Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103969
Wolf Petersen M.D. Ph.D., Yizhou Ge M.D., Amelie Klaumünzer M.D., Martin Häner M.D.
The goal of the modified medial open-wedge high tibial osteotomy is the combined correction of a double varus deformity (mechanical medial proximal tibia angle <84°, joint line convergence angle >2°) and an increased posterior tibial slope >12°. This goal can be achieved through a few modifications to the standard biplanar medial open-wedge high tibial osteotomy technique. These modifications include (1) positioning of the hinge anterolaterally and above the fibula, (2) removing a small anterior wedge, and (3) using Schanz screws to facilitate slope correction. Osteosynthesis is performed with a locking plate. Rehabilitation involves 6 weeks of partial weight-bearing and free range of motion.
{"title":"Medial Open-Wedge High Tibial Osteotomy for Double Varus Deformity and an Increased Tibial Slope","authors":"Wolf Petersen M.D. Ph.D., Yizhou Ge M.D., Amelie Klaumünzer M.D., Martin Häner M.D.","doi":"10.1016/j.eats.2025.103969","DOIUrl":"10.1016/j.eats.2025.103969","url":null,"abstract":"<div><div>The goal of the modified medial open-wedge high tibial osteotomy is the combined correction of a double varus deformity (mechanical medial proximal tibia angle <84°, joint line convergence angle >2°) and an increased posterior tibial slope >12°. This goal can be achieved through a few modifications to the standard biplanar medial open-wedge high tibial osteotomy technique. These modifications include (1) positioning of the hinge anterolaterally and above the fibula, (2) removing a small anterior wedge, and (3) using Schanz screws to facilitate slope correction. Osteosynthesis is performed with a locking plate. Rehabilitation involves 6 weeks of partial weight-bearing and free range of motion.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103969"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814092","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.2025.103899
Ashton Kai Shun Tan M.B.B.S. , Shaun Kai Kiat Chua M.B.B.S., M.R.C.S. (Ire) , Don Thong Siang Koh M.B.B.S. B.Sc. (Hon), M.R.C.S. (Edin), M.Med. (Ortho) , Junwei Soong M.B.B.S., M.R.C.S. (Edin), M.Med. (Ortho), F.R.C.S.Ed. (Ortho) , Hamid Rahmatullah Bin Abd Razak M.B.B.S., G.D.F.M., M.R.C.S. (Glasg), M.Med. (Ortho), M.F.S.T.Ed., F.R.C.S.Ed. (Ortho), F.R.C.S.Glasg. (Tr & Orth), F.A.M.S. (Orth Surg), M.P.H. (NUS) , Shing Yi Tan B.Eng. (ME) , Kong Hwee Lee M.B.B.S., M.R.C.S. (Edin), M.Med. (Ortho), F.R.C.S.Ed. (Ortho)
There is an emerging role of using patient-specific instruments in orthopaedic surgery, such as high tibial osteotomy, to improve surgical precision and reduce operative times. However, there is a paucity of evidence in the use of patient-specific instruments in anteriorizing tibial tubercle osteotomy (aTTO) to treat patellofemoral osteoarthritis. The purpose of this article is to describe the technique of using a patient-specific 3-dimensional printed surgical guide to perform an aTTO. The guide was designed in 3 dimensions preoperatively using patient imaging to facilitate patient-specific, accurate bone cuts and effective surgical execution for the aTTO.
{"title":"Patient-Specific 3-Dimensional Surgical Guide for Anteriorizing Tibial Tubercle Osteotomy to Treat Patellofemoral Osteoarthritis","authors":"Ashton Kai Shun Tan M.B.B.S. , Shaun Kai Kiat Chua M.B.B.S., M.R.C.S. (Ire) , Don Thong Siang Koh M.B.B.S. B.Sc. (Hon), M.R.C.S. (Edin), M.Med. (Ortho) , Junwei Soong M.B.B.S., M.R.C.S. (Edin), M.Med. (Ortho), F.R.C.S.Ed. (Ortho) , Hamid Rahmatullah Bin Abd Razak M.B.B.S., G.D.F.M., M.R.C.S. (Glasg), M.Med. (Ortho), M.F.S.T.Ed., F.R.C.S.Ed. (Ortho), F.R.C.S.Glasg. (Tr & Orth), F.A.M.S. (Orth Surg), M.P.H. (NUS) , Shing Yi Tan B.Eng. (ME) , Kong Hwee Lee M.B.B.S., M.R.C.S. (Edin), M.Med. (Ortho), F.R.C.S.Ed. (Ortho)","doi":"10.1016/j.eats.2025.103899","DOIUrl":"10.1016/j.eats.2025.103899","url":null,"abstract":"<div><div>There is an emerging role of using patient-specific instruments in orthopaedic surgery, such as high tibial osteotomy, to improve surgical precision and reduce operative times. However, there is a paucity of evidence in the use of patient-specific instruments in anteriorizing tibial tubercle osteotomy (aTTO) to treat patellofemoral osteoarthritis. The purpose of this article is to describe the technique of using a patient-specific 3-dimensional printed surgical guide to perform an aTTO. The guide was designed in 3 dimensions preoperatively using patient imaging to facilitate patient-specific, accurate bone cuts and effective surgical execution for the aTTO.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103899"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814188","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.2025.103917
Rylan A. Behnke B.S., Kaitlyn H. Smith B.S., Dustin R. Lee M.D., Matthew T. Rasmussen M.D., Benjiman J. Wilebski M.D., A.T.C., Luke V. Tollefson B.S., Robert F. LaPrade M.D., Ph.D.
The medial collateral ligament provides stability against valgus stress applied to the knee. Medial knee ligament injuries often occur concomitantly with posterior cruciate ligament injuries and may be aggravated by valgus malalignment. Intentional care and preparation must be taken to reconstruct all injured structures to their anatomic positions to best restore native knee biomechanics. This article describes an anatomic medial collateral ligament and posterior oblique ligament reconstruction using hamstring autograft, with a distal femoral osteotomy and a concomitant double-bundle posterior cruciate ligament reconstruction using Achilles tendon and tibialis anterior allografts for the anterolateral bundle and posteromedial bundle, respectively, in the setting of chronic ligament injuries.
{"title":"Anatomic Medial Collateral Ligament, Posterior Oblique Ligament, and Double-Bundle Posterior Cruciate Ligament Reconstructions With Concomitant Distal Femoral Osteotomy in the Setting of a Chronic Injury","authors":"Rylan A. Behnke B.S., Kaitlyn H. Smith B.S., Dustin R. Lee M.D., Matthew T. Rasmussen M.D., Benjiman J. Wilebski M.D., A.T.C., Luke V. Tollefson B.S., Robert F. LaPrade M.D., Ph.D.","doi":"10.1016/j.eats.2025.103917","DOIUrl":"10.1016/j.eats.2025.103917","url":null,"abstract":"<div><div>The medial collateral ligament provides stability against valgus stress applied to the knee. Medial knee ligament injuries often occur concomitantly with posterior cruciate ligament injuries and may be aggravated by valgus malalignment. Intentional care and preparation must be taken to reconstruct all injured structures to their anatomic positions to best restore native knee biomechanics. This article describes an anatomic medial collateral ligament and posterior oblique ligament reconstruction using hamstring autograft, with a distal femoral osteotomy and a concomitant double-bundle posterior cruciate ligament reconstruction using Achilles tendon and tibialis anterior allografts for the anterolateral bundle and posteromedial bundle, respectively, in the setting of chronic ligament injuries.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103917"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814192","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}
Managing rotator cuff (RTC) tears poses unique challenges for sports medicine surgeons. Although various suture techniques have been explored, many approaches fail due to several limitations. We describe a method of suture bridge technique that incorporates a double-locking loop for medial row fixation, utilizing a modified Mason-Allen (mMA) stitch in place of the conventional horizontal mattress configuration. This modification enhances tissue grip and improves the initial stability of tendon-to-bone fixation. This technique is particularly suited for patients with bursal-side partial-thickness tears or degenerative small- to medium-sized RTC injuries.
{"title":"Modified Mason-Allen Suture Bridge with Double-Locking Loop Technique for Rotator Cuff Repair","authors":"Yijun Zhang M.D. , Chengjie Yuan M.D. , Xiangyu Du M.M. , Jian Xu M.D.","doi":"10.1016/j.eats.2025.103920","DOIUrl":"10.1016/j.eats.2025.103920","url":null,"abstract":"<div><div>Managing rotator cuff (RTC) tears poses unique challenges for sports medicine surgeons. Although various suture techniques have been explored, many approaches fail due to several limitations. We describe a method of suture bridge technique that incorporates a double-locking loop for medial row fixation, utilizing a modified Mason-Allen (mMA) stitch in place of the conventional horizontal mattress configuration. This modification enhances tissue grip and improves the initial stability of tendon-to-bone fixation. This technique is particularly suited for patients with bursal-side partial-thickness tears or degenerative small- to medium-sized RTC injuries.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103920"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814224","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.2025.103904
Brandon C. Cabarcas M.D., Alexander C. Hayden M.D., Jason Ina M.D., Louis Kang B.S., Emmanouil Grigoriou M.D., Rafael J. Sierra M.D., Aaron J. Krych M.D., Mario Hevesi M.D., Ph.D.
The acetabular labrum is a fibrocartilaginous structure that deepens the acetabular socket and helps maintain a suction seal. In patients with hip dysplasia, a distinct labral tear pattern called an inside-out labral tear is often seen. This tear pattern is particularly challenging to correct via conventional techniques since the labrum can potentially remain everted and insufficiently restore the native hip labral suction seal after repair. An inverted hip labral repair technique is performed for this pathology at our institution and focuses on achieving optimal labral orientation to enhance the suction seal and joint stability, particularly in dysplastic hips. This Technical Note aims to describe the key surgical principles and clinical considerations of inverted hip labral repair.
{"title":"Arthroscopic Inverting Repair Technique for Inside-Out Hip Labral Tears","authors":"Brandon C. Cabarcas M.D., Alexander C. Hayden M.D., Jason Ina M.D., Louis Kang B.S., Emmanouil Grigoriou M.D., Rafael J. Sierra M.D., Aaron J. Krych M.D., Mario Hevesi M.D., Ph.D.","doi":"10.1016/j.eats.2025.103904","DOIUrl":"10.1016/j.eats.2025.103904","url":null,"abstract":"<div><div>The acetabular labrum is a fibrocartilaginous structure that deepens the acetabular socket and helps maintain a suction seal. In patients with hip dysplasia, a distinct labral tear pattern called an inside-out labral tear is often seen. This tear pattern is particularly challenging to correct via conventional techniques since the labrum can potentially remain everted and insufficiently restore the native hip labral suction seal after repair. An inverted hip labral repair technique is performed for this pathology at our institution and focuses on achieving optimal labral orientation to enhance the suction seal and joint stability, particularly in dysplastic hips. This Technical Note aims to describe the key surgical principles and clinical considerations of inverted hip labral repair.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103904"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814227","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.2025.103984
Taylor M. Ricci M.D., Alexander J. Hoffer M.D., M.Sc., F.R.C.S.C.
Anterior cruciate ligament (ACL) reconstruction is one of the most common orthopaedic surgical procedures. The risk of clinical failure after isolated ACL reconstruction in high-risk populations is as high as 40% at 2 years postoperatively. Multiple strategies exist to decrease the risk of rerupture after ACL reconstruction, including manipulation of the graft source and diameter, optimization of the femoral and tibial tunnel position, addition of concomitant extra-articular procedures, and graft support with synthetic material. Independent graft reinforcement with a high-strength, nonabsorbable suture tape has become a popular, low-cost, low-morbidity technique to increase the graft yield strength, decrease graft stretching, improve clinical outcomes, and decrease rerupture rates. However, most suture tape reinforcement techniques require suspensory fixation of both the femoral and tibial sides, with no alternative for bone-block aperture fixation. Furthermore, the existing techniques for independent suture tape reinforcement with tibial aperture fixation are overly complex, requiring intra-articular shuttling of thick, multi-braided suture limbs. We present a simple, extra-articular shuttling technique for independent suture reinforcement of quadriceps-bone-block autograft ACL reconstruction with tibial interference screw aperture fixation.
{"title":"Quadriceps-Bone-Block Autograft Anterior Cruciate Ligament Reconstruction With Tibial Interference Screw Aperture Fixation and Suture Tape Reinforcement","authors":"Taylor M. Ricci M.D., Alexander J. Hoffer M.D., M.Sc., F.R.C.S.C.","doi":"10.1016/j.eats.2025.103984","DOIUrl":"10.1016/j.eats.2025.103984","url":null,"abstract":"<div><div>Anterior cruciate ligament (ACL) reconstruction is one of the most common orthopaedic surgical procedures. The risk of clinical failure after isolated ACL reconstruction in high-risk populations is as high as 40% at 2 years postoperatively. Multiple strategies exist to decrease the risk of rerupture after ACL reconstruction, including manipulation of the graft source and diameter, optimization of the femoral and tibial tunnel position, addition of concomitant extra-articular procedures, and graft support with synthetic material. Independent graft reinforcement with a high-strength, nonabsorbable suture tape has become a popular, low-cost, low-morbidity technique to increase the graft yield strength, decrease graft stretching, improve clinical outcomes, and decrease rerupture rates. However, most suture tape reinforcement techniques require suspensory fixation of both the femoral and tibial sides, with no alternative for bone-block aperture fixation. Furthermore, the existing techniques for independent suture tape reinforcement with tibial aperture fixation are overly complex, requiring intra-articular shuttling of thick, multi-braided suture limbs. We present a simple, extra-articular shuttling technique for independent suture reinforcement of quadriceps-bone-block autograft ACL reconstruction with tibial interference screw aperture fixation.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103984"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814387","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.2025.103963
Olivia M. Jochl A.B. , Eddie K. Afetse B.S. , Donovan A. Bronstein M.S. , Jack H. Kramer B.A. , Joseph J. Ruzbarsky M.D.
The modified Lemaire lateral extra-articular tenodesis (LET) has gained increasing adoption as an augmentation technique for high-risk primary and revision anterior cruciate ligament (ACL) reconstructions. Recent studies show lower rates of ACL graft failure and rotatory laxity when LET is combined with ACL reconstruction. In revision ACL surgery, optimal graft fixation becomes especially critical because compromised bone stock from previous surgeries increases the risk of fixation failure attributable to device failure, bone osteopenia, suboptimal tunnel placement, or inadequate tendon-bone interface. To address these challenges, backup femoral fixation methods using suture anchors are employed to reinforce primary fixation. This Technical Note presents a technique for backup fixation of ACL graft combined with LET anchoring through a single suture anchor. This approach offers several advantages including dual fixation capability through a single anchor, compatibility with various primary fixation methods, and enhanced stability in cases with decreased bone quality or suboptimal tunnel positioning.
{"title":"Simultaneous Backup Femoral-sided Anterior Cruciate Ligament Graft Fixation and Lateral Extra-Articular Tenodesis With Iliotibial Band Anchoring With Single-Suture Anchor","authors":"Olivia M. Jochl A.B. , Eddie K. Afetse B.S. , Donovan A. Bronstein M.S. , Jack H. Kramer B.A. , Joseph J. Ruzbarsky M.D.","doi":"10.1016/j.eats.2025.103963","DOIUrl":"10.1016/j.eats.2025.103963","url":null,"abstract":"<div><div>The modified Lemaire lateral extra-articular tenodesis (LET) has gained increasing adoption as an augmentation technique for high-risk primary and revision anterior cruciate ligament (ACL) reconstructions. Recent studies show lower rates of ACL graft failure and rotatory laxity when LET is combined with ACL reconstruction. In revision ACL surgery, optimal graft fixation becomes especially critical because compromised bone stock from previous surgeries increases the risk of fixation failure attributable to device failure, bone osteopenia, suboptimal tunnel placement, or inadequate tendon-bone interface. To address these challenges, backup femoral fixation methods using suture anchors are employed to reinforce primary fixation. This Technical Note presents a technique for backup fixation of ACL graft combined with LET anchoring through a single suture anchor. This approach offers several advantages including dual fixation capability through a single anchor, compatibility with various primary fixation methods, and enhanced stability in cases with decreased bone quality or suboptimal tunnel positioning.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103963"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814435","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.2025.103967
Zirong Huang M.D., Wenhan Yang M.D., Hanyu Yao Ph.D., Wenzhe Feng M.D., Gen gen Huang M.S., Yankan Ou M.D., Weimin Zhu M.D., Ph.D.
Osteochondritis dissecans is a disease that may lead to disability in adolescents and young adults, with a potentially multifactorial etiology. Currently, there are numerous treatment options for osteochondritis dissecans. A variety of implants can be used for fragment fixation. Each type of implant has potential advantages and disadvantages. Our Technical Note describes the arthroscopic preparation of the bone bed, followed by microfracture, repositioning of the detached cartilage with fixation using absorbable screws, and simultaneous edge sealing with biological protein glue at the margins.
{"title":"Arthroscopic Reduction and Internal Fixation of Detached Osteochondritis Dissecans Lesions Using Bioabsorbable Screws and Fibrin Glue","authors":"Zirong Huang M.D., Wenhan Yang M.D., Hanyu Yao Ph.D., Wenzhe Feng M.D., Gen gen Huang M.S., Yankan Ou M.D., Weimin Zhu M.D., Ph.D.","doi":"10.1016/j.eats.2025.103967","DOIUrl":"10.1016/j.eats.2025.103967","url":null,"abstract":"<div><div>Osteochondritis dissecans is a disease that may lead to disability in adolescents and young adults, with a potentially multifactorial etiology. Currently, there are numerous treatment options for osteochondritis dissecans. A variety of implants can be used for fragment fixation. Each type of implant has potential advantages and disadvantages. Our Technical Note describes the arthroscopic preparation of the bone bed, followed by microfracture, repositioning of the detached cartilage with fixation using absorbable screws, and simultaneous edge sealing with biological protein glue at the margins.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103967"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814437","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}
Arthroscopic anatomic glenoid reconstruction is increasingly recognized as an effective surgical technique for addressing significant glenoid bone loss associated with shoulder instability. This technical note provides a step-by-step guide for performing arthroscopic anatomic glenoid reconstruction using an iliac crest autograft with double TightRope end-button fixation (Arthrex, Naples, FL). The procedure is conducted through 3 arthroscopic portals: anteroinferior, anterosuperior, and posterior. Bone tunnels on the glenoid undersurface are created using a Transglenoid Drill Guide (Arthrex). A tricortical autograft measuring 20 mm in length and 10 mm in width is harvested from the ipsilateral iliac crest. Two bone tunnels are prepared in the graft to accommodate 2 TightRope and DogBone constructs (Arthrex). The graft is introduced via the extended anteroinferior portal, passing through a partially dissected rotator interval while the integrity of the subscapularis tendon is preserved. It is then securely fixed to the anterior glenoid rim using double TightRope end-button fixation, with 2 DogBones positioned on the posterior glenoid rim. The procedure is completed with a Bankart repair, fully covering the graft. This all-arthroscopic technique offers several advantages, including minimal invasiveness, avoidance of hardware-related complications, preservation of subscapularis tendon integrity, and reliable bone graft union with the iliac crest autograft.
{"title":"Arthroscopic Anatomical Glenoid Reconstruction Using Iliac Crest Autograft With Double End-Button Fixation Technique","authors":"Kazuha Kizaki M.D., M.Sc. , Masahiro Ikezu P.T., M.Sc. , Shintarou Kudo P.T., Ph.D. , Takanori Kubo M.D. , Masazumi Hirata M.D., Ph.D. , Soshi Uchida M.D., Ph.D.","doi":"10.1016/j.eats.2025.103966","DOIUrl":"10.1016/j.eats.2025.103966","url":null,"abstract":"<div><div>Arthroscopic anatomic glenoid reconstruction is increasingly recognized as an effective surgical technique for addressing significant glenoid bone loss associated with shoulder instability. This technical note provides a step-by-step guide for performing arthroscopic anatomic glenoid reconstruction using an iliac crest autograft with double TightRope end-button fixation (Arthrex, Naples, FL). The procedure is conducted through 3 arthroscopic portals: anteroinferior, anterosuperior, and posterior. Bone tunnels on the glenoid undersurface are created using a Transglenoid Drill Guide (Arthrex). A tricortical autograft measuring 20 mm in length and 10 mm in width is harvested from the ipsilateral iliac crest. Two bone tunnels are prepared in the graft to accommodate 2 TightRope and DogBone constructs (Arthrex). The graft is introduced via the extended anteroinferior portal, passing through a partially dissected rotator interval while the integrity of the subscapularis tendon is preserved. It is then securely fixed to the anterior glenoid rim using double TightRope end-button fixation, with 2 DogBones positioned on the posterior glenoid rim. The procedure is completed with a Bankart repair, fully covering the graft. This all-arthroscopic technique offers several advantages, including minimal invasiveness, avoidance of hardware-related complications, preservation of subscapularis tendon integrity, and reliable bone graft union with the iliac crest autograft.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103966"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814214","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.2025.103909
Amber Lopez B.S., Nicolas Artz M.Sc., Dustin Kress M.A., Carissa Zhu B.S., Helen Yeh B.A., Patrick McGahan M.D., Ajith Malige M.D., James L. Chen M.D., M.P.H.
Proximal hamstring ruptures are significant injuries in athletic populations, commonly resulting from eccentric overload during high-speed running or forced hip flexion with knee extension. These injuries lead to functional impairment and extended recovery periods if not properly treated. We present a comprehensive approach to proximal hamstring repairs using the SpeedBridge construct.
{"title":"Transosseous-Equivalent Double-Row Suture Anchor Technique for Proximal Hamstring Avulsion Injury","authors":"Amber Lopez B.S., Nicolas Artz M.Sc., Dustin Kress M.A., Carissa Zhu B.S., Helen Yeh B.A., Patrick McGahan M.D., Ajith Malige M.D., James L. Chen M.D., M.P.H.","doi":"10.1016/j.eats.2025.103909","DOIUrl":"10.1016/j.eats.2025.103909","url":null,"abstract":"<div><div>Proximal hamstring ruptures are significant injuries in athletic populations, commonly resulting from eccentric overload during high-speed running or forced hip flexion with knee extension. These injuries lead to functional impairment and extended recovery periods if not properly treated. We present a comprehensive approach to proximal hamstring repairs using the SpeedBridge construct.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103909"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814226","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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