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Postless Hip Arthroscopy for Labrum Reconstruction and Labrum Augmentation 用于髋关节盂唇重建和髋关节盂唇增高的无后路髋关节镜手术
IF 1.2 Q3 ORTHOPEDICS Pub Date : 2024-11-01 DOI: 10.1016/j.eats.2024.103092
Antonio Porthos Salas M.D. , José Luis Pérez Lara-Albisua M.D. , David S. Taffinder-Villarreal M.D. , Jacek Mazek M.D., Ph.D.
Hip arthroscopy has been shown to be an effective surgical treatment with excellent outcomes and a low percentage of complications; however, there are published data regarding iatrogenic complications with hip distraction. Hip distraction is mandatory to gain access to the central compartment and to perform a reliable labral repair or labral reconstruction. Postless hip arthroscopy is very popular nowadays, and several techniques have been published. To our knowledge, no published techniques have been described that access the hip with a postless technique in reconstructing a labrum in a complete, segmental, or augmented manner. We present a modified technique for hip labral augmentation and reconstruction without a post. The described technique was obtained from the original technique for hip arthroscopic labral reconstruction by Dr. Brian J. White in the “front-to-back” technique.
髋关节镜已被证明是一种有效的手术治疗方法,具有良好的疗效和较低的并发症发生率。必须进行髋关节牵引才能进入中央区,进行可靠的唇修补或唇重建。如今,无后路髋关节镜手术非常流行,已有多种技术发表。据我们所知,目前还没有任何已发表的技术可以通过无后路技术进入髋关节,以完整、分段或增强的方式重建唇障。我们介绍了一种经过改良的无立柱髋关节唇增厚和重建技术。所描述的技术源自布莱恩-J-怀特博士(Dr. Brian J. White)的髋关节镜 "前后 "唇重建原始技术。
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引用次数: 0
Arthroscopic Repair of Extensor Carpi Radialis Brevis in Patients With Tennis Elbow 网球肘患者的桡侧伸肌关节镜修复术
IF 1.2 Q3 ORTHOPEDICS Pub Date : 2024-11-01 DOI: 10.1016/j.eats.2024.103117
Zhang Hailong M.D., Ph.D., Lu Yi M.D., Ph.D.
Lateral epicondylitis, or tennis elbow, has been attributed to the degeneration of the extensor carpi radialis brevis tendon, with surgery reserved for recalcitrant cases. Surgical intervention of lateral epicondylitis includes release alone or release with repair. Outcomes of open surgical repair have been reported with better preservation of the grip strength than release alone. We describe a technique for the release and repair of the extensor carpi radialis brevis tendon using an arthroscopic approach, which could be used to repair the extensor carpi radialis brevis with minimal invasion and to address the concomitant intra-articular pathology.
外上髁炎或网球肘是由于腕伸肌腱退化引起的,顽固的病例才会接受手术治疗。外侧上髁炎的手术治疗包括单纯松解或松解加修复。据报道,与单纯松解相比,开放性手术修复能更好地保留握力。我们介绍了一种使用关节镜方法松解和修复桡侧二头肌腱的技术,该技术可用于修复桡侧二头肌腱,同时将侵犯降至最低,并解决伴随的关节内病变。
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引用次数: 0
Modified Centralization Technique of Tibial Side Capsulodesis for Radial Tear of Incomplete Discoid Lateral Meniscus 胫骨侧囊切除术治疗不完全盘状外侧半月板桡侧撕裂的改良集中技术
IF 1.2 Q3 ORTHOPEDICS Pub Date : 2024-11-01 DOI: 10.1016/j.eats.2024.103095
Kazuya Nishino M.D., Ph.D. , Yusuke Hashimoto M.D., Ph.D. , Shuko Tsumoto M.D. , Ken Iida M.D. , Takuya Kinoshita M.D., Ph.D. , Hiroaki Nakamura M.D., Ph.D.
An incomplete discoid lateral meniscus is often associated with radial tears, which cause meniscal extrusion and result in poor healing outcomes. Centralization has recently been used as a surgical method to reduce extrusion. However, various repair techniques use single point of fixation sutures exclusively on the femoral side, potentially hindering healing. In this study, a method is devised in which 2 anchor sutures are placed on the tibia and guided out of the capsule from the tibial side of the meniscus, and another anchor is placed distally to tighten the meniscotibial ligament in a plane. This method supports the repaired site against hoop stress by tightening the meniscotibial ligament and is considered a physiological repair because the sutures are confirmed to the tibial side of the meniscus rather than on the femoral side. Furthermore, an inside-out suture of the torn area with a fibrin clot derived from the bone marrow aspirate, rich in tissue-healing components, is also performed.
不完整的盘状外侧半月板通常伴有径向撕裂,这会造成半月板挤压,导致愈合效果不佳。近来,中央固定被用作减少挤压的手术方法。然而,各种修复技术仅在股骨侧使用单点固定缝合,可能会阻碍愈合。本研究设计了一种方法,在胫骨上放置 2 个固定缝线,从半月板的胫骨侧引出囊外,在远端放置另一个固定点,将半月板-胫骨韧带拉紧在一个平面上。这种方法通过收紧半月板胫腓韧带来支撑修复部位,使其免受箍应力的影响,被认为是一种生理性修复,因为缝线被确认在半月板的胫骨侧而不是股骨侧。此外,还使用从骨髓抽吸物中提取的富含组织愈合成分的纤维蛋白凝块对撕裂区域进行内向外缝合。
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引用次数: 0
Tendon Groove Technique: A Double-Bundle Footprint Technique for Anterior Cruciate Ligament Reconstruction 腱沟(TENG)技术:用于前十字韧带重建的双束足部技术
IF 1.2 Q3 ORTHOPEDICS Pub Date : 2024-11-01 DOI: 10.1016/j.eats.2024.103097
Yuanjun Teng M.D. , Yifan Cai M.D. , Hong Wang M.D. , Fan Lu M.D. , Shifeng Zhang M.D. , Meng Wu M.D., Ph.D. , Hua Han M.D., Ph.D. , Xiangdong Yun M.D., Ph.D. , Yayi Xia M.D., Ph.D. , Xin Ma M.D., Ph.D.
Double-bundle (DB) anterior cruciate ligament (ACL) reconstruction has biomechanical advantages over single-bundle reconstruction. However, most studies perform the DB reconstruction with 2 femoral tunnels, which fails to provide an entire femoral footprint for ACL reconstruction. In this study, we describe a femoral double-bundle footprint technique for ACL reconstruction, named the tendon groove technique. This technique modifies the DB femoral tunnels through connecting 2 inner orifices of the anteromedial bundle and the posterolateral bundle tunnels, creating a groove to ensure an entire ACL footprint. This modified technique achieves an anatomic and double-bundle ACL reconstruction with a native footprint, which increases the tendon-bone interface area and theoretically promotes tendon-bone healing in ACL reconstruction.
双束(DB)前交叉韧带(ACL)重建与单束重建相比具有生物力学优势。然而,大多数研究使用两个股骨隧道进行双束重建,无法为前交叉韧带重建提供完整的股骨足印。在本研究中,我们介绍了一种用于前交叉韧带重建的股骨双束足底技术,命名为腱沟技术。该技术通过连接前内侧束和后外侧束隧道的两个内孔,对DB股骨隧道进行了改良,形成了一个凹槽,以确保整个前交叉韧带足印。这种改良技术实现了具有原生足印的解剖学双束前交叉韧带重建,增加了腱骨界面面积,理论上促进了前交叉韧带重建中的腱骨愈合。
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引用次数: 0
All-Inside Arthroscopic Anatomic Anterior Talofibular Ligament Repair for Chronic Lateral Ankle Instability and Injury at the Talar Attachment: Surgical Technique 针对慢性外侧踝关节失稳和距骨附着处损伤的全内关节镜解剖性前胫腓韧带修复术:手术技术
IF 1.2 Q3 ORTHOPEDICS Pub Date : 2024-11-01 DOI: 10.1016/j.eats.2024.103098
Nanami Ueda M.D. , Yasutaka Murahashi M.D., Ph.D. , Katsunori Takahashi M.D. , Yuta Mori M.D. , Kota Watanabe M.D., Ph.D. , Makoto Emori M.D., Ph.D. , Atsushi Teramoto M.D., Ph.D.
Recently, arthroscopic anterior talofibular ligament (ATFL) repair has become popular, and favorable outcomes have been reported. In general, ATFL injuries are often caused by fibular attachment, and there are no reports of arthroscopic ligament repair of talar attachment injuries. We present a surgical technique for arthroscopic ligament repair via the anterolateral portal, accessory anterolateral portal, and far accessory anterolateral portal for ATFL injuries on the talar side. Ligament plication is performed using a suture anchor at the talar footprint of the ATFL after the small bone fragments are removed under arthroscopy. Arthroscopic surgery may lead to less postoperative swelling and pain than open surgery, allowing for early exercise and return to activity.
近来,关节镜下距骨胫骨前韧带(ATFL)修复术开始流行,并取得了良好的疗效。一般来说,距腓骨韧带损伤通常是由腓骨附着引起的,目前还没有关于距骨附着损伤的关节镜韧带修复的报道。我们介绍了一种通过前外侧入口、附属前外侧入口和远附属前外侧入口对距骨侧ATFFL损伤进行关节镜韧带修复的手术技术。在关节镜下移除小的骨碎片后,使用缝合锚在 ATFL 的距骨足底处进行韧带固定。与开放性手术相比,关节镜手术可减少术后肿胀和疼痛,使患者能够尽早锻炼并恢复活动。
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引用次数: 0
Endoscopic Resection of Sustentaculum Tali Bone Spur 内窥镜下切除距骨骨刺
IF 1.2 Q3 ORTHOPEDICS Pub Date : 2024-11-01 DOI: 10.1016/j.eats.2024.103113
Charles Churk Hang Li M.B.Ch.B., F.H.K.C.O.S., F.H.K.A.M., Tun Hing Lui M.B.B.S. (H.K.), F.R.C.S. (Edin.), F.H.K.A.M., F.H.K.C.O.S.
The flexor hallucis longus tendon is susceptible to impingement, longitudinal tears, or ruptures throughout the whole course of the tendon. The most frequently affected site is the fibro-osseous tunnel from posterior talus to under the sustentculum tali, followed by the master knot of Henry and intersesamoid ligament. The purpose of this Technical Note is to describe the details of endoscopic resection of a sustentaculum tali bone spur that entraps the flexor hallucis longus tendon. This minimally invasive approach can avoid the extensive soft-tissue dissection of open resection.
拇长屈肌腱在整个肌腱过程中容易发生撞击、纵向撕裂或断裂。最常受影响的部位是从距骨后方到距骨胸骨下方的纤维骨隧道,其次是亨利主结和骨间韧带。本技术说明旨在描述内窥镜下切除夹住拇长屈肌腱的距骨软骨骨刺的细节。这种微创方法可以避免开放性切除术的大量软组织剥离。
{"title":"Endoscopic Resection of Sustentaculum Tali Bone Spur","authors":"Charles Churk Hang Li M.B.Ch.B., F.H.K.C.O.S., F.H.K.A.M.,&nbsp;Tun Hing Lui M.B.B.S. (H.K.), F.R.C.S. (Edin.), F.H.K.A.M., F.H.K.C.O.S.","doi":"10.1016/j.eats.2024.103113","DOIUrl":"10.1016/j.eats.2024.103113","url":null,"abstract":"<div><div>The flexor hallucis longus tendon is susceptible to impingement, longitudinal tears, or ruptures throughout the whole course of the tendon. The most frequently affected site is the fibro-osseous tunnel from posterior talus to under the sustentculum tali, followed by the master knot of Henry and intersesamoid ligament. The purpose of this Technical Note is to describe the details of endoscopic resection of a sustentaculum tali bone spur that entraps the flexor hallucis longus tendon. This minimally invasive approach can avoid the extensive soft-tissue dissection of open resection.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103113"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141706874","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}
引用次数: 0
Arthroscopic-Assisted Lateral Ulnar Collateral Ligament Reconstruction for Posterolateral Rotatory Instability of the Elbow: A Technical Note 关节镜辅助尺侧副韧带重建术治疗肘关节后外侧旋转不稳:技术说明
IF 1.2 Q3 ORTHOPEDICS Pub Date : 2024-11-01 DOI: 10.1016/j.eats.2024.103101
Jia Guo M.D. , Erica Kholinne M.D., Ph.D. , Hui Ben M.D., Ph.D. , Jiyeon Park M.D. , In-Ho Jeon M.D., Ph.D.
The lateral collateral ligament complex of the elbow is pivotal for maintaining the stability of the elbow joint. The open technique for reconstructing the lateral ulnar collateral ligament (LUCL) is a standard procedure to treat elbow instability caused by LUCL deficiency. Nevertheless, as arthroscopy procedures in the elbow have advanced, we describe an arthroscopic technique to reconstruct the LUCL with suture anchors and bone tunnel techniques.
肘部外侧副韧带复合体是维持肘关节稳定的关键。重建尺侧副韧带(LUCL)的开放技术是治疗尺侧副韧带缺损引起的肘关节不稳定的标准手术。然而,随着肘关节镜手术的发展,我们介绍了一种利用缝合锚和骨隧道技术重建尺侧副韧带的关节镜技术。
{"title":"Arthroscopic-Assisted Lateral Ulnar Collateral Ligament Reconstruction for Posterolateral Rotatory Instability of the Elbow: A Technical Note","authors":"Jia Guo M.D. ,&nbsp;Erica Kholinne M.D., Ph.D. ,&nbsp;Hui Ben M.D., Ph.D. ,&nbsp;Jiyeon Park M.D. ,&nbsp;In-Ho Jeon M.D., Ph.D.","doi":"10.1016/j.eats.2024.103101","DOIUrl":"10.1016/j.eats.2024.103101","url":null,"abstract":"<div><div>The lateral collateral ligament complex of the elbow is pivotal for maintaining the stability of the elbow joint. The open technique for reconstructing the lateral ulnar collateral ligament (LUCL) is a standard procedure to treat elbow instability caused by LUCL deficiency. Nevertheless, as arthroscopy procedures in the elbow have advanced, we describe an arthroscopic technique to reconstruct the LUCL with suture anchors and bone tunnel techniques.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103101"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843196","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}
引用次数: 0
Combined Medial Patellofemoral Ligament and Medial Quadriceps Tendon-Femoral Ligament Reconstruction With Single Knotless Anchor 单无结锚联合重建内侧髌股韧带和内侧股四头肌腱-股韧带
IF 1.2 Q3 ORTHOPEDICS Pub Date : 2024-11-01 DOI: 10.1016/j.eats.2024.103102
Mathew Hargreaves B.S. , Hamp Sisson B.S. , Chandler Harris B.S.E. , Amit M. Momaya M.D. , Aaron J. Casp M.D.
Lateral patellar dislocations represent a common orthopaedic condition in young, active individuals who experience patellar instability. Despite increasing interest in re-creating the natural biomechanics and native knee anatomy when performing medial patellar soft-tissue reconstructive procedures, there is no consensus among surgeons regarding the best techniques to use when reconstructing the medial patellofemoral ligament and medial quadriceps tendon-femoral ligament. This article details a method to reconstruct the medial patellofemoral ligament and medial quadriceps tendon-femoral ligament using a single graft and a single all-suture knotless anchor on the patella.
髌骨外侧脱位是一种常见的骨科疾病,多发于髌骨不稳的年轻活跃人群。尽管人们越来越关注在进行髌骨内侧软组织重建手术时重建自然生物力学和原生膝关节解剖结构,但外科医生对重建髌股内侧韧带和股四头肌内侧肌腱-股韧带的最佳技术尚未达成共识。本文详细介绍了一种在髌骨上使用单一移植物和单一全缝合无结锚重建髌骨内侧韧带和股四头肌腱-股骨内侧韧带的方法。
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引用次数: 0
Technique of Distal Tendon Excision for the Treatment of Chronic Pain Caused by Isolated Proximal Gracilis Tears 治疗孤立的腕骨近端撕裂引起的慢性疼痛的远端肌腱切除技术
IF 1.2 Q3 ORTHOPEDICS Pub Date : 2024-11-01 DOI: 10.1016/j.eats.2024.103099
Quan-He Jin Ph.D., Yi Liu Ph.D., Xiang-Yu Yin M.D., Xu-Guang Zhou M.D., Wen-Guang Liu Ph.D., Qing-Feng Yin Ph.D.
Proximal gracilis tear is a rare sports-related injury that can easily lead to misdiagnosis and underdiagnosis. Clinical manifestations are dominated by localized pain, tenderness, and dysfunction. Here, we report a therapy of proximal segmental tear of the gracilis and demonstrate its treatment process and clinical outcome. This Technical Note describes in detail the minimally invasive distal gracilis resection technique for the treatment of chronic proximal gracilis ruptures, focusing on the most important technical aspects and thus attempting to introduce this procedure and make it more widely used in the treatment of similar muscle injuries.
腕骨近端撕裂是一种罕见的运动相关损伤,很容易导致误诊和漏诊。临床表现以局部疼痛、压痛和功能障碍为主。在此,我们报告了一种腓肠肌近端节段性撕裂的治疗方法,并展示了其治疗过程和临床效果。本技术说明详细描述了治疗慢性腓肠肌近端断裂的微创腓肠肌远端切除术,重点介绍了最重要的技术环节,从而试图介绍这种手术,并使其在类似肌肉损伤的治疗中得到更广泛的应用。
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引用次数: 0
Double-Bundle Anterior Cruciate Ligament Repair and Augmentation With Lateral Extra-articular Tenodesis 双束前十字韧带修复和外侧关节外腱鞘加固术
IF 1.2 Q3 ORTHOPEDICS Pub Date : 2024-11-01 DOI: 10.1016/j.eats.2024.103103
Nguyen Quang Ton Quyen M.D. , Duong Minh Hieu M.D. , Vu Trung Hieu M.D. , Pham Ngoc Thang M.D., Ph.D. , Tang Ha Nam Anh M.D., Ph.D.
The evidence to date still favors anterior cruciate ligament (ACL) reconstruction over anterior cruciate ligament repair because ACL repair has a higher failure rate. However, there has recently been a resurgence of interest in primary ACL repair that has the potential to preserve its native tissue and improve its function. This Technical Note describes a double-bundle arthroscopic ACL repair combined with a modified Lemaire procedure. The extra-articular tenodesis improves anterolateral stability to enhance the success of the repair.
由于前交叉韧带修复术的失败率较高,因此迄今为止的证据仍倾向于前交叉韧带(ACL)重建术而非前交叉韧带修复术。不过,最近人们对有可能保留其原生组织并改善其功能的十字韧带初次修复再次产生了兴趣。本技术说明介绍了结合改良 Lemaire 手术的双束关节镜前交叉韧带修复术。关节外腱鞘炎改善了前外侧的稳定性,从而提高了修复的成功率。
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引用次数: 0
期刊
Arthroscopy Techniques
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