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.2025.103972
Stephanie O’Brien M.B. B.Ch. B.A.O. , Peter S.E. Davies M.B.ChB., F.R.C.S. (Tr&Orth), P.G. Cert. Med. Ed. (Surgery), M.F.S.T.Ed. , Rebecca Rogers M.B. B.Ch. B.A.O. , Alistair I.W. Mayne M.B.ChB. (Hons), M.Sc., F.R.C.S. (Tr&Orth) , Peter Edwards Ph.D. , Jay Ebert Ph.D. , Peter A. D’Alessandro M.B.B.S. (Hons), F.R.A.C.S., F.A.OrthA.
Osteochondritis dissecans of the adult knee may result in unstable lesions that cause pain and mechanical symptoms. These often require surgery due to the failure of conservative management. Surgical techniques aim to retain the fragment where possible. Mosaicplasty for in situ fixation provides mechanical stability and a biological stimulus without the need for additional hardware. This all-arthroscopic technique uses osteochondral autograft plugs harvested from a nonweightbearing part of the knee to bridge through the lesion into the subchondral bone. Graft diameter and length can be tailored to the lesion and patient. Postoperatively, patients commence early range-of-motion exercises and follow a graduated weightbearing protocol.
{"title":"Isolated Osteochondral Autograft Mosaicplasty for In Situ Fixation of Unstable Osteochondritis Dissecans in Skeletally Mature Patients","authors":"Stephanie O’Brien M.B. B.Ch. B.A.O. , Peter S.E. Davies M.B.ChB., F.R.C.S. (Tr&Orth), P.G. Cert. Med. Ed. (Surgery), M.F.S.T.Ed. , Rebecca Rogers M.B. B.Ch. B.A.O. , Alistair I.W. Mayne M.B.ChB. (Hons), M.Sc., F.R.C.S. (Tr&Orth) , Peter Edwards Ph.D. , Jay Ebert Ph.D. , Peter A. D’Alessandro M.B.B.S. (Hons), F.R.A.C.S., F.A.OrthA.","doi":"10.1016/j.eats.2025.103972","DOIUrl":"10.1016/j.eats.2025.103972","url":null,"abstract":"<div><div>Osteochondritis dissecans of the adult knee may result in unstable lesions that cause pain and mechanical symptoms. These often require surgery due to the failure of conservative management. Surgical techniques aim to retain the fragment where possible. Mosaicplasty for in situ fixation provides mechanical stability and a biological stimulus without the need for additional hardware. This all-arthroscopic technique uses osteochondral autograft plugs harvested from a nonweightbearing part of the knee to bridge through the lesion into the subchondral bone. Graft diameter and length can be tailored to the lesion and patient. Postoperatively, patients commence early range-of-motion exercises and follow a graduated weightbearing protocol.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103972"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814093","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.2025.103977
Julian Mehl M.D., Sebastian Siebenlist M.D., Lukas Willinger M.D.
Chronic and recurrent patellar instability frequently is associated with trochlear dysplasia, lateral retinacular tightness, and medial patellofemoral ligament (MPFL) insufficiency. Combined surgical correction addressing all pathologic factors is critical to restoring patellar stability. This Technical Note presents a detailed and reproducible surgical technique combining deepening trochleaplasty, lateral retinacular lengthening, and MPFL reconstruction using a quadriceps tendon autograft. Trochleaplasty is performed using a thin-flap technique to create a new, stable trochlear groove. Lateral retinacular lengthening is carried out via a stepwise Z-plasty, and an anatomic MPFL reconstruction is accomplished with a partial-thickness quadriceps tendon graft without patellar bone tunnels. This comprehensive approach aims to restore patellar tracking, reduce pain, and prevent recurrent dislocations. The described technique offers a systematic strategy for treating complex patellar instability while preserving joint congruency and minimizing complications.
{"title":"Combined Trochleaplasty, Lateral Retinacular Lengthening, and Medial Patellofemoral Ligament Reconstruction Using Quadriceps Tendon","authors":"Julian Mehl M.D., Sebastian Siebenlist M.D., Lukas Willinger M.D.","doi":"10.1016/j.eats.2025.103977","DOIUrl":"10.1016/j.eats.2025.103977","url":null,"abstract":"<div><div>Chronic and recurrent patellar instability frequently is associated with trochlear dysplasia, lateral retinacular tightness, and medial patellofemoral ligament (MPFL) insufficiency. Combined surgical correction addressing all pathologic factors is critical to restoring patellar stability. This Technical Note presents a detailed and reproducible surgical technique combining deepening trochleaplasty, lateral retinacular lengthening, and MPFL reconstruction using a quadriceps tendon autograft. Trochleaplasty is performed using a thin-flap technique to create a new, stable trochlear groove. Lateral retinacular lengthening is carried out via a stepwise Z-plasty, and an anatomic MPFL reconstruction is accomplished with a partial-thickness quadriceps tendon graft without patellar bone tunnels. This comprehensive approach aims to restore patellar tracking, reduce pain, and prevent recurrent dislocations. The described technique offers a systematic strategy for treating complex patellar instability while preserving joint congruency and minimizing complications.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103977"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814173","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.2025.103950
Yang Chen M.D., Haijun Zhang M.D., Bo Zhang M.D., Pengzhen Gu M.D., Qiaojie Chen M.D.
We describe an arthroscopic technique utilizing the long head of the biceps tendon (LHBT) for U-fold reconstruction of the upper articular capsule in treating irreparable massive rotator cuff tears. For patients with irreparable massive rotator cuff tears but intact LHBT, the U-fold LHBT is further sutured to the retracted rotator cuff tissues to achieve bridging. This technique aims to reinforce the superior capsular constraint and facilitate integration with the remaining rotator cuff tissue. It emphasizes graft preparation and fixation without the need for additional biomaterials, offering a potential alternative in the surgical treatment of irreparable massive rotator cuff defects.
{"title":"An Arthroscopic Upper Superior Capsule Reconstruction Using a U-Fold Long Head of the Biceps Tendon Autograft for the Treatment of Irreparable Massive Rotator Cuff Tears","authors":"Yang Chen M.D., Haijun Zhang M.D., Bo Zhang M.D., Pengzhen Gu M.D., Qiaojie Chen M.D.","doi":"10.1016/j.eats.2025.103950","DOIUrl":"10.1016/j.eats.2025.103950","url":null,"abstract":"<div><div>We describe an arthroscopic technique utilizing the long head of the biceps tendon (LHBT) for U-fold reconstruction of the upper articular capsule in treating irreparable massive rotator cuff tears. For patients with irreparable massive rotator cuff tears but intact LHBT, the U-fold LHBT is further sutured to the retracted rotator cuff tissues to achieve bridging. This technique aims to reinforce the superior capsular constraint and facilitate integration with the remaining rotator cuff tissue. It emphasizes graft preparation and fixation without the need for additional biomaterials, offering a potential alternative in the surgical treatment of irreparable massive rotator cuff defects.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103950"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814193","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.2025.103878
Maria Victoria Pomenta M.D., Albert Arman M.D., Lluis Peidro M.D., Ph.D., Leticia Torres M.D., Raquel Garcia M.D., Sergi Sastre M.D., Ph.D.
The arthroscopic reconstruction of the rotator cuff is currently regarded as the gold standard when a complete tendon rupture occurs. However, many studies have shown different failure rates after repair. We present a technique for a full-thickness acellular dermal matrix augmentation for arthroscopic rotator cuff repair. Augmentation with allografts has been shown to improve the initial strength of the reconstruction and support the healing and remodeling, which in turn reduces the risk of failure. This technique could potentially benefit patients functionally.
{"title":"Acellular Dermal Graft Augmentation Technique for Arthroscopic Rotator Cuff Repair","authors":"Maria Victoria Pomenta M.D., Albert Arman M.D., Lluis Peidro M.D., Ph.D., Leticia Torres M.D., Raquel Garcia M.D., Sergi Sastre M.D., Ph.D.","doi":"10.1016/j.eats.2025.103878","DOIUrl":"10.1016/j.eats.2025.103878","url":null,"abstract":"<div><div>The arthroscopic reconstruction of the rotator cuff is currently regarded as the gold standard when a complete tendon rupture occurs. However, many studies have shown different failure rates after repair. We present a technique for a full-thickness acellular dermal matrix augmentation for arthroscopic rotator cuff repair. Augmentation with allografts has been shown to improve the initial strength of the reconstruction and support the healing and remodeling, which in turn reduces the risk of failure. This technique could potentially benefit patients functionally.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103878"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814219","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.2025.103951
Chun-Lin Tao B.S. , Wei-Lin Chang M.D. , Kun-Hui Chen M.D. , En-Rung Chiang M.D., Ph.D. , Hsuan-Hsiao Ma M.D.
Medial collateral ligament (MCL) injuries are among the most common ligamentous injuries of the knee. Although most MCL injuries have favorable outcomes with conservative treatment, surgical intervention may be considered in cases of chronic instability or in conjunction with injuries to other knee structures, such as the anterior cruciate ligament or meniscus. In this Technical Note, we describe a minimally invasive arthroscopic-assisted technique for femoral-sided MCL repair using an inside-out suture method with suture anchor fixation and internal bracing using FiberTape. This technique offers biomechanical support, proprioceptive preservation, and reduced soft-tissue trauma. Although early results are promising, further long-term studies are warranted to assess durability, clinical outcomes, and potential complications.
{"title":"Arthroscopically-Assisted Medial Collateral Ligament Repair of Proximal Tears with Inside-out Suture Technique","authors":"Chun-Lin Tao B.S. , Wei-Lin Chang M.D. , Kun-Hui Chen M.D. , En-Rung Chiang M.D., Ph.D. , Hsuan-Hsiao Ma M.D.","doi":"10.1016/j.eats.2025.103951","DOIUrl":"10.1016/j.eats.2025.103951","url":null,"abstract":"<div><div>Medial collateral ligament (MCL) injuries are among the most common ligamentous injuries of the knee. Although most MCL injuries have favorable outcomes with conservative treatment, surgical intervention may be considered in cases of chronic instability or in conjunction with injuries to other knee structures, such as the anterior cruciate ligament or meniscus. In this Technical Note, we describe a minimally invasive arthroscopic-assisted technique for femoral-sided MCL repair using an inside-out suture method with suture anchor fixation and internal bracing using FiberTape. This technique offers biomechanical support, proprioceptive preservation, and reduced soft-tissue trauma. Although early results are promising, further long-term studies are warranted to assess durability, clinical outcomes, and potential complications.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103951"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814302","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.2025.103956
Evan H. Richman M.D. , Jack C. Hop M.D. , Beau M. McGinley M.D. , Jeremy M. Burnham M.D. , Justin J. Mitchell M.D. , Aaron J. Krych M.D. , Rachel M. Frank M.D.
The all-inside anterior cruciate ligament reconstruction technique has gained popularity because of its ability to preserve bone stock, accommodate shorter graft lengths, and reduce postoperative pain. Traditionally, this technique uses metallic cortical suspensory buttons for graft fixation, which are reliable but may cause soft-tissue irritation and hardware prominence. A recent modification to traditional all-inside suspensory fixation uses all-suture cortical buttons, eliminating the need for metallic or screw-based implants while maintaining secure fixation. This Technical Note describes an all-inside anterior cruciate ligament reconstruction technique that uses an all–soft tissue quadriceps tendon autograft, secured with only suture-based buttons (no metal, no plastic) on both the femoral and tibial sides.
{"title":"All-Suture Cortical Button Fixation in All-Inside Anterior Cruciate Ligament Reconstruction With Quadriceps Tendon Autograft","authors":"Evan H. Richman M.D. , Jack C. Hop M.D. , Beau M. McGinley M.D. , Jeremy M. Burnham M.D. , Justin J. Mitchell M.D. , Aaron J. Krych M.D. , Rachel M. Frank M.D.","doi":"10.1016/j.eats.2025.103956","DOIUrl":"10.1016/j.eats.2025.103956","url":null,"abstract":"<div><div>The all-inside anterior cruciate ligament reconstruction technique has gained popularity because of its ability to preserve bone stock, accommodate shorter graft lengths, and reduce postoperative pain. Traditionally, this technique uses metallic cortical suspensory buttons for graft fixation, which are reliable but may cause soft-tissue irritation and hardware prominence. A recent modification to traditional all-inside suspensory fixation uses all-suture cortical buttons, eliminating the need for metallic or screw-based implants while maintaining secure fixation. This Technical Note describes an all-inside anterior cruciate ligament reconstruction technique that uses an all–soft tissue quadriceps tendon autograft, secured with only suture-based buttons (no metal, no plastic) on both the femoral and tibial sides.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103956"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814382","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.2025.103778
Hao Qin M.M. , Chengjie Lian M.D. , Wenlong Yan M.D. , Hao Tan M.M. , Zihang Xie M.M. , Aiguo Zhou M.D. , Hua Zhang M.D.
Current suturing techniques used in meniscal allograft transplantation pose risks of damaging blood vessels and nerves, and they conflict with patients’ esthetic needs, impacting the prognosis of the graft and patient satisfaction. This article introduces an all-inside all-suture technique for suturing and securing grafts during meniscal allograft transplantation procedures. This technique offers a more physiological alignment and fixation for the graft and joint capsule, ensuring graft stability while significantly reducing the risk of vascular and neural injuries in the knee joint and postoperative complications. Additionally, it eliminates the need for extra safety incisions, improving postoperative esthetics and patient satisfaction.
{"title":"An All-Inside All-Suture Technique for Meniscal Allograft Transplantation: The Chinese Way","authors":"Hao Qin M.M. , Chengjie Lian M.D. , Wenlong Yan M.D. , Hao Tan M.M. , Zihang Xie M.M. , Aiguo Zhou M.D. , Hua Zhang M.D.","doi":"10.1016/j.eats.2025.103778","DOIUrl":"10.1016/j.eats.2025.103778","url":null,"abstract":"<div><div>Current suturing techniques used in meniscal allograft transplantation pose risks of damaging blood vessels and nerves, and they conflict with patients’ esthetic needs, impacting the prognosis of the graft and patient satisfaction. This article introduces an all-inside all-suture technique for suturing and securing grafts during meniscal allograft transplantation procedures. This technique offers a more physiological alignment and fixation for the graft and joint capsule, ensuring graft stability while significantly reducing the risk of vascular and neural injuries in the knee joint and postoperative complications. Additionally, it eliminates the need for extra safety incisions, improving postoperative esthetics and patient satisfaction.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103778"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814088","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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