (CT)-based surgical planning and the intraoperative capsule takedown method. Computer modeling produces a patient-specific 3-dimensional CT bone model. Subsequently, we identify the impingement point between the acetabulum and the femoral neck using dynamic simulation. The excess bony bumps are resected through computer surgical simulation, and pre- and postoperative 3-dimensional CT bone models are combined to identify the appropriate resection area. For the surgical technique, it is important to detach the capsule to visualize the acetabulum bony excess. Once the resection area has been sufficiently visualized, the bone resection is performed. Finally, the capsule is reattached to the excavated acetabulum, and the delaminated labrum is sewn up with the capsule in a round bale shape.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 2","pages":"Article 103193"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387084","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}