Pub Date : 2024-11-01DOI: 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。
{"title":"Postless Hip Arthroscopy for Labrum Reconstruction and Labrum Augmentation","authors":"Antonio Porthos Salas M.D. , José Luis Pérez Lara-Albisua M.D. , David S. Taffinder-Villarreal M.D. , Jacek Mazek M.D., Ph.D.","doi":"10.1016/j.eats.2024.103092","DOIUrl":"10.1016/j.eats.2024.103092","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103092"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710464","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.2024.103117
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.
{"title":"Arthroscopic Repair of Extensor Carpi Radialis Brevis in Patients With Tennis Elbow","authors":"Zhang Hailong M.D., Ph.D., Lu Yi M.D., Ph.D.","doi":"10.1016/j.eats.2024.103117","DOIUrl":"10.1016/j.eats.2024.103117","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103117"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844899","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}
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.
{"title":"Modified Centralization Technique of Tibial Side Capsulodesis for Radial Tear of Incomplete Discoid Lateral Meniscus","authors":"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.","doi":"10.1016/j.eats.2024.103095","DOIUrl":"10.1016/j.eats.2024.103095","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103095"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656250","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.2024.103097
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.
{"title":"Tendon Groove Technique: A Double-Bundle Footprint Technique for Anterior Cruciate Ligament Reconstruction","authors":"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.","doi":"10.1016/j.eats.2024.103097","DOIUrl":"10.1016/j.eats.2024.103097","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103097"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141694242","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}
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.
{"title":"All-Inside Arthroscopic Anatomic Anterior Talofibular Ligament Repair for Chronic Lateral Ankle Instability and Injury at the Talar Attachment: Surgical Technique","authors":"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.","doi":"10.1016/j.eats.2024.103098","DOIUrl":"10.1016/j.eats.2024.103098","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103098"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656196","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.2024.103113
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.
{"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., 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}
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.
{"title":"Arthroscopic-Assisted Lateral Ulnar Collateral Ligament Reconstruction for Posterolateral Rotatory Instability of the Elbow: A Technical Note","authors":"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.","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}
Pub Date : 2024-11-01DOI: 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.
{"title":"Combined Medial Patellofemoral Ligament and Medial Quadriceps Tendon-Femoral Ligament Reconstruction With Single Knotless Anchor","authors":"Mathew Hargreaves B.S. , Hamp Sisson B.S. , Chandler Harris B.S.E. , Amit M. Momaya M.D. , Aaron J. Casp M.D.","doi":"10.1016/j.eats.2024.103102","DOIUrl":"10.1016/j.eats.2024.103102","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103102"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656251","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.2024.103099
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.
{"title":"Technique of Distal Tendon Excision for the Treatment of Chronic Pain Caused by Isolated Proximal Gracilis Tears","authors":"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.","doi":"10.1016/j.eats.2024.103099","DOIUrl":"10.1016/j.eats.2024.103099","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103099"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656249","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.2024.103103
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.
{"title":"Double-Bundle Anterior Cruciate Ligament Repair and Augmentation With Lateral Extra-articular Tenodesis","authors":"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.","doi":"10.1016/j.eats.2024.103103","DOIUrl":"10.1016/j.eats.2024.103103","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 11","pages":"Article 103103"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695775","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}