Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103921
Caleb Berta B.S. , Aqeel Nizar B.S. , Isaiah Hoffman M.S. , Rucker Staggers M.D. , Brian Gilmer M.D. , Amit Momaya M.D.
Of the grafts available for anterior cruciate ligament (ACL) reconstruction, the quadriceps tendon (QT) autograft has seen increased attention in recent years. However, the use of quadriceps allograft has lagged behind. Quadriceps allograft has several advantages similar to those which have driven the use of quadriceps autograft, such as biomechanical properties, histological similarity to the native ACL, and increased cross-sectional area. This article presents the use of QT allograft with bone block and without bone block. Surgical techniques, fixation methods, and clinical indications of each graft are discussed, as well as the advantages of each technique.
{"title":"Quadriceps Tendon Allograft for Anterior Cruciate Ligament Reconstruction With and Without a Bone Block","authors":"Caleb Berta B.S. , Aqeel Nizar B.S. , Isaiah Hoffman M.S. , Rucker Staggers M.D. , Brian Gilmer M.D. , Amit Momaya M.D.","doi":"10.1016/j.eats.2025.103921","DOIUrl":"10.1016/j.eats.2025.103921","url":null,"abstract":"<div><div>Of the grafts available for anterior cruciate ligament (ACL) reconstruction, the quadriceps tendon (QT) autograft has seen increased attention in recent years. However, the use of quadriceps allograft has lagged behind. Quadriceps allograft has several advantages similar to those which have driven the use of quadriceps autograft, such as biomechanical properties, histological similarity to the native ACL, and increased cross-sectional area. This article presents the use of QT allograft with bone block and without bone block. Surgical techniques, fixation methods, and clinical indications of each graft are discussed, as well as the advantages of each technique.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103921"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814373","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.2025.103906
Tao Yuan M.D., Ph.D., Xiaojiang Yang M.D., Ph.D., Jia Meng M.D., Ph.D., Hui Jiang M.D., Ph.D., Hong Qian M.D., Ph.D., Nirong Bao M.D., Ph.D.
Anatomic reduction and stable fixation remain challenging in acromioclavicular joint separation surgery. Traditional surgical techniques often lead to significant complications. The advent of arthroscopy and all-suture anchors has enabled more precise reduction and innovative fixation strategies. We have combined adjustable loop devices with all-suture anchors and arthroscopic techniques to replace traditional clavicular hook plates. This approach achieves anatomic reduction and flexible fixation, thereby reducing surgical risks and postoperative complications, while also facilitating early patient recovery.
{"title":"An Arthroscopy-Assisted All-Suture Adjustable System for Anatomic Reduction of Acromioclavicular Joint Separation: N-way Technique","authors":"Tao Yuan M.D., Ph.D., Xiaojiang Yang M.D., Ph.D., Jia Meng M.D., Ph.D., Hui Jiang M.D., Ph.D., Hong Qian M.D., Ph.D., Nirong Bao M.D., Ph.D.","doi":"10.1016/j.eats.2025.103906","DOIUrl":"10.1016/j.eats.2025.103906","url":null,"abstract":"<div><div>Anatomic reduction and stable fixation remain challenging in acromioclavicular joint separation surgery. Traditional surgical techniques often lead to significant complications. The advent of arthroscopy and all-suture anchors has enabled more precise reduction and innovative fixation strategies. We have combined adjustable loop devices with all-suture anchors and arthroscopic techniques to replace traditional clavicular hook plates. This approach achieves anatomic reduction and flexible fixation, thereby reducing surgical risks and postoperative complications, while also facilitating early patient recovery.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103906"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814384","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.2025.103864
Guillaume Robert , Jared Rubin B.A. , Cody R. Perskin M.D. , James J. Butler M.B., B.Ch. , Alexander Tham M.B.Ch.B. , Arianna L. Gianakos D.O. , John G. Kennedy M.D., M.M.Sc., M.Ch., F.F.S.E.M., F.R.C.S.(Orth.)
Chronic exertional compartment syndrome is a leading source of lower-leg pain in young athletic populations, attributable to increased pressure within the musculofascial compartments. In-office needle endoscopic procedures are of growing interest for the diagnosis and treatment of various musculoskeletal pathologies. The benefits of such procedures include lower morbidity, faster postoperative recovery, improved patient satisfaction, and decreased cost compared with traditional endoscopy in the operating room setting. The purpose of this Technical Note is to demonstrate a technique for in-office needle endoscopic 4-compartment fasciotomy for lower-extremity chronic exertional compartment syndrome, including a discussion on the advantages of performing this procedure in the office setting, compared with a traditional operating room.
{"title":"In-Office Needle Endoscopic 4-Compartment Fasciotomy for Lower-Leg Chronic Exertional Compartment Syndrome","authors":"Guillaume Robert , Jared Rubin B.A. , Cody R. Perskin M.D. , James J. Butler M.B., B.Ch. , Alexander Tham M.B.Ch.B. , Arianna L. Gianakos D.O. , John G. Kennedy M.D., M.M.Sc., M.Ch., F.F.S.E.M., F.R.C.S.(Orth.)","doi":"10.1016/j.eats.2025.103864","DOIUrl":"10.1016/j.eats.2025.103864","url":null,"abstract":"<div><div>Chronic exertional compartment syndrome is a leading source of lower-leg pain in young athletic populations, attributable to increased pressure within the musculofascial compartments. In-office needle endoscopic procedures are of growing interest for the diagnosis and treatment of various musculoskeletal pathologies. The benefits of such procedures include lower morbidity, faster postoperative recovery, improved patient satisfaction, and decreased cost compared with traditional endoscopy in the operating room setting. The purpose of this Technical Note is to demonstrate a technique for in-office needle endoscopic 4-compartment fasciotomy for lower-extremity chronic exertional compartment syndrome, including a discussion on the advantages of performing this procedure in the office setting, compared with a traditional operating room.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103864"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814097","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.2025.103979
Ady H. Kahana-Rojkind M.D. , Isabella A. Wallace B.A. , Talha Syed B.S. , Roger Quesada-Jimenez M.D. , Etan Sugarman M.D. , Benjamin G. Domb M.D.
Peritrochanteric endoscopy allows direct visualization of abductor tendons, the iliotibial band, and the trochanteric bursa, and it can be seamlessly performed at the conclusion of hip arthroscopy using the same portals. This Technical Note outlines a systematic approach to access and evaluate the peritrochanteric space endoscopically without repositioning or redraping. The technique emphasizes safe cannula placement using fluoroscopy, blunt dissection under the iliotibial band, and a methodical diagnostic survey of the gluteus medius, gluteus minimus, vastus lateralis, gluteus maximus insertion, and overlying structures. This approach facilitates early identification of pathology that may be missed on magnetic resonance imaging and guides decision-making for further treatment. Early diagnostic access may improve clinical outcomes by enabling timely identification and treatment of extra-articular pathology within the same surgical session.
{"title":"Peritrochanteric Endoscopy Through Standard Hip Arthroscopy Portals: A Stepwise Approach for Diagnostic Evaluation","authors":"Ady H. Kahana-Rojkind M.D. , Isabella A. Wallace B.A. , Talha Syed B.S. , Roger Quesada-Jimenez M.D. , Etan Sugarman M.D. , Benjamin G. Domb M.D.","doi":"10.1016/j.eats.2025.103979","DOIUrl":"10.1016/j.eats.2025.103979","url":null,"abstract":"<div><div>Peritrochanteric endoscopy allows direct visualization of abductor tendons, the iliotibial band, and the trochanteric bursa, and it can be seamlessly performed at the conclusion of hip arthroscopy using the same portals. This Technical Note outlines a systematic approach to access and evaluate the peritrochanteric space endoscopically without repositioning or redraping. The technique emphasizes safe cannula placement using fluoroscopy, blunt dissection under the iliotibial band, and a methodical diagnostic survey of the gluteus medius, gluteus minimus, vastus lateralis, gluteus maximus insertion, and overlying structures. This approach facilitates early identification of pathology that may be missed on magnetic resonance imaging and guides decision-making for further treatment. Early diagnostic access may improve clinical outcomes by enabling timely identification and treatment of extra-articular pathology within the same surgical session.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103979"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814144","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.2025.103952
Zhimian Zhang M.D., Xiaobing Xiang M.D., Jianfa Chen M.D., Jie Li M.D., Yuanyuan Wang M.D.
For patients experiencing recurrent anterior shoulder dislocation with accompanying glenoid bone loss, glenoid reconstruction via bone grafting is crucial for restoring joint stability. Current fixation methods can be classified into rigid approaches, such as compression screws, and nonrigid alternatives, including suture button plates and suture anchors. While rigid fixation carries risks associated with stress shielding–induced graft resorption and potential screw impingement, nonrigid fixation techniques, such as suture button methods, present their own set of challenges, necessitating specialized instrumentation for precise bone tunnel preparation. This article describes an innovative modification of the Eden-Hybinette technique that employs anchor-based nonrigid fixation. Performed entirely through an intra-articular approach, this method offers dual advantages: it significantly simplifies the surgical procedure while mitigating the complications associated with the retention of permanent metallic hardware in the glenoid.
{"title":"Arthroscopic Autologous Iliac Crest Bone Grafting for Augmentation of Glenoid Bone Loss Using Suture Anchor Fixation Combined With the Remplissage Procedure","authors":"Zhimian Zhang M.D., Xiaobing Xiang M.D., Jianfa Chen M.D., Jie Li M.D., Yuanyuan Wang M.D.","doi":"10.1016/j.eats.2025.103952","DOIUrl":"10.1016/j.eats.2025.103952","url":null,"abstract":"<div><div>For patients experiencing recurrent anterior shoulder dislocation with accompanying glenoid bone loss, glenoid reconstruction via bone grafting is crucial for restoring joint stability. Current fixation methods can be classified into rigid approaches, such as compression screws, and nonrigid alternatives, including suture button plates and suture anchors. While rigid fixation carries risks associated with stress shielding–induced graft resorption and potential screw impingement, nonrigid fixation techniques, such as suture button methods, present their own set of challenges, necessitating specialized instrumentation for precise bone tunnel preparation. This article describes an innovative modification of the Eden-Hybinette technique that employs anchor-based nonrigid fixation. Performed entirely through an intra-articular approach, this method offers dual advantages: it significantly simplifies the surgical procedure while mitigating the complications associated with the retention of permanent metallic hardware in the glenoid.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103952"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814149","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}
Revision anterior cruciate ligament (ACL) reconstruction is a frequent procedure due to the significant incidence of rupture following primary reconstruction. Achieving strong graft fixation alongside favorable biological conditions is essential for optimal graft healing, which can present challenges in the context of revision surgery. Additionally, the addition of anterolateral ligament reconstruction is recommended during revision procedures, necessitating adequate graft length or the use of a secondary harvest site. Consequently, the selection of an appropriate autograft for revision ACL reconstruction is critical to satisfy these requirements. Recently, the rectus femoris tendon and its aponeurosis have been proposed as viable autograft options for ACL reconstruction. Herein, we describe the surgical technique for combined ACL and anterolateral ligament reconstruction using a continuous autograft composed of a patellar bone block, partial-thickness quadriceps tendon, and the rectus femoris tendon and aponeurosis.
{"title":"Continuous Bone–Quadriceps Tendon–Rectus Femoris Autograft for Revision Anterior Cruciate Ligament and Anterolateral Ligament Reconstructions","authors":"Vincent Morin M.D. , Guillaume Veyrat M.D. , Enora Pennec R.N. , Benoit Gaulin M.D., M.Sc. , Pierre Girard M.D. , Matthieu Ollivier M.D., Ph.D. , Clément Horteur M.D., M.Sc.","doi":"10.1016/j.eats.2025.103985","DOIUrl":"10.1016/j.eats.2025.103985","url":null,"abstract":"<div><div>Revision anterior cruciate ligament (ACL) reconstruction is a frequent procedure due to the significant incidence of rupture following primary reconstruction. Achieving strong graft fixation alongside favorable biological conditions is essential for optimal graft healing, which can present challenges in the context of revision surgery. Additionally, the addition of anterolateral ligament reconstruction is recommended during revision procedures, necessitating adequate graft length or the use of a secondary harvest site. Consequently, the selection of an appropriate autograft for revision ACL reconstruction is critical to satisfy these requirements. Recently, the rectus femoris tendon and its aponeurosis have been proposed as viable autograft options for ACL reconstruction. Herein, we describe the surgical technique for combined ACL and anterolateral ligament reconstruction using a continuous autograft composed of a patellar bone block, partial-thickness quadriceps tendon, and the rectus femoris tendon and aponeurosis.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103985"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814172","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.2025.103973
Luke A. Nordstrom M.D. , Joseph W. Galvin D.O. , Garrett V. Christensen M.D. , Brendan M. Patterson M.D., M.P.H. , James V. Nepola M.D , John M. Tokish M.D.
Arthroscopic posterior labral repair is an effective surgical technique for managing patients with posterior labral tears and symptomatic unidirectional posterior shoulder instability. It is well documented that a curved liberator from the mid-glenoid (anterior-inferior) portal passed from anterior to posterior provides an effective trajectory for liberation and mobilization of the posterior and posterior-inferior labral tear. However, biologic preparation of the posterior and inferior glenoid rim with a shaver can be challenging because the anterior mid-glenoid portal and the posterior portal do not provide an adequate trajectory for instruments to be parallel to the posterior glenoid rim. The purpose of this technical note is to describe a simple efficient procedure for biologic preparation of the posterior and inferior glenoid rim in the setting of arthroscopic posterior labral repair.
{"title":"Arthroscopic Biologic Preparation of the Posterior Glenoid Rim for Posterior Labral Repair: The Anterior-Superior Portal Provides the Optimal Angle of Attack","authors":"Luke A. Nordstrom M.D. , Joseph W. Galvin D.O. , Garrett V. Christensen M.D. , Brendan M. Patterson M.D., M.P.H. , James V. Nepola M.D , John M. Tokish M.D.","doi":"10.1016/j.eats.2025.103973","DOIUrl":"10.1016/j.eats.2025.103973","url":null,"abstract":"<div><div>Arthroscopic posterior labral repair is an effective surgical technique for managing patients with posterior labral tears and symptomatic unidirectional posterior shoulder instability. It is well documented that a curved liberator from the mid-glenoid (anterior-inferior) portal passed from anterior to posterior provides an effective trajectory for liberation and mobilization of the posterior and posterior-inferior labral tear. However, biologic preparation of the posterior and inferior glenoid rim with a shaver can be challenging because the anterior mid-glenoid portal and the posterior portal do not provide an adequate trajectory for instruments to be parallel to the posterior glenoid rim. The purpose of this technical note is to describe a simple efficient procedure for biologic preparation of the posterior and inferior glenoid rim in the setting of arthroscopic posterior labral repair.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103973"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814217","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}
Hip arthroscopy is an established treatment for femoroacetabular impingement syndrome, with demonstrated long-term efficacy. However, the deep-seated anatomy of the hip joint and its complex periarticular structures pose significant challenges for achieving safe capsulotomy and adequate intra-articular exposure. We describe a technique using the greater trochanter as an anatomical reference point to perform an outside-in, distal-to-proximal longitudinal capsulotomy under postless traction.
{"title":"Outside-In Distal-to-Proximal Longitudinal Capsulotomy Using the Greater Trochanter as a Bony Landmark With Postless Traction During Hip Arthroscopy","authors":"Zhikuan Li M.S., Yue Geng B.S., Yingzhen Niu M.D., Zhuangdai Zhang M.S., Shengkun Wu B.S., Jiangtao Dong M.D.","doi":"10.1016/j.eats.2025.103962","DOIUrl":"10.1016/j.eats.2025.103962","url":null,"abstract":"<div><div>Hip arthroscopy is an established treatment for femoroacetabular impingement syndrome, with demonstrated long-term efficacy. However, the deep-seated anatomy of the hip joint and its complex periarticular structures pose significant challenges for achieving safe capsulotomy and adequate intra-articular exposure. We describe a technique using the greater trochanter as an anatomical reference point to perform an outside-in, distal-to-proximal longitudinal capsulotomy under postless traction.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103962"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814231","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.2025.103925
Jidong Song M.D., Zhaopu Jing M.D, Tian Lei M.D., Xiaoqian Dang M.D., Ruiyu Liu M.D., Zhibin Shi M.D., Lihong Fan M.D.
Meniscal posterior root tears disrupt knee joint mechanics and can lead to early-onset osteoarthritis if untreated. Surgical repair is crucial to restore meniscal integrity, yet challenges remain, including achieving anatomical fixation, reducing neurovascular risks, and avoiding growth plate interference in young patients. Traditional transtibial pullout repair for medial meniscal posterior root tear is less biomechanically effective than suture anchor techniques, while conventional posteromedial portal approaches for anchor placement have risks. Repairing lateral meniscal posterior root tears in adolescents is even more challenging due to concerns about physeal damage and peroneal nerve proximity. We present an arthroscopic technique for meniscal root repair applicable to both medial and lateral tears, utilizing a single high posterolateral portal. It features 2 key innovations: the percutaneous exchange rod technique for accurate portal localization, enhancing minimally invasive access and reducing peroneal nerve injury risk, and the use of all-suture anchors for fixation, minimizing hardware-related cartilage trauma while ensuring biomechanical stability. This technique enables anatomical reattachment without transosseous tunnels, making it suitable for adult patients with medial meniscal posterior root tear and adolescents with lateral meniscal posterior root tear.
{"title":"Arthroscopic Anatomic Repair of Lateral Meniscal Posterior Root Tears with All-Suture Anchors using Percutaneous Exchange Rod Technique Through High Posterolateral Portal","authors":"Jidong Song M.D., Zhaopu Jing M.D, Tian Lei M.D., Xiaoqian Dang M.D., Ruiyu Liu M.D., Zhibin Shi M.D., Lihong Fan M.D.","doi":"10.1016/j.eats.2025.103925","DOIUrl":"10.1016/j.eats.2025.103925","url":null,"abstract":"<div><div>Meniscal posterior root tears disrupt knee joint mechanics and can lead to early-onset osteoarthritis if untreated. Surgical repair is crucial to restore meniscal integrity, yet challenges remain, including achieving anatomical fixation, reducing neurovascular risks, and avoiding growth plate interference in young patients. Traditional transtibial pullout repair for medial meniscal posterior root tear is less biomechanically effective than suture anchor techniques, while conventional posteromedial portal approaches for anchor placement have risks. Repairing lateral meniscal posterior root tears in adolescents is even more challenging due to concerns about physeal damage and peroneal nerve proximity. We present an arthroscopic technique for meniscal root repair applicable to both medial and lateral tears, utilizing a single high posterolateral portal. It features 2 key innovations: the percutaneous exchange rod technique for accurate portal localization, enhancing minimally invasive access and reducing peroneal nerve injury risk, and the use of all-suture anchors for fixation, minimizing hardware-related cartilage trauma while ensuring biomechanical stability. This technique enables anatomical reattachment without transosseous tunnels, making it suitable for adult patients with medial meniscal posterior root tear and adolescents with lateral meniscal posterior root tear.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103925"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814249","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.2025.103927
Alexander P. Decilveo M.D. , Neil Patel M.D. , Nils Calderón Tejerina M.D., Ph.D. , Joseph N. Liu M.D. , Bruce A. Levy M.D. , George F. Rick Hatch III M.D.
Posterior cruciate ligament (PCL) injuries are a relatively common knee injury that can occur in isolation but are more commonly associated with multiligamentous knee injuries. PCL reconstruction is a technically challenging and complex orthopaedic procedure. Improper reconstruction techniques may result in significant complications, including residual instability, graft failure, and damage to adjacent neurovascular structures. Several strategies can be implemented to obtain improved outcomes while mitigating complications, including techniques for optimizing arthroscopic visualization, graft preparation/tensioning, tunnel positioning, and postoperative rehabilitation. This Technical Note outlines our tips for successful double-bundle PCL reconstruction.
{"title":"Tips for Successful Double-Bundle Posterior Cruciate Ligament Reconstruction","authors":"Alexander P. Decilveo M.D. , Neil Patel M.D. , Nils Calderón Tejerina M.D., Ph.D. , Joseph N. Liu M.D. , Bruce A. Levy M.D. , George F. Rick Hatch III M.D.","doi":"10.1016/j.eats.2025.103927","DOIUrl":"10.1016/j.eats.2025.103927","url":null,"abstract":"<div><div>Posterior cruciate ligament (PCL) injuries are a relatively common knee injury that can occur in isolation but are more commonly associated with multiligamentous knee injuries. PCL reconstruction is a technically challenging and complex orthopaedic procedure. Improper reconstruction techniques may result in significant complications, including residual instability, graft failure, and damage to adjacent neurovascular structures. Several strategies can be implemented to obtain improved outcomes while mitigating complications, including techniques for optimizing arthroscopic visualization, graft preparation/tensioning, tunnel positioning, and postoperative rehabilitation. This Technical Note outlines our tips for successful double-bundle PCL reconstruction.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103927"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814250","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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