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.2025.103973
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}
Coronal-plane deformities of the knee are prevalent skeletal abnormalities in the adolescent population. Although valgus alignment is observed less frequently than varus alignment, it predisposes patients to several pathologic sequelae, including cartilage lesions, as well as degenerative changes within the lateral compartment leading to osteoarthritis, lateral patellofemoral joint instability, and attenuation of the medial collateral ligament. The current literature describes multiple modalities for distal femoral osteotomy such as lateral opening-wedge, medial closing-wedge, dome, wedge-less spike, and wedge-less V osteotomy techniques.
{"title":"Wedge-less V-Shaped Distal Femoral Osteotomy Through Lateral Approach to Correct Valgus Malalignment","authors":"Sheetal Gupta M.S.(Orthopaedics), Parvind Singh M.S.(Orthopaedics), Rahul Verma M.S.(Orthopaedics), Abhishek Kulkarni M.S.(Orthopaedics), Gaurav Jindal M.S.(Orthopaedics)","doi":"10.1016/j.eats.2025.103954","DOIUrl":"10.1016/j.eats.2025.103954","url":null,"abstract":"<div><div>Coronal-plane deformities of the knee are prevalent skeletal abnormalities in the adolescent population. Although valgus alignment is observed less frequently than varus alignment, it predisposes patients to several pathologic sequelae, including cartilage lesions, as well as degenerative changes within the lateral compartment leading to osteoarthritis, lateral patellofemoral joint instability, and attenuation of the medial collateral ligament. The current literature describes multiple modalities for distal femoral osteotomy such as lateral opening-wedge, medial closing-wedge, dome, wedge-less spike, and wedge-less V osteotomy techniques.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103954"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814374","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}
A variety of surgical techniques have been described for managing bursal-sided partial-thickness rotator cuff tears (PTRCTs). A key consideration when treating these lesions is whether to complete the tear or to preserve the remaining intact fibers. Accordingly, current surgical strategies for bursal-sided PTRCTs include in situ and tear completion repair; each approach has its own limitations. We describe a nondisruptive full-thickness double-row repair technique, which captures the full thickness of the rotator cuff tendon while minimizing disruption to the preserved articular surface fibers. After full-thickness passage of the anchor sutures through the intact tendon assisted with a spinal needle, lateral-row fixation is achieved with a down-pressing anchor. This technique aims to enhance tendon healing and maximize restoration of the native tendon to its anatomic footprint in patients with bursal-sided PTRCTs.
{"title":"Nondisruptive Full-Thickness Double-Row Repair Technique for Bursal-Sided Partial-Thickness Rotator Cuff Tears","authors":"Qiangqiang Li Ph.D., Yuejian Ding B.S., Yu Zhang M.D., Jianghui Qin Ph.D., Qing Jiang M.D., Dongyang Chen M.D.","doi":"10.1016/j.eats.2025.103912","DOIUrl":"10.1016/j.eats.2025.103912","url":null,"abstract":"<div><div>A variety of surgical techniques have been described for managing bursal-sided partial-thickness rotator cuff tears (PTRCTs). A key consideration when treating these lesions is whether to complete the tear or to preserve the remaining intact fibers. Accordingly, current surgical strategies for bursal-sided PTRCTs include in situ and tear completion repair; each approach has its own limitations. We describe a nondisruptive full-thickness double-row repair technique, which captures the full thickness of the rotator cuff tendon while minimizing disruption to the preserved articular surface fibers. After full-thickness passage of the anchor sutures through the intact tendon assisted with a spinal needle, lateral-row fixation is achieved with a down-pressing anchor. This technique aims to enhance tendon healing and maximize restoration of the native tendon to its anatomic footprint in patients with bursal-sided PTRCTs.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103912"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814379","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.2025.103914
Patrick Waldron D.O., Dustin Kress M.A., David Han M.S., Kyle Cantave M.S., Ethan Vallellanes M.D., Lucas Voyvodic M.D., Patrick McGahan M.D., Ajith Malige M.D., James L. Chen M.D., M.P.H.
Proximal hamstring avulsions, often seen in active adults, result from high-energy eccentric loading during hip flexion with knee extension. Open repair remains the gold standard, allowing direct visualization and sciatic nerve protection. Low-profile all-suture anchors have emerged as an alternative to traditional metal or PEEK (polyether ether ketone) devices. This technical note describes a reproducible technique using 3 Q-Fix all-suture anchors (Smith & Nephew, London, England) in a triangular tension-slide configuration. This construct offers strong anatomic fixation with minimal implant burden and reduced bone loss. It is particularly advantageous in cases of tendon retraction or poor tissue quality and is broadly adaptable, including for high-demand populations.
{"title":"Open Proximal Hamstring Repair Using All-Suture Anchors and Tension-Slide Fixation","authors":"Patrick Waldron D.O., Dustin Kress M.A., David Han M.S., Kyle Cantave M.S., Ethan Vallellanes M.D., Lucas Voyvodic M.D., Patrick McGahan M.D., Ajith Malige M.D., James L. Chen M.D., M.P.H.","doi":"10.1016/j.eats.2025.103914","DOIUrl":"10.1016/j.eats.2025.103914","url":null,"abstract":"<div><div>Proximal hamstring avulsions, often seen in active adults, result from high-energy eccentric loading during hip flexion with knee extension. Open repair remains the gold standard, allowing direct visualization and sciatic nerve protection. Low-profile all-suture anchors have emerged as an alternative to traditional metal or PEEK (polyether ether ketone) devices. This technical note describes a reproducible technique using 3 Q-Fix all-suture anchors (Smith & Nephew, London, England) in a triangular tension-slide configuration. This construct offers strong anatomic fixation with minimal implant burden and reduced bone loss. It is particularly advantageous in cases of tendon retraction or poor tissue quality and is broadly adaptable, including for high-demand populations.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103914"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814380","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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