Pub Date : 2024-11-01DOI: 10.1016/j.eats.2024.103100
Yizhong Peng M.D., Hong Wang Ph.D., M.D., Wenbo Yang Ph.D., Wei Yu Ph.D., M.D., Chunqing Meng Ph.D., M.D., Wei Huang Ph.D., M.D.
Patellar dislocation is a common knee injury, with concomitant pathoanatomical risk factors that synergistically interact and predispose to patellofemoral instability. Medial patellofemoral ligament (MPFL) reconstruction has demonstrated significant potential in the re-establishment of MPFL anatomic and biological function, with low patellar redislocation rates. Although many techniques for MPFL reconstruction have been developed, challenges such as patella fractures and high costs persist. Herein, to further reduce bone defects and ensure the reliability of fixation, we developed a microbone tracts technique for MPFL reconstruction on the patella side using high-strength sutures. This technique passes high-strength sutures through the microtransosseous tunnels to fix the tendon graft on the patella side, aiming to achieve minimized patella damage with no additional implants for graft fixation, while resuturing the fascia on the surface of the patella with the suture ends further strengthens the graft fixation. This technique provides an economic and reliable solution for graft fixation on the patella with minimal bone disruption.
{"title":"Minipatellar Tunnels for Transosseous Fixation of Medial Patellofemoral Ligament Graft Using High-strength Suture","authors":"Yizhong Peng M.D., Hong Wang Ph.D., M.D., Wenbo Yang Ph.D., Wei Yu Ph.D., M.D., Chunqing Meng Ph.D., M.D., Wei Huang Ph.D., M.D.","doi":"10.1016/j.eats.2024.103100","DOIUrl":"10.1016/j.eats.2024.103100","url":null,"abstract":"<div><div>Patellar dislocation is a common knee injury, with concomitant pathoanatomical risk factors that synergistically interact and predispose to patellofemoral instability. Medial patellofemoral ligament (MPFL) reconstruction has demonstrated significant potential in the re-establishment of MPFL anatomic and biological function, with low patellar redislocation rates. Although many techniques for MPFL reconstruction have been developed, challenges such as patella fractures and high costs persist. Herein, to further reduce bone defects and ensure the reliability of fixation, we developed a microbone tracts technique for MPFL reconstruction on the patella side using high-strength sutures. This technique passes high-strength sutures through the microtransosseous tunnels to fix the tendon graft on the patella side, aiming to achieve minimized patella damage with no additional implants for graft fixation, while resuturing the fascia on the surface of the patella with the suture ends further strengthens the graft fixation. This technique provides an economic and reliable solution for graft fixation on the patella with minimal bone disruption.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103100"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141696496","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.2024.103112
Peiguan Huang M.Med., Xiaoxu Wang M.Med., Yong Fu M.D., Xiaojun Tang M.D., Zhihong Xiao M.D., Zhengmao Li M.D., Bin Peng M.D., Min He M.D., Chunrong He M.D.
At present, suture bridge is a feasible choice in the treatment of massive rotator cuff tears (MRCTs). However, high tension on the repair site and medial tension during suture tightening and after medial knotting are unavoidable problems in MRCT repair with a suture bridge. Arthroscopic V-shaped double-pulley suture-bridge repair is a pragmatic surgical technique for the repair of MRCTs. The unique parallel design of medial- and lateral-row anchors can minimize tendon tension on the apex portion; 6 sets of double-pulley suture bridges can not only provide sufficient tendon-bone contact area but also reduce the tendon retear rate. Moreover, medial knotless techniques can reduce tendon tension.
目前，缝合桥是治疗大面积肩袖撕裂（MRCT）的可行选择。然而，修复部位的高张力以及缝合收紧时和内侧打结后的内侧张力是使用缝合桥进行 MRCT 修复时不可避免的问题。关节镜下 V 形双滑轮缝合桥修复术是一种实用的 MRCT 修复手术技术。内侧和外侧排锚的独特平行设计可将顶端部分的肌腱张力降至最低；6组双滑轮缝合桥不仅能提供足够的肌腱与骨接触面积，还能降低肌腱的再撕裂率。此外，内侧无结技术也能降低肌腱张力。
{"title":"Arthroscopic V-Shaped Double-Pulley Suture-Bridge Repair of Massive Rotator Cuff Tear","authors":"Peiguan Huang M.Med., Xiaoxu Wang M.Med., Yong Fu M.D., Xiaojun Tang M.D., Zhihong Xiao M.D., Zhengmao Li M.D., Bin Peng M.D., Min He M.D., Chunrong He M.D.","doi":"10.1016/j.eats.2024.103112","DOIUrl":"10.1016/j.eats.2024.103112","url":null,"abstract":"<div><div>At present, suture bridge is a feasible choice in the treatment of massive rotator cuff tears (MRCTs). However, high tension on the repair site and medial tension during suture tightening and after medial knotting are unavoidable problems in MRCT repair with a suture bridge. Arthroscopic V-shaped double-pulley suture-bridge repair is a pragmatic surgical technique for the repair of MRCTs. The unique parallel design of medial- and lateral-row anchors can minimize tendon tension on the apex portion; 6 sets of double-pulley suture bridges can not only provide sufficient tendon-bone contact area but also reduce the tendon retear rate. Moreover, medial knotless techniques can reduce tendon tension.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103112"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141715594","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.2024.103120
Peter Serour B.S., Lasun O. Oladeji M.D., Ph.D., Clayton W. Nuelle M.D., Steven F. DeFroda M.D., M.Eng.
Anterior cruciate ligament (ACL) injuries and subsequent surgical reconstruction are exceedingly common orthopaedic procedures. Surgical technique and graft preparation techniques continue to evolve as surgeons seek to increase surgical outcomes and decrease recovery time. As such, there is significant interest in identifying tools and techniques that may enhance the surgical process for patients undergoing an ACL reconstruction. Recently, there has been significant interest in evaluating biologic scaffolds that may augment graft healing. This Technical Note describes our technique for the preparation of a bone–patellar tendon–bone ACL graft with a BioBrace biocomposite scaffold augmentation.
{"title":"Preparation of Bone Patellar Tendon Bone Allograft With Biocomposite Scaffold Augmentation","authors":"Peter Serour B.S., Lasun O. Oladeji M.D., Ph.D., Clayton W. Nuelle M.D., Steven F. DeFroda M.D., M.Eng.","doi":"10.1016/j.eats.2024.103120","DOIUrl":"10.1016/j.eats.2024.103120","url":null,"abstract":"<div><div>Anterior cruciate ligament (ACL) injuries and subsequent surgical reconstruction are exceedingly common orthopaedic procedures. Surgical technique and graft preparation techniques continue to evolve as surgeons seek to increase surgical outcomes and decrease recovery time. As such, there is significant interest in identifying tools and techniques that may enhance the surgical process for patients undergoing an ACL reconstruction. Recently, there has been significant interest in evaluating biologic scaffolds that may augment graft healing. This Technical Note describes our technique for the preparation of a bone–patellar tendon–bone ACL graft with a BioBrace biocomposite scaffold augmentation.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103120"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847073","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.2024.103115
Gonzalo de Cabo M.D. , Pablo Ramos-Murillo M.D. , David González-Martín M.D., Ph.D. , Nuria Álvarez-Benito M.D. , Francisco Poyato-Núñez M.D. , Silvia Virginia Campesino-Nieto M.D. , Manuel Leyes M.D., Ph.D.
Multidirectional shoulder instability represents an ongoing challenge for orthopaedic surgeons, and multiple techniques have been described to treat this condition. Posterior glenoid dysplasia is a known risk factor for posterior instability as well as persistent or recurrent instability following posterior stabilization procedures. Recurrent shoulder instability complicated by capsular insufficiency due to underlying soft tissue disorders or multiple prior failed surgical procedures poses a challenging surgical problem. A complex salvage surgery with multiple procedures is presented for patients with multidirectional instability or hyperlaxity, with an important posterior erosion component (mainly glenoid dysplasia) and loss of the anterior wall in previous surgical procedures to theoretically reduce recurrent dislocation rates. An anterior arthroscopic approach, including posterior bone block, dynamic anterior stabilization, and modified McLaughlin technique, is described in the present article.
{"title":"Anterior Arthroscopic Approach for Multidirectional Shoulder Instability: Posterior Bone Block, Dynamic Anterior Stabilization, and Modified McLaughlin","authors":"Gonzalo de Cabo M.D. , Pablo Ramos-Murillo M.D. , David González-Martín M.D., Ph.D. , Nuria Álvarez-Benito M.D. , Francisco Poyato-Núñez M.D. , Silvia Virginia Campesino-Nieto M.D. , Manuel Leyes M.D., Ph.D.","doi":"10.1016/j.eats.2024.103115","DOIUrl":"10.1016/j.eats.2024.103115","url":null,"abstract":"<div><div>Multidirectional shoulder instability represents an ongoing challenge for orthopaedic surgeons, and multiple techniques have been described to treat this condition. Posterior glenoid dysplasia is a known risk factor for posterior instability as well as persistent or recurrent instability following posterior stabilization procedures. Recurrent shoulder instability complicated by capsular insufficiency due to underlying soft tissue disorders or multiple prior failed surgical procedures poses a challenging surgical problem. A complex salvage surgery with multiple procedures is presented for patients with multidirectional instability or hyperlaxity, with an important posterior erosion component (mainly glenoid dysplasia) and loss of the anterior wall in previous surgical procedures to theoretically reduce recurrent dislocation rates. An anterior arthroscopic approach, including posterior bone block, dynamic anterior stabilization, and modified McLaughlin technique, is described in the present article.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103115"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695444","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.2024.103116
Francesco Bosco M.D. , Alessandro Ghirri M.D. , Domenico Lewis Battaglia M.D. , Fortunato Giustra M.D. , Marcello Capella M.D. , Alessandro Massè M.D., Ph.D.
This article aims to present a comprehensive technical note detailing our preferred treatment approach for tibial tuberosity avulsion fractures in the adult and elderly populations, particularly in scenarios characterized by low tissue quality and limited bone stock. Existing literature on this fracture type is scarce, with many described techniques relying on optimal bone quality for effective screw fixation of the tibial tuberosity. Various methods for tibial tuberosity avulsion fixation include K-wires, cannulated screws, staples, tension bands, suture anchors, and in select cases, direct transosseous sutures. Our technique focuses on robustly supporting the extensor mechanism through a synergistic combination of de-tensioning suture anchors, tension band suture taping, and suture augmentation of the patellar tendon. This approach addresses the challenges posed by compromised tissue quality and limited bone stock, offering a valuable contribution to the management of these fractures.
{"title":"A Surgical Technique for Tibial Tubercle Avulsion Fractures Using Transpatellar Suture Tape Tension Band and De-tensioning Suture Anchors","authors":"Francesco Bosco M.D. , Alessandro Ghirri M.D. , Domenico Lewis Battaglia M.D. , Fortunato Giustra M.D. , Marcello Capella M.D. , Alessandro Massè M.D., Ph.D.","doi":"10.1016/j.eats.2024.103116","DOIUrl":"10.1016/j.eats.2024.103116","url":null,"abstract":"<div><div>This article aims to present a comprehensive technical note detailing our preferred treatment approach for tibial tuberosity avulsion fractures in the adult and elderly populations, particularly in scenarios characterized by low tissue quality and limited bone stock. Existing literature on this fracture type is scarce, with many described techniques relying on optimal bone quality for effective screw fixation of the tibial tuberosity. Various methods for tibial tuberosity avulsion fixation include K-wires, cannulated screws, staples, tension bands, suture anchors, and in select cases, direct transosseous sutures. Our technique focuses on robustly supporting the extensor mechanism through a synergistic combination of de-tensioning suture anchors, tension band suture taping, and suture augmentation of the patellar tendon. This approach addresses the challenges posed by compromised tissue quality and limited bone stock, offering a valuable contribution to the management of these fractures.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103116"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691100","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.2024.103108
Konrad Malinowski M.D., Ph.D. , Konrad Szalbot M.D. , Przemysław A. Pękala M.D., Ph.D. , Robert F. LaPrade M.D., Ph.D. , Marcin Mostowy M.D.
Adhesions in the deep infrapatellar region may occur as iatrogenic complications (e.g., after bone–patellar tendon–bone grafting), as part of arthrofibrosis or infrapatellar contracture syndrome, or owing to specific diseases such as Osgood-Schlatter disease. Described adhesions may limit the length of the functional portion of the patellar tendon and lead to patella baja with subsequent decreased range of motion and patellofemoral joint overload, with a risk of osteoarthritis development. The patellar tendon length is commonly within normal limits; however, only the free part of the patellar tendon is functionally active. The purpose of this article is to present a quick, simple, and cost-effective technique for the treatment of patella baja due to adhesions in the deep infrapatellar region. This technique consists of the removal of adhesions to free the whole length of the patellar tendon and the interposition of a Hoffa fat pad pedunculated flap between the patellar tendon and tibia to avoid the recurrent formation of adhesions. Only local tissues are used, allowing for the avoidance of donor-site morbidity. The technique restores the functional length of the patellar tendon and thus normalizes patellofemoral kinematics, increases range of motion, alleviates anterior knee pain, and decreases the risk of osteoarthritis development.
{"title":"Patella Baja Revisited: Interposition of a Pedunculated Flap of the Hoffa Fat Pad to Treat Adhesions Between the Tibia and Patellar Tendon and Restore the Functional Length of the Patellar Tendon","authors":"Konrad Malinowski M.D., Ph.D. , Konrad Szalbot M.D. , Przemysław A. Pękala M.D., Ph.D. , Robert F. LaPrade M.D., Ph.D. , Marcin Mostowy M.D.","doi":"10.1016/j.eats.2024.103108","DOIUrl":"10.1016/j.eats.2024.103108","url":null,"abstract":"<div><div>Adhesions in the deep infrapatellar region may occur as iatrogenic complications (e.g., after bone–patellar tendon–bone grafting), as part of arthrofibrosis or infrapatellar contracture syndrome, or owing to specific diseases such as Osgood-Schlatter disease. Described adhesions may limit the length of the functional portion of the patellar tendon and lead to patella baja with subsequent decreased range of motion and patellofemoral joint overload, with a risk of osteoarthritis development. The patellar tendon length is commonly within normal limits; however, only the free part of the patellar tendon is functionally active. The purpose of this article is to present a quick, simple, and cost-effective technique for the treatment of patella baja due to adhesions in the deep infrapatellar region. This technique consists of the removal of adhesions to free the whole length of the patellar tendon and the interposition of a Hoffa fat pad pedunculated flap between the patellar tendon and tibia to avoid the recurrent formation of adhesions. Only local tissues are used, allowing for the avoidance of donor-site morbidity. The technique restores the functional length of the patellar tendon and thus normalizes patellofemoral kinematics, increases range of motion, alleviates anterior knee pain, and decreases the risk of osteoarthritis development.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103108"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141704328","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.2024.103094
Michell Ruiz Suárez M.D., José Eduardo Torres Rangel M.D., Rafael Gamba Galeazzi M.D., Antonio César Miguel Lara M.D., Andrés Felipe Cobaleda Aristizabal M.D., Daniel Calderón Hernández M.D.
Successful subscapularis repair in stemless shoulder arthroplasty is crucial to reduce complications and improve postoperative function. As stemless shoulder arthroplasty continues to grow in popularity, several subscapularis tendon repair techniques are being developed, with a current trend toward knotless devices and double-row anchor-based constructs. In this article, we present our technique for repair of a subscapularis tendon peel using a suture-capture construct that aids in compression of the tendon onto its footprint and then gradually releases the tension as the capture resorbs and tendon healing occurs. The suture-capture tissue repair technology uses a disk or button that pushes down a larger area of tissue onto the bone, eliminating gap formation between the bone and tendon; as the button’s material degrades, compressive, shearing, and tensile forces are transferred to the tendon tissue to achieve complete remodeling of the repair.
{"title":"Optimization of Subscapularis Tendon Repair in Stemless Shoulder Arthroplasty Using a Resorbable Pressure-Dissipating Onlay Suture Disk Implant","authors":"Michell Ruiz Suárez M.D., José Eduardo Torres Rangel M.D., Rafael Gamba Galeazzi M.D., Antonio César Miguel Lara M.D., Andrés Felipe Cobaleda Aristizabal M.D., Daniel Calderón Hernández M.D.","doi":"10.1016/j.eats.2024.103094","DOIUrl":"10.1016/j.eats.2024.103094","url":null,"abstract":"<div><div>Successful subscapularis repair in stemless shoulder arthroplasty is crucial to reduce complications and improve postoperative function. As stemless shoulder arthroplasty continues to grow in popularity, several subscapularis tendon repair techniques are being developed, with a current trend toward knotless devices and double-row anchor-based constructs. In this article, we present our technique for repair of a subscapularis tendon peel using a suture-capture construct that aids in compression of the tendon onto its footprint and then gradually releases the tension as the capture resorbs and tendon healing occurs. The suture-capture tissue repair technology uses a disk or button that pushes down a larger area of tissue onto the bone, eliminating gap formation between the bone and tendon; as the button’s material degrades, compressive, shearing, and tensile forces are transferred to the tendon tissue to achieve complete remodeling of the repair.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103094"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141715881","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.2024.103114
Vikram Mhaskar M.B.B.S., M.S., M.Ch., Het Patel M.B.B.S., M.S.
Collateral injuries are usually found in association with cruciate ligament tears. There are multiple techniques to reconstruct the collateral ligaments using autografts and allografts. Conventionally, interference screws are used to fix the graft on the femur, tibia, and fibula. We describe a technique that does not require extensive graft preparation and is simple, reproducible, and less time-consuming using tenodesis anchors that give both compression and stability at the graft insertion sites. In this article, we describe posterolateral corner and medial collateral ligament reconstructions using this technique.
{"title":"Tenodesis Anchors: A Convenient Technique for Collateral Ligament Reconstructions","authors":"Vikram Mhaskar M.B.B.S., M.S., M.Ch., Het Patel M.B.B.S., M.S.","doi":"10.1016/j.eats.2024.103114","DOIUrl":"10.1016/j.eats.2024.103114","url":null,"abstract":"<div><div>Collateral injuries are usually found in association with cruciate ligament tears. There are multiple techniques to reconstruct the collateral ligaments using autografts and allografts. Conventionally, interference screws are used to fix the graft on the femur, tibia, and fibula. We describe a technique that does not require extensive graft preparation and is simple, reproducible, and less time-consuming using tenodesis anchors that give both compression and stability at the graft insertion sites. In this article, we describe posterolateral corner and medial collateral ligament reconstructions using this technique.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103114"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695590","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.2024.103104
Marco Cartaya Méndez M.D. , Felipe Turner Ruiz-Tagle M.D. , Jorge Vargas Zúñiga M.D.
Acromioclavicular joint dislocation is a common pathology, affecting mostly young male patients. High-grade injuries require surgical treatment, but evidence is lacking regarding a gold standard technique. Chronic cases frequently are treated with graft reconstruction, but complications and availability remain as a limitation for autograft and allograft use, respectively. The objective of this Technical Note is to describe the treatment of chronic acromioclavicular dislocations by a reconstruction made with a local tendon graft, the pectoralis minor, in addition to transferring the coracoacromial ligament as a horizontal stabilizer.
{"title":"Biplanar Reconstruction With Pectoralis Minor Tendon and Coracoacromial Ligament Transfer for Chronic Acromioclavicular Joint Dislocations","authors":"Marco Cartaya Méndez M.D. , Felipe Turner Ruiz-Tagle M.D. , Jorge Vargas Zúñiga M.D.","doi":"10.1016/j.eats.2024.103104","DOIUrl":"10.1016/j.eats.2024.103104","url":null,"abstract":"<div><div>Acromioclavicular joint dislocation is a common pathology, affecting mostly young male patients. High-grade injuries require surgical treatment, but evidence is lacking regarding a gold standard technique. Chronic cases frequently are treated with graft reconstruction, but complications and availability remain as a limitation for autograft and allograft use, respectively. The objective of this Technical Note is to describe the treatment of chronic acromioclavicular dislocations by a reconstruction made with a local tendon graft, the pectoralis minor, in addition to transferring the coracoacromial ligament as a horizontal stabilizer.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103104"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141699286","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}
Anterior cruciate ligament avulsion fractures are more commonly seen in children with open physes than in adults. Arthroscopic fixation is considered the gold standard in the management of such injuries. Our technique of anterior-row fixation for these injuries provides various advantages in the form of physeal-sparing, complete anatomic reduction with no anterior beaking, no arthrofibrosis, no residual instability, no intra-articular hardware, no need for a second operation to remove implants, and finally, a full range of movement with no loss of extension. Compared with other methods of fixation, our technique uses no tunnels; requires only 3 portals; yields no iatrogenic cartilage or meniscal injury; uses a single implant (anterior-row anchor); and is bone sparing, economical, and simple.
{"title":"Arthroscopic Anterior-Row Fixation for Anterior Cruciate Ligament Avulsion Injuries","authors":"Mukesh S. Laddha D.N.B., D.Ortho., Shripal Doshi M.S.Ortho., Lakshya Bhardwaj D.N.B., D.Ortho.","doi":"10.1016/j.eats.2024.103105","DOIUrl":"10.1016/j.eats.2024.103105","url":null,"abstract":"<div><div>Anterior cruciate ligament avulsion fractures are more commonly seen in children with open physes than in adults. Arthroscopic fixation is considered the gold standard in the management of such injuries. Our technique of anterior-row fixation for these injuries provides various advantages in the form of physeal-sparing, complete anatomic reduction with no anterior beaking, no arthrofibrosis, no residual instability, no intra-articular hardware, no need for a second operation to remove implants, and finally, a full range of movement with no loss of extension. Compared with other methods of fixation, our technique uses no tunnels; requires only 3 portals; yields no iatrogenic cartilage or meniscal injury; uses a single implant (anterior-row anchor); and is bone sparing, economical, and simple.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103105"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656186","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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