Pub Date : 2024-11-01DOI: 10.1016/j.eats.2024.103122
Zhenlong Liu M.D. , Yajie Wang M.D. , Ping Liu M.D.
Rotator cuff tear is a common type of injury. For the treatment of rotator cuff tears, arthroscopic surgery is widely used. However, for massive rotator cuff tears, the rate of recurrent tears after arthroscopic surgical repair is higher. This article describes an improved double-row suture technique combining vertical mattress suture and double-pulley techniques. This technique increases the strength and stability of the suture and reduces cutting damage to the tendon so as to reduce the risk of retear.
{"title":"A Parachute Suturing Technique for Rotator Cuff Tear","authors":"Zhenlong Liu M.D. , Yajie Wang M.D. , Ping Liu M.D.","doi":"10.1016/j.eats.2024.103122","DOIUrl":"10.1016/j.eats.2024.103122","url":null,"abstract":"<div><div>Rotator cuff tear is a common type of injury. For the treatment of rotator cuff tears, arthroscopic surgery is widely used. However, for massive rotator cuff tears, the rate of recurrent tears after arthroscopic surgical repair is higher. This article describes an improved double-row suture technique combining vertical mattress suture and double-pulley techniques. This technique increases the strength and stability of the suture and reduces cutting damage to the tendon so as to reduce the risk of retear.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103122"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844421","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}
Pub Date : 2024-11-01DOI: 10.1016/j.eats.2024.103106
Amit Joshi M.S. (Ortho.), Bibek Basukala M.S. (Ortho.), Rohit Bista M.S. (Ortho.), Rajiv Sharma M.S. (Ortho.), Nagmani Singh M.S. (Ortho.), Ishor Pradhan M.S. (Ortho.)
All-inside techniques are based on devices that use PEEK (polyether ether ketone) or biocomposite anchors placed at extracapsular locations such as anchorage points over which the sutures are tied. However, because of complications like irritability and intra-articular migration of these hard anchors, suture-based all-inside meniscal repair systems are now gaining popularity. Although these devices have advantages over conventional all-inside devices, they are costly, thus limiting their widespread use. The AJStitch meniscus repair system uses a specially designed spear to insert all-suture anchors, which can be made using a No. 5 Netbond and 2-0 Ultranet. This Technical Note describes the use of this system. It is an all-inside, all-suture meniscus repair system that provides a locally made, cost-effective option for posterior horn medial meniscus repair.
{"title":"Medial Meniscus Repair Using “AJStitch”: A Cost-Effective All-Inside All-Suture Meniscal Repair System","authors":"Amit Joshi M.S. (Ortho.), Bibek Basukala M.S. (Ortho.), Rohit Bista M.S. (Ortho.), Rajiv Sharma M.S. (Ortho.), Nagmani Singh M.S. (Ortho.), Ishor Pradhan M.S. (Ortho.)","doi":"10.1016/j.eats.2024.103106","DOIUrl":"10.1016/j.eats.2024.103106","url":null,"abstract":"<div><div>All-inside techniques are based on devices that use PEEK (polyether ether ketone) or biocomposite anchors placed at extracapsular locations such as anchorage points over which the sutures are tied. However, because of complications like irritability and intra-articular migration of these hard anchors, suture-based all-inside meniscal repair systems are now gaining popularity. Although these devices have advantages over conventional all-inside devices, they are costly, thus limiting their widespread use. The AJStitch meniscus repair system uses a specially designed spear to insert all-suture anchors, which can be made using a No. 5 Netbond and 2-0 Ultranet. This Technical Note describes the use of this system. It is an all-inside, all-suture meniscus repair system that provides a locally made, cost-effective option for posterior horn medial meniscus repair.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103106"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141689176","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}
Pub Date : 2024-11-01DOI: 10.1016/j.eats.2024.103118
Elizabeth Cho M.D. , James J. Butler M.D. , John G. Kennedy M.D. , Arianna L. Gianakos D.O.
Multiple open and endoscopic techniques have been described for recalcitrant cases of plantar fasciitis. Compared with open techniques, endoscopic plantar fasciotomy has been shown to be safe and effective with decreased postoperative pain and quicker recovery, as well as decreased risk of soft tissue and neurovascular injury, while retaining the ability to provide direct visualization of the plantar fascia to facilitate proper release. Single-portal endoscopic techniques may offer additional advantages including less portal site and postoperative pain, earlier return to activities, and cost-effectiveness and higher patient satisfaction when performed in the office setting. This Technical Note describes the authors’ technique for nanoscopic plantar fasciotomy using a single-portal needle arthroscopy system, as well as advantages and limitations of this technique.
{"title":"Nano-Arthroscopic Plantar Fascia Release Technique","authors":"Elizabeth Cho M.D. , James J. Butler M.D. , John G. Kennedy M.D. , Arianna L. Gianakos D.O.","doi":"10.1016/j.eats.2024.103118","DOIUrl":"10.1016/j.eats.2024.103118","url":null,"abstract":"<div><div>Multiple open and endoscopic techniques have been described for recalcitrant cases of plantar fasciitis. Compared with open techniques, endoscopic plantar fasciotomy has been shown to be safe and effective with decreased postoperative pain and quicker recovery, as well as decreased risk of soft tissue and neurovascular injury, while retaining the ability to provide direct visualization of the plantar fascia to facilitate proper release. Single-portal endoscopic techniques may offer additional advantages including less portal site and postoperative pain, earlier return to activities, and cost-effectiveness and higher patient satisfaction when performed in the office setting. This Technical Note describes the authors’ technique for nanoscopic plantar fasciotomy using a single-portal needle arthroscopy system, as well as advantages and limitations of this technique.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103118"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853718","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}
Pub Date : 2024-11-01DOI: 10.1016/j.eats.2024.103107
Piero Franco M.D. , Angad Jolly M.D. , Elisabeth Abermann M.D. , Christian Fink M.D. , Christian Hoser M.D.
Meniscal root tears are recognized as an important pathology. Failure to recognize and to treat this pathology could lead to early-onset osteoarthritis, similar to a total meniscectomy. Surgical treatment is essential to restore meniscal function and to normalize compartment contact pressures, whenever there is joint overload and not severe cartilaginous damage. Still, the biological healing property of the medial meniscus is poor, and failure of the surgical procedure may occur. This Technical Note proposes a technical procedure for revision of medial meniscus posterior root reconstruction with a split-gracilis autograft tendon anatomical transtibial pullout technique.
{"title":"Transtibial Pullout for Medial Meniscus Posterior Root Reconstruction With Split-Gracilis Autograft","authors":"Piero Franco M.D. , Angad Jolly M.D. , Elisabeth Abermann M.D. , Christian Fink M.D. , Christian Hoser M.D.","doi":"10.1016/j.eats.2024.103107","DOIUrl":"10.1016/j.eats.2024.103107","url":null,"abstract":"<div><div>Meniscal root tears are recognized as an important pathology. Failure to recognize and to treat this pathology could lead to early-onset osteoarthritis, similar to a total meniscectomy. Surgical treatment is essential to restore meniscal function and to normalize compartment contact pressures, whenever there is joint overload and not severe cartilaginous damage. Still, the biological healing property of the medial meniscus is poor, and failure of the surgical procedure may occur. This Technical Note proposes a technical procedure for revision of medial meniscus posterior root reconstruction with a split-gracilis autograft tendon anatomical transtibial pullout technique.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103107"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141714527","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}
Pub Date : 2024-11-01DOI: 10.1016/j.eats.2024.103109
Maysara Bayomy M.D., Mohamed Mosa Mohamed M.D., Emad Zayed M.D., Ahmed Sayed Esmail M.D., Gaber Eid M.D., Hossam Elsayed M.D., Abdelaziz M. Ali M.D.
Osteochondral lesions of the talus are chondral lesions affecting the subchondral bone mostly due to acute ankle trauma, including either sprains or fractures. After failure of conservative treatment, operative treatment is necessary, with different surgical techniques described in the literature. We describe a single-step osteochondral autograft transfer to access the medial talar dome lesion that avoids the need for a medial malleolar osteotomy and therefore eliminates morbidity while reducing operative time.
{"title":"All Arthroscopic Osteochondral Autograft Transplantation for Medial Talar Dome Lesions Talus With Burring of the Anterior Lip of the Distal Tibia","authors":"Maysara Bayomy M.D., Mohamed Mosa Mohamed M.D., Emad Zayed M.D., Ahmed Sayed Esmail M.D., Gaber Eid M.D., Hossam Elsayed M.D., Abdelaziz M. Ali M.D.","doi":"10.1016/j.eats.2024.103109","DOIUrl":"10.1016/j.eats.2024.103109","url":null,"abstract":"<div><div>Osteochondral lesions of the talus are chondral lesions affecting the subchondral bone mostly due to acute ankle trauma, including either sprains or fractures. After failure of conservative treatment, operative treatment is necessary, with different surgical techniques described in the literature. We describe a single-step osteochondral autograft transfer to access the medial talar dome lesion that avoids the need for a medial malleolar osteotomy and therefore eliminates morbidity while reducing operative time.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103109"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656164","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}
Pub Date : 2024-11-01DOI: 10.1016/j.eats.2024.103096
Francisco Martínez Martínez M.D., Ph.D. , Celia Martínez García M.D. , Antonio García López M.D., Ph.D. , Moises Vallés Andreu M.D. , Jose Luis Calvo-Guirado M.D., Ph.D. , Clarisa Simón Pérez M.D., Ph.D.
The elbow is one of the most commonly dislocated joints. Although simple dislocations of the elbow usually resolve with conservative management, certain patients can experience residual chronic instability. Posterolateral rotational instability accounts for approximately 80% of elbow chronic instability cases. We propose an all-arthroscopic reconstruction of the posterior, or ulnar, fascicle of the lateral ligament complex using an autograft or allograft, performed with a 5-mm-thick and 8-cm-long graft. The graft is first inserted distally into the supinator crest with an Arthrex 4.75-mm SwiveLock implant and, finally, at its origin in the epicondyle, also with a screw of the same characteristics. Arthroscopic techniques create fewer complications. This procedure allows the surgeon to address intra-articular elbow joint pathology with less chance of wound complications and the ability to use bone anchors if desired.
{"title":"Posterolateral Elbow Dislocation: An All-Arthroscopic Reconstruction of the Lateral Ulnar Collateral Ligament","authors":"Francisco Martínez Martínez M.D., Ph.D. , Celia Martínez García M.D. , Antonio García López M.D., Ph.D. , Moises Vallés Andreu M.D. , Jose Luis Calvo-Guirado M.D., Ph.D. , Clarisa Simón Pérez M.D., Ph.D.","doi":"10.1016/j.eats.2024.103096","DOIUrl":"10.1016/j.eats.2024.103096","url":null,"abstract":"<div><div>The elbow is one of the most commonly dislocated joints. Although simple dislocations of the elbow usually resolve with conservative management, certain patients can experience residual chronic instability. Posterolateral rotational instability accounts for approximately 80% of elbow chronic instability cases. We propose an all-arthroscopic reconstruction of the posterior, or ulnar, fascicle of the lateral ligament complex using an autograft or allograft, performed with a 5-mm-thick and 8-cm-long graft. The graft is first inserted distally into the supinator crest with an Arthrex 4.75-mm SwiveLock implant and, finally, at its origin in the epicondyle, also with a screw of the same characteristics. Arthroscopic techniques create fewer complications. This procedure allows the surgeon to address intra-articular elbow joint pathology with less chance of wound complications and the ability to use bone anchors if desired.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103096"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656247","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}
Pub Date : 2024-11-01DOI: 10.1016/j.eats.2024.103110
Fletcher R. Preuss M.D. , Ryan J. Whalen B.S., C.S.C.S. , Wyatt H. Buchalter B.S. , Phob Ganokroj M.D. , Broderick T. Provencher , Matthew T. Provencher M.D., M.B.A., CAPT. M.C. U.S.N.R. (Ret.)
Chronic Osgood-Schlatter disease can cause significant knee pain and can result in severe functional deficits. For large, painful Osgood-Schlatter disease ossicles refractory to conservative management, surgical ossicle excision can provide resolution of symptoms. After diagnostic arthroscopy and intra-articular debridement, our preferred excision technique uses an open incision for direct visualization and removal of intratendinous ossicles, followed by distal patellar tendon repair and subsequent fixation with FiberTape sutures and knotless anchors to the tibial tubercle.
{"title":"Osgood-Schlatter Disease: Ossicle Resection and Patellar Tendon Repair in a Symptomatic Adult","authors":"Fletcher R. Preuss M.D. , Ryan J. Whalen B.S., C.S.C.S. , Wyatt H. Buchalter B.S. , Phob Ganokroj M.D. , Broderick T. Provencher , Matthew T. Provencher M.D., M.B.A., CAPT. M.C. U.S.N.R. (Ret.)","doi":"10.1016/j.eats.2024.103110","DOIUrl":"10.1016/j.eats.2024.103110","url":null,"abstract":"<div><div>Chronic Osgood-Schlatter disease can cause significant knee pain and can result in severe functional deficits. For large, painful Osgood-Schlatter disease ossicles refractory to conservative management, surgical ossicle excision can provide resolution of symptoms. After diagnostic arthroscopy and intra-articular debridement, our preferred excision technique uses an open incision for direct visualization and removal of intratendinous ossicles, followed by distal patellar tendon repair and subsequent fixation with FiberTape sutures and knotless anchors to the tibial tubercle.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103110"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141688989","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}
Pub Date : 2024-11-01DOI: 10.1016/j.eats.2024.103119
Axel Machado M.D. , Tristan Fauchille M.D. , Rayan Fairag M.D. , Jonathan Cornacchini M.D. , Nicolas Bronsard M.D., Ph.D. , Nicolas Ciais M.D. , Jean-François Gonzalez M.D., Ph.D. , Alexandre Rudel M.D. , Grégoire Micicoi M.D., Ph.D.
Chronic exertional compartment syndrome is a well-described potential cause of leg pain in high-level athletes and soldiers. Surgical treatment of chronic exertional compartment syndrome usually involves fasciotomy, with a reported rate of complications of up to 16%, including failure of complete compartmental release and delayed return to normal daily activity, which can take up to 6 to 12 weeks. The use of a minimally invasive approach under ultrasound guidance seems to improve clinical outcomes in young active patients. We recommend the following steps for effective execution of ultrasound-guided percutaneous fasciotomy: (1) location of the compartmental fascia and identification of the superficial peroneal nerve, (2) skin incision, (3) insertion of a hook under the compartmental fascia, and (4) sectioning of the fascia.
{"title":"Ultrasound-Guided Percutaneous Fasciotomies for Patients With Chronic Exertional Compartment Syndrome","authors":"Axel Machado M.D. , Tristan Fauchille M.D. , Rayan Fairag M.D. , Jonathan Cornacchini M.D. , Nicolas Bronsard M.D., Ph.D. , Nicolas Ciais M.D. , Jean-François Gonzalez M.D., Ph.D. , Alexandre Rudel M.D. , Grégoire Micicoi M.D., Ph.D.","doi":"10.1016/j.eats.2024.103119","DOIUrl":"10.1016/j.eats.2024.103119","url":null,"abstract":"<div><div>Chronic exertional compartment syndrome is a well-described potential cause of leg pain in high-level athletes and soldiers. Surgical treatment of chronic exertional compartment syndrome usually involves fasciotomy, with a reported rate of complications of up to 16%, including failure of complete compartmental release and delayed return to normal daily activity, which can take up to 6 to 12 weeks. The use of a minimally invasive approach under ultrasound guidance seems to improve clinical outcomes in young active patients. We recommend the following steps for effective execution of ultrasound-guided percutaneous fasciotomy: (1) location of the compartmental fascia and identification of the superficial peroneal nerve, (2) skin incision, (3) insertion of a hook under the compartmental fascia, and (4) sectioning of the fascia.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103119"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656197","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}
Pub Date : 2024-11-01DOI: 10.1016/j.eats.2024.103093
Murat Bozkurt M.D., Ph.D. , Enejd Veizi M.D. , Neslihan Fırat Ph.D. (c) , Ali Şahin M.D.
Osteonecrosis of the femoral head can lead to end-stage osteoarthritis when left untreated. The incidence has been on the rise since the onset of the COVID-19 pandemic. Core decompression of the femoral head is usually the first line of surgical treatment when conservative options fail. Additional biologic support (e.g., bone marrow aspiration concentrates, mesenchymal stem cell derivatives, adipose-derived stromal vascular fraction) has been shown to augment the effects of core decompression alone, but the nature and amount of this additional support is still a topic for debate. This technique describes a surgical approach featuring debridement through retro-drilling, core decompression, and biologic augmentation with stromal vascular fraction and bone marrow aspiration concentrate on the early stages of osteonecrosis of the femoral head.
{"title":"Biological Augmentation With Retro-Drilling Core Decompression in Early Stage of Femoral Head Avascular Necrosis","authors":"Murat Bozkurt M.D., Ph.D. , Enejd Veizi M.D. , Neslihan Fırat Ph.D. (c) , Ali Şahin M.D.","doi":"10.1016/j.eats.2024.103093","DOIUrl":"10.1016/j.eats.2024.103093","url":null,"abstract":"<div><div>Osteonecrosis of the femoral head can lead to end-stage osteoarthritis when left untreated. The incidence has been on the rise since the onset of the COVID-19 pandemic. Core decompression of the femoral head is usually the first line of surgical treatment when conservative options fail. Additional biologic support (e.g., bone marrow aspiration concentrates, mesenchymal stem cell derivatives, adipose-derived stromal vascular fraction) has been shown to augment the effects of core decompression alone, but the nature and amount of this additional support is still a topic for debate. This technique describes a surgical approach featuring debridement through retro-drilling, core decompression, and biologic augmentation with stromal vascular fraction and bone marrow aspiration concentrate on the early stages of osteonecrosis of the femoral head.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103093"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656248","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}
Pub Date : 2024-11-01DOI: 10.1016/j.eats.2024.103121
Yiran Wang B.M. , Hongyu Li B.M. , Siqi Chen B.M., Hangzhou Zhang M.D.
The posterior cruciate ligament (PCL) is the strongest ligament of the knee and plays an important role in stabilizing the knee joint posteriorly. PCL tears are common injuries in sports injuries and traffic accidents; however, clinical outcomes after PCL reconstruction have not yet met clinicians’ expectations, with a high postsurgery failure rate reported. Suture tape augmentation and supplementary fixation have shown ideal biomechanical properties in early studies. In this Technical Note, we describe a surgical technique to reconstruct the PCL with suture tape augmentation and transtibial tubercle fixation; the PCL remnant is also preserved. This technique is deemed to improve posterior stability and ultimate failure load for PCL graft over traditional techniques.
{"title":"Single-Bundle Posterior Cruciate Ligament Reconstruction With Suture Tape Augmentation and Transtibial Tubercle Fixation","authors":"Yiran Wang B.M. , Hongyu Li B.M. , Siqi Chen B.M., Hangzhou Zhang M.D.","doi":"10.1016/j.eats.2024.103121","DOIUrl":"10.1016/j.eats.2024.103121","url":null,"abstract":"<div><div>The posterior cruciate ligament (PCL) is the strongest ligament of the knee and plays an important role in stabilizing the knee joint posteriorly. PCL tears are common injuries in sports injuries and traffic accidents; however, clinical outcomes after PCL reconstruction have not yet met clinicians’ expectations, with a high postsurgery failure rate reported. Suture tape augmentation and supplementary fixation have shown ideal biomechanical properties in early studies. In this Technical Note, we describe a surgical technique to reconstruct the PCL with suture tape augmentation and transtibial tubercle fixation; the PCL remnant is also preserved. This technique is deemed to improve posterior stability and ultimate failure load for PCL graft over traditional techniques.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103121"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141711964","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}
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