Video journal of sports medicine最新文献

{"title":"Surgical Management of Habitual Patellar Dislocation: Quadricepsplasty, Medial Plication, and Baguette Molle.","authors":"Peter Staunton, Jordan J Levett, Abdulrhman Alnasser, Justin Drager, Thierry Pauyo","doi":"10.1177/26350254241303545","DOIUrl":"https://doi.org/10.1177/26350254241303545","url":null,"abstract":"<p><strong>Background: </strong>Fixed and habitual (obligatory) dislocation of the patella is caused by externally rotated and shortened quadriceps mechanisms. Many surgical techniques have been described to treat this condition, yet there is insufficient evidence favoring one over another. A combination of procedures is recommended to restore proper patellar tracking.</p><p><strong>Indications: </strong>The quadricepsplasty with medial plication and Baguette Molle is indicated in skeletally immature patients with a misaligned extensor mechanism causing habitual patellar dislocation.</p><p><strong>Technique description: </strong>A lateral approach to the femur is performed, followed by dissection down to the iliotibial band fascia. The fascia is opened, and the vastus lateralis is dissected from the posterior iliotibial band fascia, exposing the femur. Distal-to-proximal release of the vastus lateralis is performed until fully released. The incision extends distally toward the tibial tuberosity, opening the lateral retinaculum and capsule. Full-thickness flaps are developed on each side of the tibial tuberosity. The apophysis of the tuberosity is sharply dissected and transposed medially within a trough in the tibial periosteum (\"Baguette Molle\") and then secured with interrupted nonabsorbable sutures. Medial plication is performed through a longitudinal incision parallel to the patella's long axis. Nonabsorbable sutures are used to plicate the flap, ensuring appropriate tension. On-table assessment of patellar tracking is carried out throughout the procedure.</p><p><strong>Results: </strong>The patient undergoes a standard postoperative admission lasting 2 to 3 days, primarily focusing on pain management and facilitating early range of motion. A perioperative epidural catheter is inserted to ensure effective pain control and aid in early mobilization. Additionally, patients are introduced to a continuous passive motion device, dedicating 3 to 5 hours per day to mobilize the affected limb at a 45° angle on postoperative day 1, gradually progressing to full range by postoperative day 3. Subsequently, a protective weightbearing status is recommended for 4 to 6 weeks with unrestricted range of motion. Follow-up appointments are scheduled at 6 weeks, 12 weeks, 6 months, and annually thereafter until growth cessation to monitor for any potential growth disturbances.</p><p><strong>Discussion/conclusion: </strong>Quadricepsplasty with medial plication and the Baguette Molle technique is a reproducible and effective procedure for treating habitual patellar dislocation in skeletally immature patients, with satisfactory short-term outcomes.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this sub","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 4","pages":"26350254241303545"},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661701","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":"Physeal-Sparing MPFL Reconstruction Technique With Lateral Retinaculum Lengthening.","authors":"Lily J Qian, Amanda J Schroeder, Kevin G Shea, Trenton Cooper, Marc Tompkins","doi":"10.1177/26350254241301444","DOIUrl":"https://doi.org/10.1177/26350254241301444","url":null,"abstract":"<p><strong>Background: </strong>In skeletally immature patients, medial patellofemoral ligament (MPFL) reconstruction must consider the femoral physis while also trying to reproduce the ligament as anatomically as possible. There is currently no gold-standard surgical approach.</p><p><strong>Indications: </strong>Previous surgical techniques for MPFL reconstruction in skeletally immature patients have described methods to avoid the physis, but it is difficult to accomplish this and still place the tunnel at Shottle's point. The technique described in this video allows the surgeon to find Shottle's point while still placing a tunnel that is all-epiphyseal.</p><p><strong>Technique description: </strong>Following MPFL attachment to the patella, the guide pin is placed at Schottle's point under fluoroscopic guidance, and the scope is placed facing the posterior cruciate ligament (PCL) footprint. With the knee at 90° of flexion or greater, the guide pin is passed through the femoral condyle, aiming directly at the scope such that the pin enters the notch through the PCL footprint. The pin can then be passed anteriorly through the knee and the anterolateral soft tissues without endangering the lateral femoral condyle or the patellar tendon. A blind-ended tunnel is then drilled through the epiphysis to the level of the cortex making up the PCL footprint. Care is taken to ensure appropriate graft length such that the graft does not \"bottom out\" in the tunnel. The graft is passed into the tunnel and secured with an interference screw while the knee is in 45° to 60° of flexion.</p><p><strong>Results: </strong>Expected outcomes for this all-epiphyseal MPFL reconstruction are very good. Patients begin physical therapy immediately after surgery and are allowed full weightbearing and full range of motion without a brace.</p><p><strong>Discussion/conclusion: </strong>The MPFL attachment is very near the medial femoral physis. Due to the undulating physis, placing the start of the femoral tunnel at the femoral MPFL attachment point requires that the tunnel trajectory be directed toward the center of the knee. The technique described in this video allows for all-epiphyseal femoral tunnel drilling with a starting point at the MPFL femoral attachment, allowing the graft to be placed as anatomically as possible.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 4","pages":"26350254241301444"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661700","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":"Cell-Free Aragonite-Based Scaffold With Bone Marrow Aspirate Concentrate Augmentation for Osteochondral Defects of the Knee.","authors":"Ron Gilat, Alexander C Weissman, Andrew R Phillips, Allen A Yazdi, Sarah A Muth, Brian J Cole","doi":"10.1177/26350254241303767","DOIUrl":"10.1177/26350254241303767","url":null,"abstract":"<p><strong>Background: </strong>Damage to the joint surface, which affects articular cartilage and the underlying subchondral bone, is a common cause for significant knee pain and disfunction. The use of CartiHeal Agili-C, a cell-free aragonite-based implant, is an emerging option for patients who may otherwise be a poor candidate for allograft transplantation or within geographic areas where there is a limited availability of donor tissue.</p><p><strong>Indications: </strong>The CartiHeal Agili-C implant is indicated for patients with an International Cartilage Repair Society grade III or IV lesion with a total treatable area of 1 to 7 cm² and without severe osteoarthritis.</p><p><strong>Technique description: </strong>Standard parapatellar arthrotomy is performed to reveal an osteochondral defect of the femoral condyle. The cell-free aragonite-based scaffold is then transplanted in 7 steps according to numbered instrumentation in the Agili-C toolset. Surgical pearls of placement include proper alignment of the perpendicular aligner tool with circumferential viewing, assistant confirmation, and arthroscopic verification; avoiding wobbling during the shaping phase of the procedure as this may cause an oblong socket with inadequate fixation; and handling the implant with care and only using a thumb or index finger to insert with light tapping.</p><p><strong>Results: </strong>A multicenter randomized control trial followed 251 patients and found 88.5% of the implant group had at least 75% lesion fill as seen on postoperative magnetic resonance imaging at a 2-year follow-up. Additionally, patient-reported outcome measures were statistically superior when compared to controls at 24 months.</p><p><strong>Conclusion: </strong>Transplantation of a cell-free aragonite-based scaffold (Aglili-C; CartiHeal Ltd), augmented with bone marrow aspirate concentrate, provides an efficient, reproducible surgical strategy in the management of osteochondral defects of the femoral condyles.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 3","pages":"26350254241303767"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546795","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":"Latarjet Procedure for Recurrent Anterior Shoulder Instability.","authors":"Marc Lubitz, Anup Shah, Evan Lederman","doi":"10.1177/26350254251327193","DOIUrl":"10.1177/26350254251327193","url":null,"abstract":"<p><strong>Background: </strong>The Latarjet procedure is widely used to treat recurrent anterior shoulder instability, especially in cases with significant glenoid bone loss. The procedure involves transferring the coracoid process to the anterior inferior glenoid. Typically performed as an open surgery, arthroscopic Laterjet techniques have evolved, each offering unique benefits and challenges.</p><p><strong>Indications: </strong>The Latarjet procedure is indicated for patients with recurrent anterior shoulder instability, particularly those with substantial glenoid bone loss (typically >20%), or failed soft tissue (Bankart) repairs. It is also recommended for patients with engaging Hill-Sachs lesions (off-track), and high-risk individuals following their first dislocation. The glenoid track concept assists in evaluating bone loss and deciding when the Latarjet is warranted.</p><p><strong>Technique description: </strong>The patient is positioned in a beach-chair setup with anesthesia administered. An anterior incision is made using a deltopectoral approach. The coracoid is mobilized and prepared for the congruent arc technique, then affixed to the anterior glenoid using screws. The joint is irrigated, and the capsule and subscapularis are repaired to ensure stability and preserved mobility.</p><p><strong>Results: </strong>The congruent arc modification has shown favorable outcomes, particularly in patients with significant glenoid bone loss. Meta-analyses reveal a low redislocation rate (1.1%) and high return-to-sport rate (94.3%). Graft integration rates are approximately 92.1%, and patients report improved shoulder function, with notable gains in Rowe and American Shoulder and Elbow Surgeons scores.</p><p><strong>Discussion/conclusion: </strong>While the Latarjet procedure provides excellent stability and functionality for shoulder instability, risks such as graft fragmentation and screw malposition require careful planning and execution. The procedure's high success rate and favorable functional outcomes solidify its role in managing complex shoulder instability, ensuring its continued relevance in orthopaedic practice.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 3","pages":"26350254251327193"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510215","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":"Re-Revision ACLR: Operative Considerations.","authors":"Hansel Ihn, Elaine Shing, Travis Maak","doi":"10.1177/26350254241303559","DOIUrl":"10.1177/26350254241303559","url":null,"abstract":"<p><strong>Background: </strong>Re-revision anterior cruciate ligament reconstruction (ACLR) is a challenging clinical problem. A multifactorial approach to this situation is necessary to address each patient's needs fully.</p><p><strong>Indications: </strong>Persistent instability.</p><p><strong>Technique description: </strong>Contralateral bone-patellar tendon-bone ACLR with tibial bone defect bone grafting and postfixation of the tibial bone plug. Concomitant lateral extra-articular tenodesis was also performed.</p><p><strong>Results: </strong>At the 12-week follow-up, the patient had regained full range of motion and demonstrated sagittal stability on examination. However, with published data consistently demonstrating low return to preinjury level of activity, we remain cautiously optimistic with regard to her eventual outcome.</p><p><strong>Discussion/conclusion: </strong>While it is important to be privy to the latest literature, it is also important to consider each patient's case individually. Consideration should be given to the patient's pertinent history and physical examination findings and not just radiographic parameters. Revision situations often present unforeseen challenges, so it is important to have contingency plans in place. Adopting techniques that minimize potential challenges, such as tunnel convergence, can be critical in successfully completing a surgery.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 3","pages":"26350254241303559"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487619","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":"Medial Implantable Shock Absorber (MISHA) to Treat Medial Knee Arthritis in an Active Patient.","authors":"Yazdan Raji, Begum Topkarci, Monica S Vel, Wyatt Andersen, Robert M Putko, Seth L Sherman","doi":"10.1177/26350254241303558","DOIUrl":"10.1177/26350254241303558","url":null,"abstract":"<p><strong>Background: </strong>Osteoarthritis is a leading cause of disability worldwide and most commonly affects the knee. Conservative management has limited long-term efficacy, and traditional surgical options present inherent challenges for the high-demand patient population, creating a treatment gap. Medial implantable shock absorber (MISHA) technology has been recently approved by the US Food and Drug Administration (FDA) for active patients with symptomatic medial compartment arthritis who are either unable or unwilling to undergo high tibial osteotomy (HTO) or arthroplasty. Select advantages include early return to full weightbearing without bracing, reversibility without \"burning bridges,\" and favorable patient-reported outcomes.</p><p><strong>Indications: </strong>We present a 58-year-old female, active military officer with a 9-month history of symptomatic medial knee osteoarthritis who had conservative measures that failed. Following informed consent regarding surgical options, the patient underwent left knee arthroscopy followed by open implantation of the MISHA Knee Implant.</p><p><strong>Results: </strong>Medial internal shock absorbers can serve to shield the medial compartment from abnormal loads, reduce pain, and improve function without altering the native knee joint or lower extremity anatomy. In a prospective nonrandomized cohort study supervised by the FDA, a comparison between MISHA and HTO demonstrated the favorable outcomes of the MISHA group in terms of pain, function, adverse events, implant integrity, and conversion surgery at the primary end point of 24 months.</p><p><strong>Discussion/conclusion: </strong>In this surgical technique, we outline the key steps for implantation of the medial internal shock absorber to treat symptomatic medial compartment osteoarthritis in an active patient. We also review technical pearls and pitfalls and postoperative care, including rehabilitation and return to activity timelines and expectations.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 3","pages":"26350254241303558"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334777","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":"Surgical Technique, Tips, and Tricks: Medial Implantable Shock Absorber for Medial Compartment Knee Osteoarthritis.","authors":"Andrew S Bi, Wendell W Cole, Dylan Lowe, Alexander Golant, Laith M Jazrawi","doi":"10.1177/26350254241303551","DOIUrl":"10.1177/26350254241303551","url":null,"abstract":"<p><strong>Background: </strong>Isolated medial compartment knee osteoarthritis (OA) presents a challenging problem to treat for knee surgeons, with a multitude of options from conservative management, including injections and unloader braces, meniscal procedures, osteotomies, and unicompartmental knee arthroplasty (UKA). A new medial implantable shock absorber (MISHA) allows for offloading 142 N of the medial compartment during stance phase of gait.</p><p><strong>Indications: </strong>US Food and Drug Administration approval was obtained on April 10, 2023, with the following indications: isolated medial knee OA (Kellgren-Lawrence grades I-IV) that failed 6 months of conservative management, ages 25 to 65 years, body mass index <35 or body weight <300 lbs, <15° of varus, no flexion contracture >10°, and no significant medial osteophytes or medial meniscal extrusion.</p><p><strong>Technique description: </strong>A longitudinal medial knee incision is made 1 cm proximal to the medial epicondyle to the pes insertion, around 3 cm medial to the tibial tubercle, exposing the superficial medial collateral ligament, and medial joint line. The establishment of the femoral anisometric point is critical to provide a 4-mm posterior condylar offset in 90° of flexion compared to full extension. A trial implant can be placed to confirm appropriate anisometry, implant loading in extension, and relaxation in flexion. The final implant is placed and the titanium femoral and tibial baseplates are fixed with 3 unicortical titanium locking screws each.</p><p><strong>Results: </strong>Expected results per recommended postoperative protocol are immediate weightbearing without range of motion restrictions. From author experience, patients typically feel improvement and return to sport more rapidly than with anterior cruciate ligament reconstructions. Recovery and return to work are faster than osteotomies or UKAs based on comparative short-term studies. While long-term results are lacking given the novelty of the procedure, prospective studies have demonstrated 100% arthroplasty-free survival at 2 years and 85% survival at 5 years.</p><p><strong>Discussion/conclusion: </strong>The MISHA is a viable option for isolated medial compartment knee OA that provides a joint-preserving alternative to arthroplasty and a less morbid alternative to osteotomy. This treatment can be technically difficult to perform, but several pearls and techniques can offer a reproducible, minimally invasive surgery and good functional results.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 3","pages":"26350254241303551"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144319083","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":"Trochleoplasty With Combined Soft Tissue Reconstruction for Patellar Instability.","authors":"Steven Magister, Jose Perez, Charles Lin, Dylan Lowe, James L Pace, Laith Jazrawi","doi":"10.1177/26350254241310257","DOIUrl":"10.1177/26350254241310257","url":null,"abstract":"<p><strong>Background: </strong>Patellofemoral instability is a relatively common condition and is multifactorial in its cause, with both soft tissue and bony components. Trochleoplasty is a newly described surgical procedure to help improve outcomes following patellar restabilization.</p><p><strong>Indications: </strong>Trochleoplasty is an emerging surgical technique during patellar stabilization surgery in those patients with underlying trochlear dysplasia.</p><p><strong>Technique description: </strong>Trochleoplasty was performed via an open medial parapatellar arthrotomy. Using a combination of osteotome and guided bur, the subchondral surface was undermined to produce a deeper sulcus. The cartilage surface was then plastically deformed into the newly developed trochlea. Trochleoplasty was then secured with a central triple-loaded interference screw and 3 peripheral interference screws. Medial patellofemoral ligament reconstruction was then performed in standard fashion.</p><p><strong>Results: </strong>Postoperative course was complicated by arthrofibrosis, which required manipulation at 4 weeks. Following manipulation, the patient recovered uneventfully and had returned to full activities at 6 months with full strength, range of motion, and minimal pain.</p><p><strong>Discussion/conclusion: </strong>Trochleoplasty with combined soft tissue reconstruction is a viable treatment option in those patients with recurrent patellar instability and underlying trochlear dysplasia. While not without complications, this surgical technique remains a powerful tool in the correctly indicated patient. Appropriate patient selection and adherence to postoperative rehabilitation are crucial for optimal outcomes.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 3","pages":"26350254241310257"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288111","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":"Osteochondral Lesions of the Tibial Plafond: A Restorative Procedure for Cystic Defects.","authors":"Francis Bustos, Richard Ferkel","doi":"10.1177/26350254241310255","DOIUrl":"10.1177/26350254241310255","url":null,"abstract":"<p><strong>Background: </strong>Osteochondral lesions of the tibia plafond (OLTPs) are an uncommon problem that can generate pain.</p><p><strong>Indications: </strong>Arthroscopic techniques can provide symptomatic relief and improved outcomes when conservative management has failed.</p><p><strong>Technique description: </strong>We present our arthroscopic technique for managing osteochondral lesions of the distal tibia with subchondral cyst formation. By addressing the lesion with bone marrow aspirate concentrate mixed with micronized cartilage matrix and sealing with fibrin glue, we achieve stable restoration of the osteochondral lesion in a competitive athlete.</p><p><strong>Results: </strong>This operative intervention has been shown in clinical series to improve American Orthopaedic Foot & Ankle Society ankle-hindfoot scores postoperatively.</p><p><strong>Discussion/conclusion: </strong>This restorative procedure for OLTP cystic defects has been shown to produce good to excellent results and is a viable, minimally invasive option in the competitive athlete.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 3","pages":"26350254241310255"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12146672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259900","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":"Anterolateral Segmental Meniscal Allograft Transplantation.","authors":"Emily Whicker, Eddie K Afetse, Jonathan Godin","doi":"10.1177/26350254241300184","DOIUrl":"10.1177/26350254241300184","url":null,"abstract":"<p><strong>Background: </strong>The medial and lateral menisci increase joint congruity, stabilization, shock absorption, and proprioception. Deficient menisci provide challenges for orthopaedic surgeons and often require meniscal transplantation. Current techniques for meniscal transplant may sacrifice native healthy meniscus that could be preserved.</p><p><strong>Indications: </strong>We present a novel technique for anterolateral segmental meniscal transplant, which serves to replace the deficient anterolateral meniscus with the preservation of the intact posterior midbody and horn.</p><p><strong>Technique description: </strong>Using meniscal root, all-inside, and outside-in meniscal repair techniques, we present a successful segmental anterolateral meniscal transplant.</p><p><strong>Results: </strong>While only limited short-term outcomes are available due to the novel nature of this procedure, our patient is following the same protocol as a total meniscal transplant without any complications.</p><p><strong>Discussion/conclusion: </strong>While long-term and larger cohorts are needed, segmental meniscal transplant is a potential novel technique to address non-total meniscal deficiency without sacrificing healthy meniscal tissue.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 3","pages":"26350254241300184"},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12134941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144228381","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}