Video journal of sports medicine最新文献

{"title":"Articular Cartilage Restoration in the Patella: Greater Precision With Arthroscope-Assisted Grafts.","authors":"German Alejandro Jaramillo Quiceno, Paula Andrea Sarmiento Riveros, Ruben Dario Arias Perez, Victor Alfonso Avendaño Arango, Juan Pablo Alzate Arbeláez, Cristobal Murillo Restrepo","doi":"10.1177/26350254251404944","DOIUrl":"10.1177/26350254251404944","url":null,"abstract":"<p><strong>Background: </strong>Osteochondral allografting is a well-established, durable treatment option for focal patellar cartilage defects, particularly in young, active patients with symptomatic grade 3 and 4 lesions. Clinical outcomes show success rates of 77% to 87% when grafts are accurately placed and properly integrated. Precise cartilage-to-graft congruity is critical, as malalignment may lead to persistent pain, graft failure, or cartilage degeneration. Arthroscope-assisted techniques enhance visual accuracy, improving fit and load distribution while reducing the risk of prominent or unstable grafts.</p><p><strong>Indication: </strong>The procedure was indicated in a young female patient with a symptomatic grade 4 osteochondral defect of the patella that had failed nonoperative management. No concomitant realignment or osteotomy was required.</p><p><strong>Technique description: </strong>Through a medial parapatellar approach, the patella was everted, and multiple full-thickness defects were identified on the medial and lateral facets. The degenerated cartilage was debrided, and the recipient sites were precisely measured and prepared (6-8 mm diameter, 8 mm depth). Using arthroscopic assistance, osteochondral plugs were harvested from the flattest portion of the donor condyle with careful axial alignment. Each graft was inserted under direct arthroscopic visualization, ensuring a flush, congruent surface with surrounding native cartilage. Multiple grafts were placed sequentially, guided by enhanced visualization to avoid prominence and optimize contour matching.</p><p><strong>Results: </strong>Intraoperative assessment confirmed stable fixation and optimal surface congruence of all grafts. Arthroscopic visualization enabled correction of subtle irregularities that may not be palpable through open techniques. Rehabilitation was initiated early to prevent arthrofibrosis, with partial weightbearing maintained for 4 weeks, followed by a progressive recovery program emphasizing mobility, strength, and endurance.</p><p><strong>Discussion/conclusion: </strong>Arthroscope-assisted patellar osteochondral grafting provides enhanced accuracy in graft placement and alignment, potentially improving integration and long-term outcomes. This technique is particularly valuable for achieving flush, congruent reconstruction in patients with isolated patellar chondral lesions. Early mobilization and structured rehabilitation are essential for optimizing functional recovery and reducing the risk of complications, such as stiffness, pain, or poor graft incorporation.</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":"6 2","pages":"26350254251404944"},"PeriodicalIF":0.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147680063","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":"Optimizing Athletic Performance and Safety With Wearable Technology.","authors":"Helina D VanBibber, Andrew Moyal, Kira Smith, Benjamin Geletka, Brent Pekarski, Ethan Harlow, Dhruv Seshadri, Jacob G Calcei, James E Voos","doi":"10.1177/26350254251406285","DOIUrl":"10.1177/26350254251406285","url":null,"abstract":"<p><strong>Background: </strong>Utilization of wearable technology can optimize athlete safety via monitoring and analyzing performance, transmitting real-time data to trainers and athletes, and providing biofeedback to users. Recent improvements in the size and durability of wearable sensors, sensor battery life, and the integration of web-based data storage have enabled sensors to be easily used both on and off the field for prolonged periods.</p><p><strong>Indications: </strong>In addition to optimizing physical performance during competition, wearable technology can also reduce the risk of injury through monitoring workload and identifying warning signs, improving rehabilitation and recovery, and predicting future physical performance.</p><p><strong>Technique description: </strong>Wearable technology can calculate external workload, the physical or mechanical work performed by athletes, internal workload, and the physiologic response of an individual athlete to the external workload and environment.</p><p><strong>Results: </strong>Recently, such technology has been integrated into the National Football League for load management and Major League Baseball to monitor throwing workload and intensity during recovery. Data from wearable technology are expected to provide real-time biomechanical and physiologic data that can help quantify sport-specific performance and correlated injury risk. Muscle oxygen saturation, a biometric that can be collected through certain wearable devices, can track recovery in athletes.</p><p><strong>Discussion/conclusion: </strong>This allows for comparison between surgical and healthy athletes to track recovery of normal physiology over time. This physiologic data can aid in a safer, timelier return to sports. Future validation of devices and data security are crucial for future adoption of this technology.</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":"6 2","pages":"26350254251406285"},"PeriodicalIF":0.0,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147680080","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":"Anatomic Reconstruction of the Posterolateral Bundle of the Anterior Cruciate Ligament and Posterolateral Corner with Lateral Capsule, Biceps Femoris Tendon, and Lateral Meniscal Repairs.","authors":"Sarah L Larson, Romir Patel, Benjiman J Wilebski, Luke V Tollefson, Matthew T Rasmussen, Dustin R Lee, Robert F LaPrade","doi":"10.1177/26350254251394359","DOIUrl":"10.1177/26350254251394359","url":null,"abstract":"<p><strong>Background: </strong>Multiligament injuries can severely impair knee stability and function, leading to long-term complications if not managed. Injuries involving the posterolateral corner (PLC), especially when combined with anterior cruciate ligament (ACL) tears, require prompt anatomic reconstruction to restore normal knee function.</p><p><strong>Indications: </strong>Unrecognized or inadequately treated PLC injuries can lead to persistent varus and rotational instability, increasing stress on cruciate ligament grafts and compromising reconstruction outcomes. Thus, timely surgical reconstruction of all 3 primary PLC stabilizers (the fibular collateral ligament [FCL], popliteus tendon, and popliteofibular ligament [PFL]) is critical to restoring native biomechanics and maintaining long-term knee function.</p><p><strong>Technique description: </strong>This technique describes an anatomic reconstruction of the posterolateral (PL) bundle of the ACL, along with repairs of the lateral capsule, biceps femoris tendon, and lateral meniscus, in a patient presenting with complete foot drop. After careful neurolysis of the surrounding common peroneal nerve scar tissue, anatomic tunnels were drilled for reconstruction of the PLC-including the FCL, popliteus tendon, and PFL. Sutures were placed in the lateral capsule for a repair later in the case. Next, arthroscopy was performed to evaluate the ACL bundles, during which a PL bundle tear was identified. A semitendinosus tendon autograft was then harvested. The ACL PL bundle femoral tunnel was drilled, followed by an inside-out repair of the lateral meniscus. The ACL PL bundle tibial tunnel was then created. Grafts were passed and fixed sequentially, with the PLC grafts secured first, followed by fixation of the ACL graft in full extension. The procedure concluded with open repairs of the avulsed biceps femoris tendon and lateral capsule.</p><p><strong>Results: </strong>Geeslin et al reported that acute PLC injuries treated surgically within 3 weeks had more favorable outcomes with reconstruction or hybrid techniques, while primary repair followed by staged cruciate reconstruction was associated with higher failure rates.</p><p><strong>Discussion/conclusion: </strong>Timely anatomic reconstruction of the main PLC static stabilizers with a concurrent repair of the tendon and capsular structures effectively and reliably restores native knee stability in acute settings. Compared with delayed or staged procedures, early reconstruction often leads to improved outcomes and reduces the risk of graft failure.</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":"6 2","pages":"26350254251394359"},"PeriodicalIF":0.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147641229","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 Anterior Labral Repair with Concurrent Remplissage.","authors":"Sachin Allahabadi, Benjamin Kerzner, Johnathon R McCormick, Harry Jawanda, Nikhil N Verma","doi":"10.1177/26350254251397551","DOIUrl":"10.1177/26350254251397551","url":null,"abstract":"<p><strong>Background: </strong>Shoulder instability is a complex problem, particularly in the setting of concomitant subcritical bone loss, which may increase patients' risk of recurrent dislocation. Although bony augmentation may be successful for patients with critical bone loss, those with subcritical bone loss may benefit from arthroscopic labral repair and remplissage.</p><p><strong>Indications: </strong>Indications for arthroscopic stabilization and remplissage include (1) off-track or engaging Hill-Sachs lesions with subcritical bone loss, which often measure between 20% to 40% in volume; (2) failed previous arthroscopic repair without bone loss; and (3) collision or contact athletes with smaller, on-track Hill-Sachs lesions that are at higher risk for recurrence.</p><p><strong>Technique description: </strong>The patient is placed in the lateral decubitus position, with the arm in a pneumatic arm holder to assist with traction. Examination under anesthesia is performed. The Hill-Sachs lesion on the posterolateral humeral head is visualized, and the bony bed is prepared for healing. Traction is removed during the remplissage suture passage and final tightening. Two knotless anchors are placed through the infraspinatus and into the defect through the same cannula. The repair stitches from each anchor are shuttled through the opposing anchor's shuttling stitch, which creates a double mattress, <i>staple-like</i> configuration. The remplissage is not tightened until the end of the case to limit closing down the shoulder volume. The labral repair is performed then in standard fashion, utilizing knotless anchors and advancing capsulolabral tissue. The capsulolabral repair is retensioned with each new anchor. Once the labral repair is complete, traction is relieved, and the remplissage is finally tightened.</p><p><strong>Results: </strong>Outcomes after labral repair with concomitant remplissage are similar to labral repair alone, but with lower rates of dislocation. Current data demonstrate a similar range of motion, including external rotation, with additive remplissage.</p><p><strong>Discussion/conclusion: </strong>Arthroscopic anterior labral repair with remplissage is a useful technique for patients at high risk for dislocation, whether due to anatomic or patient-specific factors. Current postoperative outcomes are similar to labral repair alone, with lower rates of dislocation without loss of motion.</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":"6 2","pages":"26350254251397551"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13050426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629763","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 Meniscal Root Repair and Double Medial Femoral Condyle Aragonite-Based Scaffold Implantation.","authors":"Tomás F Vega, Napatpong Thamrongskulsiri, Gabriel Octavio Pérez Lloveras, Álvaro Cerezal, Felipe Casanova, Jacob T Morgan, Logan D Moews, Tanner Nishioka, Jorge Chahla","doi":"10.1177/26350254251389135","DOIUrl":"10.1177/26350254251389135","url":null,"abstract":"<p><strong>Background: </strong>Medial meniscal root tears often occur alongside cartilage lesions, leading to altered load distribution and accelerated joint degeneration. Addressing both pathologies is critical to restoring joint mechanics and improving outcomes. Cell-free aragonite-based scaffold implants are emerging as cost-effective, off-the-shelf options.</p><p><strong>Indications: </strong>These scaffolds are indicated to address between 1 and 3 focal International Cartilage Repair Society grade 3 or 4 femoral lesions <7 cm² contained by a surrounding wall of vital bone of at least 2 mm without severe osteoarthritis.</p><p><strong>Technique description: </strong>Standard arthroscopic portals reveal a posterior medial meniscal root tear and 2 grade 4 chondral defects on the medial femoral condyle. The meniscal root is prepared with a ringed curette and shaver. Two 4.5-mm parallel transtibial tunnels are drilled, emerging at the posterior meniscal root insertion. Two sutures are passed through the meniscal root and fixated at the anteromedial tibial cortex with a PEEK suture anchor. The anteromedial portal is then extended to a parapatellar arthrotomy to reveal the osteochondral defects. The 2 aragonite scaffolds are then implanted according to standard steps. A perpendicular aligner is centered over the defect. Then, a K-wire is drilled into the defect, and a drill sleeve is positioned before drilling to a set depth with a drill bit. A reamer is introduced over the K-wire to establish the 2° taper of the socket. A cartilage cutter tool or scalpel is used to smooth the cartilage edges; the implant is then inserted manually and/or with a rubber tamper.</p><p><strong>Results: </strong>Aragonite-based scaffolds have demonstrated superior outcomes compared with microfracture in randomized trials, including higher Knee injury and Osteoarthritis Outcome Score and International Knee Documentation Committee scores, increased defect fill (>75% in 88% of cases), and lower failure rates. Integration with host bone and cartilage remodeling has been confirmed on imaging by 12 months, with clinical improvements sustained at 2 and 3 years.</p><p><strong>Conclusion: </strong>This technique provides a single-stage, accessible solution for addressing combined medial meniscal root tears and focal osteochondral lesions. Aragonite-based scaffolds offer promising clinical and radiographic outcomes but must be used within defined indications as further comparative studies emerge.</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":"6 2","pages":"26350254251389135"},"PeriodicalIF":0.0,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147611655","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":"Revision Repair of a Locked Bucket-Handle Medial Meniscal Tear with Concomitant Anatomic Medial Collateral Ligament Reconstruction.","authors":"Henri R Brink, Sarah L Larson, Benjiman J Wilebski, Luke V Tollefson, Dustin R Lee, Matthew T Rasmussen, Robert F LaPrade","doi":"10.1177/26350254251388144","DOIUrl":"10.1177/26350254251388144","url":null,"abstract":"<p><strong>Background: </strong>Bucket-handle medial meniscal (BHMM) tears are a complex injury commonly found in young athletes. The literature reports that, on average, 85% of BHMM repairs are successful 1 year postoperatively. When failure occurs, a revision repair is optimal to prevent long-term arthritic changes and further stress on other knee ligaments.</p><p><strong>Indications: </strong>A revision repair of BHMM tears in adolescents is preferred compared with a meniscectomy due to a higher likelihood of the revision fully healing compared with older patients, and a higher chance of preventing the effects of increased joint contact stresses. The literature has reported that grade 3 medial collateral ligament (MCL) reconstructions may be indicated in symptomatic patients when medial compartment gapping exceeds 3 mm on stress x-rays.</p><p><strong>Technical description: </strong>A reconstruction of the superficial medial collateral ligament (sMCL) with a locked BHMM revision repair was performed. Dissection of significant scarring surrounding the semitendinosus and gracilis tendons was performed for graft harvesting. Tibial suture anchors were placed 6 cm distal to the joint line at the distal tibial attachment of the sMCL. A Beath pin was passed through the femoral sMCL attachment site anterolaterally, over reamed with a 7-mm reamer, and placed into the femoral tunnel with a passing suture. A medial meniscal retear was confirmed through arthroscopy. Twelve vertical mattress inside-out sutures were used to repair the BHMM tear. The sMCL graft was fixed with a slight varus force with the knee flexed to 20° in the femoral tunnel. Lastly, another suture anchor was placed at the proximal tibial sMCL attachment 15 mm distal to the joint line and sewn into the sMCL graft.</p><p><strong>Results: </strong>BHMM tears in the adolescent population have demonstrated a higher healing rate than similar tears in adults. Therefore, a revision BHMM tear repair is indicated, especially in the setting of a concomitant grade 3 sMCL tear.</p><p><strong>Discussion/conclusion: </strong>One risk involved in BHMM tears and MCL reconstruction is damage to the posterior neurovascular structures. The technique presented attempts to restore the native contact pressures and biomechanics within the knee through a revision BHMM repair with an anatomic sMCL reconstruction.</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":"6 2","pages":"26350254251388144"},"PeriodicalIF":0.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13031749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577521","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 Posterior Labral Repair With Capsulorrhaphy and Anterior Interval Closure: Surgical Technique.","authors":"John M Kopriva, Vishal S Desai, Benjamin W King, Spero G Karas","doi":"10.1177/26350254251384330","DOIUrl":"10.1177/26350254251384330","url":null,"abstract":"<p><strong>Background: </strong>Posterior glenohumeral instability, though less common than anterior instability, accounts for a substantial portion of operatively managed shoulder instability in active populations. Arthroscopic posterior capsulolabral repair restores the soft tissue structures of the shoulder to reduce recurrent instability. However, the described surgical techniques vary greatly. We present a reproducible technique for improving the quality and volume of tissue incorporated in the repair and using interval closure to further reduce recurrent instability rates.</p><p><strong>Indications: </strong>Arthroscopic posterior capsulolabral repair is indicated for athletes and high-demand patients with recurrent instability who do not have significant glenoid or humeral bone loss. This can include first-time dislocators participating in high-risk sports and vocational activities.</p><p><strong>Technique description: </strong>Shoulder arthroscopy is performed in the lateral position with a posterior portal, a Wilmington portal, and 2 anterior portals. Viewing from the anterosuperior portal and working through the Wilmington portal, the capsulolabral complex is elevated from the posterior and inferior glenoid using electrocautery, followed by a liberator knife. The native labral footprint on the glenoid is prepared for repair using a hooded burr. Sutures are passed through the capsulolabral tissue with a self-retrieving device via the anteroinferior portal. A drill guide is advanced through the Wilmington portal, and the tissue is sequentially secured with knotless anchors along the posterior glenoid. The resulting construct forms a robust restraint to posterior instability. An arthroscopic rotator interval closure is then performed for further stability.</p><p><strong>Results: </strong>Outcomes of arthroscopic posterior capsulolabral repair are generally acceptable, with reported return-to-play rates >90% and recurrence rates <6%. Nevertheless, some concerns persist regarding the ability to return to sport at preinjury levels postoperatively.</p><p><strong>Discussion/conclusion: </strong>Arthroscopic posterior capsulolabral repair with interval closure is an effective operation for addressing recurrent posterior shoulder instability. This technique optimizes the quality and volume of soft tissue incorporated into the repair and offers an additional layer of stability via interval closure.</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":"6 2","pages":"26350254251384330"},"PeriodicalIF":0.0,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13018662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577541","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":"Open Latarjet for Traumatic Shoulder Dislocation: A Technical Note.","authors":"Ahab G Alnemri, Amar S Vadhera, Rahul Kumar, Nabil Mehta, Kevin Parvaresh, Hasani Swindell, Nikhil N Verma","doi":"10.1177/26350254251387734","DOIUrl":"10.1177/26350254251387734","url":null,"abstract":"<p><strong>Background: </strong>The Latarjet procedure is a common technique for treating symptomatic, recurrent anterior shoulder instability with significant glenoid bone loss and employs a standard subscapularis split to ensure optimal exposure and functional outcomes.</p><p><strong>Indications: </strong>This procedure is indicated for primary or recurrent anterior instability, particularly in high-risk patients with approximately 15% anterior glenoid bone loss.</p><p><strong>Technique description: </strong>The patient is positioned in a beach-chair position, and sharp dissection is initiated at the superior aspect of the coracoid tip and extended inferiorly by 4 to 6 mm. The lateral border of the conjoint tendon is identified and released from the clavipectoral fascia. The coracoacromial (CA) ligament is identified and released from the coracoid using Bovie electrocautery, leaving a small segment for later capsular closure. The pectoralis minor is released from the medial coracoid border, exposing the coracoid base. After measuring the coracoid, an oscillating saw and osteotome are used to harvest the bone graft. The coracohumeral ligament is released, and the graft is prepared with a flat, bleeding surface to ensure optimal contact with the glenoid neck. Two drill holes are placed through the coracoid tip. Next, the subscapularis is split at the junction of the superior two-thirds and inferior one-third of the muscle belly, and the split is completed laterally. The plane between the subscapularis and capsule is developed. A horizontal split in the capsule is made to visualize the glenoid neck and anterior glenoid face. The anterior glenoid surface is cleared of capsule and decorticated. The graft is drilled using an offset guide, and cannulated screws are placed for fixation. A suture anchor is placed between the coracoid graft drill holes to secure fixation, while a suture is passed through the CA ligament stump and anteroinferior capsule, reinforcing the glenohumeral ligament complex and augmenting anterior stability.</p><p><strong>Results: </strong>Early outcomes of the standard Latarjet technique are favorable, including reduced recurrence of instability through glenoid augmentation and a conjoint tendon sling effect, with lower complication and reoperation rates and higher return to sport rates compared with other stabilization surgeries (eg, arthroscopic Bankart).</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><p><strong>Discussion/conclusion: </strong>Surgeons should consider the Latarjet technique in indicated patients.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"6 2","pages":"26350254251387734"},"PeriodicalIF":0.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13009775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147518148","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":"Biocomposite Augmentation in Revision Quadriceps Tendon Repair.","authors":"Cory N Meixner, Emma L Flanigan, David C Flanigan","doi":"10.1177/26350254251387735","DOIUrl":"10.1177/26350254251387735","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Quadriceps tendon ruptures are uncommon, typically affecting middle-aged men, often due to trauma or systemic comorbidities. Primary repairs yield excellent outcomes; however, revision surgery poses challenges due to poor tissue quality and vascularity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Indications: &lt;/strong&gt;Revision repair is indicated after failed primary surgery with recurrent extensor mechanism deficit-patella baja, extensor lag, palpable defect. Magnetic resonance imaging can confirm the diagnosis and approximate reducibility. Biologic augmentation is indicated in the presence of an especially poor healing environment, poor postoperative compliance, or a high fall risk. This technique requires a reducible tendon.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Technique: &lt;/strong&gt;Positioning is supine with a lateral thigh post and foot positioner. The midline incision is recreated. Two No. 2 FiberWire sutures are placed in the quadriceps tendon in a modified Krackow fashion. Beath pins create 3 parallel transpatellar tunnels and shuttle the sutures through them. A No. 5 FiberWire circumferential cerclage and biocomposite shoelace are placed around the patella. With the knee in hyperextension, the transosseous sutures and suture cerclage are tied, the retinaculum repaired, and the shoelace tensioned and secured with sutures. A platelet-rich plasma-soaked biocomposite patch is secured over the repair construct before a layered closure and application of a hinged brace locked in extension.Rehabilitation begins with weightbearing as tolerated with the knee brace locked in extension for 1 week. Thereafter, the brace can be unlocked to the degree of stress-free flexion achieved intraoperatively at rest. From weeks 6 to 12, range of motion (ROM) gradually progresses to achieve full motion by 3 months. Strengthening, especially eccentric quadriceps exercises, begins after 3 months, with activity progression as tolerated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;While the literature on revision outcomes is limited, especially for this novel technique, primary repairs show rerupture rates of 2% to 8%. Optimal outcomes-regarding ROM, strength, patient satisfaction-are associated with intervention &lt;3 weeks. Index suture anchor fixation also carries a slightly higher risk of complications and retear compared with transosseous tunnels. These technical and chronicity considerations can serve as risk factors for patients presenting for revision repair and support prompt revision surgery when indicated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion/conclusion: &lt;/strong&gt;This technique combines the structural and cellular support of biocomposite augmentation with the mechanical stability of transosseous fixation and suture cerclage, offering a comprehensive, reproducible solution for complex revision cases.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patient consent disclosure statement: &lt;/strong&gt;The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"6 2","pages":"26350254251387735"},"PeriodicalIF":0.0,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13009747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147518160","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":"ACL Repair of a Tibial Spine Avulsion Fracture Using a Dual Suspensory All-Suture Construct With Additional Physeal Sparing Modified Lemaire LET.","authors":"Alexander Paul Decilveo, Neil Patel, George F Rick Hatch","doi":"10.1177/26350254251388997","DOIUrl":"10.1177/26350254251388997","url":null,"abstract":"<p><strong>Background: </strong>Tibial spine avulsion fractures are a relatively common pediatric injury that can be managed with a variety of operative techniques. No consensus exists on the optimal method of fixation, especially in patients with rotatory instability who are at a greater risk of rerupture.</p><p><strong>Indications: </strong>Dual suspensory all-suture constructs with physeal sparing modified Lemaire lateral extra-articular tenodesis (LET) is a novel technique that may offer excellent outcomes for the management of types 2 to 4 tibial spine fractures in patients with rotatory instability.</p><p><strong>Technique description: </strong>A lateral thigh incision is utilized to obtain an 8 × 1-cm iliotibial band autograft that is whipstitched and passed deep to the lateral collateral ligament in a modified Lemaire fashion. Standard arthroscopic portals are used to reduce the anterior cruciate ligament (ACL) stump. Two separate tip-to-tip tibial guides are used to drill through the ACL stump at different angles, allowing nitinol wires to pass. A scorpion suture passer is used to pass 2 sutures through the mid-body of the ACL that is subsequently shuttled through the tibia. Two TightRope II RT implants are then passed through the suture mechanism and tightened to generate compression at the fracture site. Appropriate drill positioning for femoral fixation of the LET along the lateral epicondyle is confirmed with fluoroscopic guidance. The LET is secured via an onlay fashion and tensioned with the knee at 60° of flexion and neutral rotation.</p><p><strong>Results: </strong>Postoperative course was uncomplicated, and the patient reached 90° of flexion by 1 week postoperatively. The patient initiated a jogging program at 6 months and was cleared to return to sports at 12 months postoperatively without complication.</p><p><strong>Discussion/conclusion: </strong>Dual suspensory all-suture constructs for ACL repair, with the incorporation of LET, are a viable treatment option for the management of pediatric tibial spine avulsion fractures. Our technique offers the advantages of multiple points of fixation, avoidance of tunnel convergence, reduction in risk of physeal injury, and added stability with LET. Given the high failure rates of ACL repair, especially in pediatric populations, this novel technique appears to offer satisfactory outcomes with rapid recovery in appropriately indicated patients.</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":"6 2","pages":"26350254251388997"},"PeriodicalIF":0.0,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13009967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147518137","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}