Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103949
Tianxin Li B.S., Yuchen He M.D., Junliang Liu M. Med., Aoqiu Wu M. Med., Weihong Zhu M.D.
Avulsion fracture of the ischial tuberosity is an uncommon injury caused by a sudden, forceful eccentric contraction of the hamstrings that avulses the unfused secondary ossification center from the pelvis. Although open reduction and internal fixation are recommended when fragment displacement exceeds 2 cm, reports describing minimally invasive solutions are still lacking. In addition, for those patients who are engaged in high-intensity sports or physical activities, conservative treatment can compromise hamstring power, delay return to sport, and occasionally result in chronic ischial pain. To address these limitations, we describe an arthroscopic "double-pulley" suture anchor fixation technique for avulsion fracture of the ischial tuberosity with 6-mm displacement. This approach reduces soft tissue trauma through minimally invasive access and avoids secondary surgeries for implant removal, potentially reducing recovery time and improving patient outcomes.
{"title":"Arthroscopic Fixation of Minimally Displaced Avulsion Fracture of Ischial Tuberosity Using a \"Double-Pulley\" Suture Anchor Technique","authors":"Tianxin Li B.S., Yuchen He M.D., Junliang Liu M. Med., Aoqiu Wu M. Med., Weihong Zhu M.D.","doi":"10.1016/j.eats.2025.103949","DOIUrl":"10.1016/j.eats.2025.103949","url":null,"abstract":"<div><div>Avulsion fracture of the ischial tuberosity is an uncommon injury caused by a sudden, forceful eccentric contraction of the hamstrings that avulses the unfused secondary ossification center from the pelvis. Although open reduction and internal fixation are recommended when fragment displacement exceeds 2 cm, reports describing minimally invasive solutions are still lacking. In addition, for those patients who are engaged in high-intensity sports or physical activities, conservative treatment can compromise hamstring power, delay return to sport, and occasionally result in chronic ischial pain. To address these limitations, we describe an arthroscopic \"double-pulley\" suture anchor fixation technique for avulsion fracture of the ischial tuberosity with 6-mm displacement. This approach reduces soft tissue trauma through minimally invasive access and avoids secondary surgeries for implant removal, potentially reducing recovery time and improving patient outcomes.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103949"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103913
Jacob Maier M.D. , Jordan Read D.O. , Marc Philippon Jr. B.S , Michael Banffy M.D. , Jovan Laskovski M.D.
Calcific tendinopathy of the proximal hamstring has few descriptions in the literature. Although very similar to the same pathology in other anatomic locations, diagnosis can be difficult, because many physicians aren't familiar with its occurrence in this location. This pathology can cause significant pain and debility for affected patients; therefore, accurate diagnosis and treatment is essential. This Technical Note discusses the diagnosis and management, specifically endoscopic debridement and repair, of proximal hamstring tendinopathy.
{"title":"Endoscopic Debridement and Repair of Proximal Hamstring Calcific Tendinopathy","authors":"Jacob Maier M.D. , Jordan Read D.O. , Marc Philippon Jr. B.S , Michael Banffy M.D. , Jovan Laskovski M.D.","doi":"10.1016/j.eats.2025.103913","DOIUrl":"10.1016/j.eats.2025.103913","url":null,"abstract":"<div><div>Calcific tendinopathy of the proximal hamstring has few descriptions in the literature. Although very similar to the same pathology in other anatomic locations, diagnosis can be difficult, because many physicians aren't familiar with its occurrence in this location. This pathology can cause significant pain and debility for affected patients; therefore, accurate diagnosis and treatment is essential. This Technical Note discusses the diagnosis and management, specifically endoscopic debridement and repair, of proximal hamstring tendinopathy.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103913"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103900
Megan E. Flynn M.D. , Isabella A. Wallace B.A. , Etan P. Sugarman M.D. , Ady H. Kahana-Rojkind M.D. , Benjamin G. Domb M.D.
Extra-articular impingement has been reported alongside femoroacetabular impingement syndrome as a source of hip symptomatology, arising specifically from the anterior inferior iliac spine—also known as the “subspine.” Advancements in arthroscopic surgical techniques have enabled surgeons to address these extra-articular impingement sources in a minimally invasive manner. Previous evidence has shown improvement in patient-reported outcomes, a low risk of postoperative complications, and a decreased need for revision surgery. We present an arthroscopic surgical technique for achieving intra- and extra-articular subspine decompression that is reproducible. We hope this will lead to improved clinical results in patients with subspine impingement who undergo arthroscopic subspine decompression.
{"title":"The Subspine Sweep Technique for Hip Anterior Inferior Iliac Spine Extra-Articular Impingement","authors":"Megan E. Flynn M.D. , Isabella A. Wallace B.A. , Etan P. Sugarman M.D. , Ady H. Kahana-Rojkind M.D. , Benjamin G. Domb M.D.","doi":"10.1016/j.eats.2025.103900","DOIUrl":"10.1016/j.eats.2025.103900","url":null,"abstract":"<div><div>Extra-articular impingement has been reported alongside femoroacetabular impingement syndrome as a source of hip symptomatology, arising specifically from the anterior inferior iliac spine—also known as the “subspine.” Advancements in arthroscopic surgical techniques have enabled surgeons to address these extra-articular impingement sources in a minimally invasive manner. Previous evidence has shown improvement in patient-reported outcomes, a low risk of postoperative complications, and a decreased need for revision surgery. We present an arthroscopic surgical technique for achieving intra- and extra-articular subspine decompression that is reproducible. We hope this will lead to improved clinical results in patients with subspine impingement who undergo arthroscopic subspine decompression.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103900"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103929
Brent A. Prenger B.S., Caleb J. Bischoff D.O., Te-Feng Arthur Chou M.D., Garrett R. Jackson M.D., Steven F. DeFroda M.D., M.Eng., Clayton W. Nuelle M.D.
Meniscal roots are critical components of the menisci that ensure joint congruity and allow the meniscus to serve its biomechanical function of converting axial loads into hoop stresses. Repairing the meniscal root is critical to prevent accelerated knee joint damage and progression to osteoarthritis, but access to the posterior roots, in particular, can be challenging. Regardless of the technique utilized, adequate visualization and access to the posterior roots is critical to perform an appropriate repair. While percutaneous release of the medial collateral ligament has been demonstrated in previous technical notes and has been shown not to negatively affect outcomes for patients, other methods for improving access and visualization to the posterior knee, such as performing a reverse notchplasty, or a resection of the medial tibial spine are also useful techniques. In this technical note, we present the senior author's combined techniques for improving visualization of the posterior meniscal root when performing a medial meniscus posterior root repair.
{"title":"Techniques for Improving Visualization for Medial Meniscus Posterior Root Repair","authors":"Brent A. Prenger B.S., Caleb J. Bischoff D.O., Te-Feng Arthur Chou M.D., Garrett R. Jackson M.D., Steven F. DeFroda M.D., M.Eng., Clayton W. Nuelle M.D.","doi":"10.1016/j.eats.2025.103929","DOIUrl":"10.1016/j.eats.2025.103929","url":null,"abstract":"<div><div>Meniscal roots are critical components of the menisci that ensure joint congruity and allow the meniscus to serve its biomechanical function of converting axial loads into hoop stresses. Repairing the meniscal root is critical to prevent accelerated knee joint damage and progression to osteoarthritis, but access to the posterior roots, in particular, can be challenging. Regardless of the technique utilized, adequate visualization and access to the posterior roots is critical to perform an appropriate repair. While percutaneous release of the medial collateral ligament has been demonstrated in previous technical notes and has been shown not to negatively affect outcomes for patients, other methods for improving access and visualization to the posterior knee, such as performing a reverse notchplasty, or a resection of the medial tibial spine are also useful techniques. In this technical note, we present the senior author's combined techniques for improving visualization of the posterior meniscal root when performing a medial meniscus posterior root repair.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103929"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103953
Maximilian M. Mueller M.D. , Valentin Hingsamer , Sebastian Conner-Rilk M.D. , Tatiana C. Monteleone B.S. , Robert J. O'Brien Dr.P.H., M.H.S., P.A.-C. , Gregory S. DiFelice M.D.
In this Technical Note, we present the surgical technique for primary arthroscopic repair of chronic anterior cruciate ligament (ACL) tears. This approach is indicated for proximal type I and II ACL tears with good-to-excellent tissue quality, characterized by an intact synovial sheath and a simple rupture pattern. Compared with acute ACL primary repair, the most significant challenge lies in the careful mobilization and preparation of the scarred ACL remnant. Notably, chronic ACL tears often present with tissue remnants scarred to the posterior cruciate ligament and/or the femoral notch wall, which may still show favorable tissue quality. With meticulous surgical technique and appropriate patient selection, primary arthroscopic repair of chronic ACL tears may therefore remain a viable option beyond the acute phase. Ultimately, tear location and tissue quality should be the primary determinants for selecting ACL primary repair.
{"title":"Primary Arthroscopic Repair of Chronic Anterior Cruciate Ligament Tears","authors":"Maximilian M. Mueller M.D. , Valentin Hingsamer , Sebastian Conner-Rilk M.D. , Tatiana C. Monteleone B.S. , Robert J. O'Brien Dr.P.H., M.H.S., P.A.-C. , Gregory S. DiFelice M.D.","doi":"10.1016/j.eats.2025.103953","DOIUrl":"10.1016/j.eats.2025.103953","url":null,"abstract":"<div><div>In this Technical Note, we present the surgical technique for primary arthroscopic repair of chronic anterior cruciate ligament (ACL) tears. This approach is indicated for proximal type I and II ACL tears with good-to-excellent tissue quality, characterized by an intact synovial sheath and a simple rupture pattern. Compared with acute ACL primary repair, the most significant challenge lies in the careful mobilization and preparation of the scarred ACL remnant. Notably, chronic ACL tears often present with tissue remnants scarred to the posterior cruciate ligament and/or the femoral notch wall, which may still show favorable tissue quality. With meticulous surgical technique and appropriate patient selection, primary arthroscopic repair of chronic ACL tears may therefore remain a viable option beyond the acute phase. Ultimately, tear location and tissue quality should be the primary determinants for selecting ACL primary repair.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103953"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103976
Ian A. Backlund M.D. , Faith A. Unger B.A. , Nate J. Dickinson B.A. , Mitch Mologne B.S. , Jasmin Schmitz P.A-C. , Ryan Froom M.S., A.T.C. , Matthew T. Provencher M.D., M.B.A., CAPT MC USNR (Ret.)
Patella baja in patients presents with limited range of motion, pain in the patellofemoral joint, and decreased functionality of the knee. Patella baja can be a result of previous surgeries due to an alteration in the knee anatomy, infection, and adhesions, and it is usually accompanied by robust scarring. Possible surgical treatments of patella baja include arthroscopic debridement of adhesions, patellar tendon lengthening, excision of the inferior pole of the patella, and patellar tendon reconstruction using autografts or allografts. This Technical Note describes a technique for patellar tendon reconstruction in the setting of patella baja using an Achilles’ tendon allograft after an infected prior anterior cruciate ligament repair.
{"title":"Reconstruction of Patellar Tendon With Achilles’ Tendon Allograft for Patella Baja After Infected Anterior Cruciate Ligament Repair","authors":"Ian A. Backlund M.D. , Faith A. Unger B.A. , Nate J. Dickinson B.A. , Mitch Mologne B.S. , Jasmin Schmitz P.A-C. , Ryan Froom M.S., A.T.C. , Matthew T. Provencher M.D., M.B.A., CAPT MC USNR (Ret.)","doi":"10.1016/j.eats.2025.103976","DOIUrl":"10.1016/j.eats.2025.103976","url":null,"abstract":"<div><div>Patella baja in patients presents with limited range of motion, pain in the patellofemoral joint, and decreased functionality of the knee. Patella baja can be a result of previous surgeries due to an alteration in the knee anatomy, infection, and adhesions, and it is usually accompanied by robust scarring. Possible surgical treatments of patella baja include arthroscopic debridement of adhesions, patellar tendon lengthening, excision of the inferior pole of the patella, and patellar tendon reconstruction using autografts or allografts. This Technical Note describes a technique for patellar tendon reconstruction in the setting of patella baja using an Achilles’ tendon allograft after an infected prior anterior cruciate ligament repair.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103976"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103982
Badrul Akmal Hisham Md Yusoff M.S.(Orth), Mohamed Razzan Rameez M.S.(Orth), Muhammad Karbela Reza Ramlan M.S.(Orth), Aliff Omar M.S.(Dip. Medical and Health Science), Mohamad Azwan Aziz M.SportsMed.
Anterior cruciate ligament reconstruction using allografts is limited by delayed biologic incorporation and graft elongation, increasing failure risks during early rehabilitation. To address this, we describe the modified Universiti Kebangsaan Malaysia internal bracing technique, which integrates ultra-high-molecular-weight polyethylene suture tape within the graft construct. This technique aims to provide immediate biomechanical reinforcement, reduce tunnel widening, and accelerate recovery, particularly critical for allografts, which lack the initial strength of autografts. The tendons are then quadrupled over tri-fold loops of FiberTape (Arthrex), which is centrally positioned and secured with FiberWire (Arthrex). The construct is whipstitched with 2.0 Ethibond (Ethicon)—while suture contact with the FiberTape is carefully avoided—and preloaded with an ACL TightRope II Implant (Arthrex) and TightRope Attachable Button System (Arthrex) for femoral and tibial fixation, respectively. Additional GraftLink loop graft construct (Arthrex) stitches are placed at both ends to enhance graft-tunnel integration. This technique uniquely embeds the FiberTape internally within the graft structure to provide biomechanical reinforcement while preventing tunnel abrasion and stress-shielding effects.
同种异体前交叉韧带重建受到延迟生物融合和移植物延伸的限制，增加了早期康复时失败的风险。为了解决这个问题，我们描述了改良的Universiti Kebangsaan Malaysia内部支撑技术，该技术将超高分子量聚乙烯缝合带集成在接枝结构中。该技术旨在提供即时的生物力学强化，减少隧道加宽，加速恢复，这对于缺乏自体移植物初始强度的同种异体移植物尤其重要。然后将肌腱在FiberTape （Arthrex）的三倍环上进行四倍缠绕，FiberTape （Arthrex）位于中心位置并由FiberWire （Arthrex）固定。用2.0 Ethibond （Ethicon）进行缝合，同时小心避免缝线与FiberTape接触，并预加载ACL TightRope II Implant （Arthrex）和TightRope可连接按钮系统（Arthrex），分别用于股骨和胫骨固定。在两端放置额外的GraftLink环移植结构（Arthrex）缝线，以增强移植物-隧道的整合。该技术独特地将FiberTape嵌入移植物结构内部，提供生物力学加固，同时防止隧道磨损和应力屏蔽效应。
{"title":"Modified Universiti Kebangsaan Malaysia Internal Bracing Graft Preparation Technique Using Allograft for Anterior Cruciate Ligament Reconstruction Surgery","authors":"Badrul Akmal Hisham Md Yusoff M.S.(Orth), Mohamed Razzan Rameez M.S.(Orth), Muhammad Karbela Reza Ramlan M.S.(Orth), Aliff Omar M.S.(Dip. Medical and Health Science), Mohamad Azwan Aziz M.SportsMed.","doi":"10.1016/j.eats.2025.103982","DOIUrl":"10.1016/j.eats.2025.103982","url":null,"abstract":"<div><div>Anterior cruciate ligament reconstruction using allografts is limited by delayed biologic incorporation and graft elongation, increasing failure risks during early rehabilitation. To address this, we describe the modified Universiti Kebangsaan Malaysia internal bracing technique, which integrates ultra-high-molecular-weight polyethylene suture tape within the graft construct. This technique aims to provide immediate biomechanical reinforcement, reduce tunnel widening, and accelerate recovery, particularly critical for allografts, which lack the initial strength of autografts. The tendons are then quadrupled over tri-fold loops of FiberTape (Arthrex), which is centrally positioned and secured with FiberWire (Arthrex). The construct is whipstitched with 2.0 Ethibond (Ethicon)—while suture contact with the FiberTape is carefully avoided—and preloaded with an ACL TightRope II Implant (Arthrex) and TightRope Attachable Button System (Arthrex) for femoral and tibial fixation, respectively. Additional GraftLink loop graft construct (Arthrex) stitches are placed at both ends to enhance graft-tunnel integration. This technique uniquely embeds the FiberTape internally within the graft structure to provide biomechanical reinforcement while preventing tunnel abrasion and stress-shielding effects.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103982"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Successful postoperative recovery among anterior cruciate ligament reconstruction patients constitutes both surgical reconstruction and donor-site morbidity. This article proposes a reproducible method using a mini-incision, thus decreasing donor-site morbidity and postoperative pain and among patients who undergo anterior cruciate ligament reconstruction. This technique does not rely on any integrated quadriceps tendon harvest guide systems while ensuring adequate graft size and length and preserving good quadriceps strength postoperatively.
{"title":"Central Superficial Quadriceps Tendon Harvest via Mini-Incision for Anterior Cruciate Ligament Reconstruction","authors":"Emmanuelle Yap M.D., D.P.B.O., Bancha Chernchujit M.D., Nishand Guruseelan M.S.Ortho.","doi":"10.1016/j.eats.2025.103974","DOIUrl":"10.1016/j.eats.2025.103974","url":null,"abstract":"<div><div>Successful postoperative recovery among anterior cruciate ligament reconstruction patients constitutes both surgical reconstruction and donor-site morbidity. This article proposes a reproducible method using a mini-incision, thus decreasing donor-site morbidity and postoperative pain and among patients who undergo anterior cruciate ligament reconstruction. This technique does not rely on any integrated quadriceps tendon harvest guide systems while ensuring adequate graft size and length and preserving good quadriceps strength postoperatively.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103974"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103868
Vinh Pham Dinh M.D. , Toan Nguyen Huy M.D. , Loi Do Van M.D. , Anh Tang Ha Nam Ph.D. , Quyen Nguyen Quang Ton M.D.
Hamstring tendon autograft are commonly used in anterior cruciate ligament reconstruction; however, they are classified as soft-tissue grafts, which exhibit slower graft-bone integration compared with bone-patellar tendon-bone grafts. To address this, we describe a technique to incorporate a bone block at the tibial end of the hamstring tendon graft, with the aim of enhancing graft integration and minimizing tunnel widening.
{"title":"Technique for Creating a Bone–Hamstring Tendon–Bone Graft for Anterior Cruciate Ligament Reconstruction","authors":"Vinh Pham Dinh M.D. , Toan Nguyen Huy M.D. , Loi Do Van M.D. , Anh Tang Ha Nam Ph.D. , Quyen Nguyen Quang Ton M.D.","doi":"10.1016/j.eats.2025.103868","DOIUrl":"10.1016/j.eats.2025.103868","url":null,"abstract":"<div><div>Hamstring tendon autograft are commonly used in anterior cruciate ligament reconstruction; however, they are classified as soft-tissue grafts, which exhibit slower graft-bone integration compared with bone-patellar tendon-bone grafts. To address this, we describe a technique to incorporate a bone block at the tibial end of the hamstring tendon graft, with the aim of enhancing graft integration and minimizing tunnel widening.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103868"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103988
Srihan Anand B.S. , Kevin D. Martin D.O., F.A.A.O.S., F.A.A.N.A.
Arthroscopic techniques have emerged as a promising alternative to traditional open reduction internal fixation in the treatment of foot and ankle fractures, offering minimally invasive methods to address intra-articular fractures. These techniques provide direct visualization of the fracture site while preserving the soft tissue envelope and osseous blood supply, mitigating risks associated with open surgical approaches such as infection, malunion, and soft tissue complications. This Technical Note highlights the surgical technique and applications of arthroscopic targeted screw placement (ATSP) for talus fractures, trimalleolar ankle fractures, and distal tibia fractures. Utilizing preoperative imaging for surgical planning, the procedure involves arthroscopic reduction, debridement, and minimally invasive fixation under fluoroscopic guidance. Advantages of ATSP include reduced operative morbidity, earlier mobilization, and detection of subtle intra-articular injuries often missed by conventional methods. However, barriers to widespread adoption include the learning curve, costs of arthroscopic equipment, and the need for specialized training. Despite these challenges, arthroscopic techniques have shown improved functional outcomes, reduced postoperative pain, and lower complication rates compared to open reduction internal fixation. This Technical Note describes ATSP in detail, outlining its potential applications, procedural steps, pearls, pitfalls, and considerations for cost and training.
{"title":"Arthroscopic Targeted Screw Placement: A Minimally Invasive Approach for Hindfoot Fractures","authors":"Srihan Anand B.S. , Kevin D. Martin D.O., F.A.A.O.S., F.A.A.N.A.","doi":"10.1016/j.eats.2025.103988","DOIUrl":"10.1016/j.eats.2025.103988","url":null,"abstract":"<div><div>Arthroscopic techniques have emerged as a promising alternative to traditional open reduction internal fixation in the treatment of foot and ankle fractures, offering minimally invasive methods to address intra-articular fractures. These techniques provide direct visualization of the fracture site while preserving the soft tissue envelope and osseous blood supply, mitigating risks associated with open surgical approaches such as infection, malunion, and soft tissue complications. This Technical Note highlights the surgical technique and applications of arthroscopic targeted screw placement (ATSP) for talus fractures, trimalleolar ankle fractures, and distal tibia fractures. Utilizing preoperative imaging for surgical planning, the procedure involves arthroscopic reduction, debridement, and minimally invasive fixation under fluoroscopic guidance. Advantages of ATSP include reduced operative morbidity, earlier mobilization, and detection of subtle intra-articular injuries often missed by conventional methods. However, barriers to widespread adoption include the learning curve, costs of arthroscopic equipment, and the need for specialized training. Despite these challenges, arthroscopic techniques have shown improved functional outcomes, reduced postoperative pain, and lower complication rates compared to open reduction internal fixation. This Technical Note describes ATSP in detail, outlining its potential applications, procedural steps, pearls, pitfalls, and considerations for cost and training.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103988"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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