Arthroscopy Techniques最新文献

英文中文

Endoscopic Application of a Collagen Scaffold for Treatment of Achilles Tendinopathy 内窥镜应用胶原支架治疗跟腱病变

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103071

This technical note explores Achilles tendinopathy treatment, focusing on the endoscopic application of a bioinductive collagen scaffold, a different approach to this prevalent condition. Indications include symptoms of midportion Achilles tendinopathy that have not responded to nonsurgical treatment. A co-axial 2-portal Achilles tendoscopy using a 30° 4-mm arthroscope is performed with the patient in a prone position. The procedure involves standard Achilles tendoscopic debridement and adhesiolysis, followed by the scaffold’s introduction through the proximal portal in a rolled-up state; this bioinductive collagen scaffold is then unfolded arthroscopically and on-laid over the tendinopathy site under tendoscopic visualization. The bioinductive scaffold is then anchored with soft-tissue anchors, after which the portal incision can be closed and the patient rehabilitated according to standard protocol. This technique is notable, as it negated the need for an open incision and instead uses endoscopy for the application of this collagen scaffold which can be a stand-alone treatment option for Achilles tendinopathy; or used in conjunction with other minimally invasive Achilles tendon treatment procedures such as an endoscopic flexor hallucis longus transfer.

本技术说明探讨了跟腱病的治疗，重点是生物诱导胶原支架的内窥镜应用，这是治疗这种常见病的一种不同方法。适应症包括非手术治疗无效的中段跟腱病症状。在患者俯卧位的情况下，使用 30° 4 毫米关节镜进行同轴双孔跟腱镜检查。手术包括标准的跟腱镜清创和粘连溶解，然后在卷起状态下通过近端入口导入支架；然后在关节镜下展开生物诱导性胶原支架，并在腱镜可视下将其铺在腱病部位。然后用软组织锚固定生物诱导支架，之后就可以关闭入口切口，并按照标准方案对患者进行康复治疗。这项技术的显著特点是无需开放切口，而是利用内窥镜应用这种胶原支架，可作为跟腱病的独立治疗方案；或与其他微创跟腱治疗手术（如内窥镜下拇屈肌转移术）结合使用。

{"title":"Endoscopic Application of a Collagen Scaffold for Treatment of Achilles Tendinopathy","authors":"","doi":"10.1016/j.eats.2024.103071","DOIUrl":"10.1016/j.eats.2024.103071","url":null,"abstract":"<div><div>This technical note explores Achilles tendinopathy treatment, focusing on the endoscopic application of a bioinductive collagen scaffold, a different approach to this prevalent condition. Indications include symptoms of midportion Achilles tendinopathy that have not responded to nonsurgical treatment. A co-axial 2-portal Achilles tendoscopy using a 30° 4-mm arthroscope is performed with the patient in a prone position. The procedure involves standard Achilles tendoscopic debridement and adhesiolysis, followed by the scaffold’s introduction through the proximal portal in a rolled-up state; this bioinductive collagen scaffold is then unfolded arthroscopically and on-laid over the tendinopathy site under tendoscopic visualization. The bioinductive scaffold is then anchored with soft-tissue anchors, after which the portal incision can be closed and the patient rehabilitated according to standard protocol. This technique is notable, as it negated the need for an open incision and instead uses endoscopy for the application of this collagen scaffold which can be a stand-alone treatment option for Achilles tendinopathy; or used in conjunction with other minimally invasive Achilles tendon treatment procedures such as an endoscopic flexor hallucis longus transfer.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 10","pages":"Article 103071"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141276265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Arthroscopic Belt Capsulodesis Using a Knotless Soft Suture Anchor for Extruded Medial Meniscus 使用无结软缝合锚对挤出的内侧半月板进行关节镜带状囊切除术

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103070

Hiroshi Nakayama M.D., Ph.D. , Ryo Kanto M.D., Ph.D. , Shintaro Onishi M.D., Ph.D. , Toshiya Tachibana M.D., Ph.D. , Shinichi Yoshiya M.D., Ph.D. , Tomoya Iseki M.D., Ph.D.

In recent years, degenerative meniscal lesions have received increasing attention as an etiologic factor of knee osteoarthritis. Among various relevant factors, medial meniscal extrusion has been shown to be an independent predictor of the onset and progression of knee osteoarthritis. Therefore, surgical reduction of the extruded medial meniscus to restore meniscal function is key to preventing osteoarthritis of the knee. The arthroscopic centralization technique using knotless anchors has been developed and refined to reduce meniscal extrusion in the posteromedial region of the knee. Although a short-term study has reported favorable outcomes, the technique presents some pitfalls and can be technically challenging. This article describes the rationale and procedure for arthroscopic belt capsulodesis using 2 knotless anchors for reduction of medial meniscal extrusion. The reported procedure is technically simple and efficiently reduces meniscal extrusion by repairing the meniscotibial capsule, and it may be useful in the prevention of osteoarthritic progression.

近年来，半月板退行性病变作为膝关节骨性关节炎的病因之一受到越来越多的关注。在各种相关因素中，内侧半月板挤压已被证明是膝关节骨性关节炎发病和进展的独立预测因素。因此，通过手术切除挤压的内侧半月板以恢复半月板功能是预防膝关节骨性关节炎的关键。目前已开发并完善了使用无结固定的关节镜集中技术，以减少膝关节后内侧区域的半月板挤压。尽管一项短期研究报告了良好的效果，但该技术仍存在一些缺陷，而且在技术上具有挑战性。本文介绍了使用两个无结锚进行关节镜带囊切除术以减少内侧半月板挤压的原理和手术方法。所报道的手术技术简单，通过修复半月板胫骨囊有效减少了半月板挤压，对预防骨关节炎的发展很有帮助。

{"title":"Arthroscopic Belt Capsulodesis Using a Knotless Soft Suture Anchor for Extruded Medial Meniscus","authors":"Hiroshi Nakayama M.D., Ph.D. , Ryo Kanto M.D., Ph.D. , Shintaro Onishi M.D., Ph.D. , Toshiya Tachibana M.D., Ph.D. , Shinichi Yoshiya M.D., Ph.D. , Tomoya Iseki M.D., Ph.D.","doi":"10.1016/j.eats.2024.103070","DOIUrl":"10.1016/j.eats.2024.103070","url":null,"abstract":"<div><div>In recent years, degenerative meniscal lesions have received increasing attention as an etiologic factor of knee osteoarthritis. Among various relevant factors, medial meniscal extrusion has been shown to be an independent predictor of the onset and progression of knee osteoarthritis. Therefore, surgical reduction of the extruded medial meniscus to restore meniscal function is key to preventing osteoarthritis of the knee. The arthroscopic centralization technique using knotless anchors has been developed and refined to reduce meniscal extrusion in the posteromedial region of the knee. Although a short-term study has reported favorable outcomes, the technique presents some pitfalls and can be technically challenging. This article describes the rationale and procedure for arthroscopic belt capsulodesis using 2 knotless anchors for reduction of medial meniscal extrusion. The reported procedure is technically simple and efficiently reduces meniscal extrusion by repairing the meniscotibial capsule, and it may be useful in the prevention of osteoarthritic progression.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 10","pages":"Article 103070"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Meniscus Reconstruction Using Autologous Tendon Combined With Open-Wedge High Tibial Osteotomy: A Technique to Achieve Rigid Fixation and Avoid Interference Between Locking Screws and Tibial Bone Tunnel 使用自体肌腱结合开刃式胫骨高位截骨术进行半月板重建：实现刚性固定和避免锁定螺钉与胫骨隧道干扰的技术

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103064

Shu Takagawa M.D., Ph.D. , Ryohei Takeuchi M.D., Ph.D. , Naomi Kobayashi M.D., Ph.D. , Yohei Yukizawa M.D., Ph.D. , Kunihito Hirotomi M.D. , Shota Higashihira M.D., Ph.D. , Yutaka Inaba M.D., Ph.D.

Meniscal posterior root tears reportedly result in accelerated cartilage degeneration and spontaneous insufficiency fractures of the knee. While meniscus repair combined with open-wedge high tibial osteotomy is an optional method, the healing rate is not sufficiently high. Therefore, this Technical Note describes a technique for meniscal reconstruction combined with open-wedge high tibial osteotomy that may offer improvements in meniscal healing rates and clinical results.

据报道，半月板后根撕裂会导致膝关节软骨加速退化和自发性膝关节功能不全骨折。虽然半月板修复结合开刃高位胫骨截骨术是一种可选方法，但愈合率不够高。因此，本技术说明介绍了一种结合开刃胫骨高位截骨术的半月板重建技术，该技术可提高半月板愈合率和临床效果。

引用次数: 0

Posterior Lateral Meniscal Root Repair Through Lateral Tunnel and Anterior Cruciate Ligament Revision: How to Avoid Tunnel Overlapping 通过外侧隧道和前十字韧带翻修进行后外侧半月板根部修复：如何避免隧道重叠

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103089

Fabrizio Matassi M.D., Zyad A. Taha M.D., Alessandro Civinini M.D., Andrea Di Muro M.D., Jacopo Corti M.D., Roberto Civinini M.D.

Posterior lateral meniscal root (PLMR) tears are commonly observed in conjunction with anterior cruciate ligament (ACL) injuries. The presence of PLMR tears exacerbates knee instability, increasing stress on ACL grafts and accelerating joint degeneration if left untreated. Anatomical repair of PLMR tears is therefore crucial for restoring native knee kinematics and reducing tibiofemoral contact pressures, thereby safeguarding the ACL graft. However, the standard use of a single medial tunnel approach for concomitant PLMR and revision ACL reconstruction may require reconsideration to prevent the potential risks of tunnel overlapping, which could undermine graft anatomical integrity. This article, to prevent the risk of tunnel overlapping, introduces a surgical approach that employs an additional lateral tibial tunnel for PLMR repair, instead of the typically used single medial one, for PLMR repair during simultaneous revision ACL reconstruction.

后外侧半月板根（PLMR）撕裂常见于前十字韧带（ACL）损伤。半月板后外侧根撕裂会加剧膝关节的不稳定性，增加前十字韧带移植物所承受的压力，如果不及时治疗，还会加速关节退化。因此，PLMR撕裂的解剖修复对于恢复原生膝关节运动学和降低胫骨股骨接触压力至关重要，从而保护前交叉韧带移植物。然而，在同时进行PLMR和翻修性前交叉韧带重建时，可能需要重新考虑使用单一内侧隧道方法的标准，以防止隧道重叠的潜在风险，因为隧道重叠可能会破坏移植物的解剖完整性。为了防止隧道重叠的风险，本文介绍了一种手术方法，即在同时进行翻修性前交叉韧带重建时，采用额外的胫骨外侧隧道进行 PLMR 修复，而不是通常使用的单一内侧隧道。

引用次数: 0

An Innovative, Cost-Effective, and Flexible Traction Alternative for Shoulder Arthroscopy in Lateral Decubitus Position 创新、经济、灵活的肩关节镜手术侧卧位牵引替代方案

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103088

Wenbin Luo M.D. , Ao Wang M.D. , Yahui Li M.B.B.S. , Zhiyao Zhao M.D. , Fangzheng Zhou M.D. , Ye Zhang M.B.B.S. , Xiaoning Liu M.D.

During shoulder arthroscopic surgery in the lateral decubitus position, effective and stable continuous traction is a basic requirement for the smooth progression of the surgery. Herein, we describe a safe, reliable, and cost-effective lateral decubitus traction assembly.

在侧卧位进行肩关节镜手术时，有效而稳定的持续牵引是手术顺利进行的基本要求。在此，我们介绍一种安全、可靠、经济高效的侧卧位牵引装置。

引用次数: 0

Basics of Shoulder Arthroscopy Part III: Lateral Decubitus Patient Positioning and Operating Room Setup 肩关节镜基础知识第三部分：患者侧卧位和手术室设置

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103080

Marisa N. Ulrich M.D., Fabien Meta M.D., Xuankang Pan B.S., Kelechi R. Okoroha M.D., Christopher L. Camp M.D.

Shoulder arthroscopy is one of the most common orthopaedic procedures. Since its introduction in the 1970s, significant advances have been made in surgical techniques and instrumentation. Shoulder arthroscopy is often performed in either the beach-chair or lateral decubitus position, and each positioning technique has its own benefits. In this work, we will describe the history of lateral decubitus positioning for shoulder arthroscopy. We outline a detailed guide for safe and consistent lateral decubitus positioning, and key steps of lateral decubitus positioning will be emphasized. Pearls, pitfalls, advantages, and disadvantages of this positioning technique will also be discussed. With appropriate technique, lateral decubitus positioning is safe and effective for arthroscopic treatment of various shoulder pathologies.

肩关节镜检查是最常见的骨科手术之一。自 20 世纪 70 年代问世以来，手术技术和器械取得了长足的进步。肩关节镜手术通常采用沙滩椅体位或侧卧位，每种体位技术都有各自的优点。在本文中，我们将介绍肩关节镜手术中侧卧位的历史。我们将概述安全、一致的侧卧位定位的详细指南，并强调侧卧位定位的关键步骤。我们还将讨论这种定位技术的要点、陷阱、优点和缺点。只要技术得当，侧卧位定位在关节镜下治疗各种肩部病变时都是安全有效的。

引用次数: 0

Double-Anchor Stapled Repair of the Medial Meniscus Posterior Root 内侧半月板后根双腔缝合修复术

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103076

There are various treatment options for medial meniscus posterior root tears, such as conservative management, meniscectomy, pull-out repair, and suture anchor repair. However, the ultimate repair technique for optimal meniscal healing remains a topic of discussion, as each technique has its own set of risks and pitfalls. This technique provides a stable and straightforward approach that minimizes fixation-related concerns. However, to determine the optimal applicability of this medial meniscus posterior root tear repair method, further research is needed to compare the biomechanical properties of this repair method with established techniques.

内侧半月板后根撕裂有多种治疗方法，如保守治疗、半月板切除术、拉出修复术和缝合锚修复术。然而，由于每种技术都有各自的风险和隐患，因此如何采用终极修复技术实现半月板的最佳愈合仍是一个值得讨论的话题。该技术提供了一种稳定、直接的方法，最大程度地减少了与固定相关的问题。然而，要确定这种内侧半月板后根撕裂修复方法的最佳适用性，还需要进一步研究，将这种修复方法的生物力学特性与现有技术进行比较。

引用次数: 0

Arthroscopic Anatomic Lateral Ankle Reconstruction Using Allograft: A Simplified Approach 使用同种异体移植的关节镜解剖外侧踝关节重建术：简化方法

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103063

Ankle instability is a common medical condition that frequently necessitates surgical intervention to achieve ankle joint stability and enhance functional outcomes after failure of conservative treatment. Many surgical techniques have been described in the literature to restore joint stability, including repair or reconstruction of the anterior talofibular ligament and the calcaneofibular ligament. In this article, we describe a simplified arthroscopic technique for anatomic lateral ankle ligament reconstruction using an extensor hallucis longus allograft and involving percutaneous creation of the calcaneal tunnel after identification of the calcaneofibular ligament distal footprint insertion relative to the lateral malleolus.

踝关节不稳是一种常见的内科疾病，在保守治疗无效的情况下，往往需要通过手术干预来实现踝关节的稳定性并提高功能效果。文献中描述了许多恢复关节稳定性的手术技术，包括修复或重建距腓前韧带和小腿腓韧带。在这篇文章中，我们介绍了一种简化的关节镜技术，该技术使用拇长伸肌同种异体移植物进行解剖性外侧踝关节韧带重建，在确定小腿腓骨韧带相对于外侧踝骨的远端足底插入后，经皮创建小腿隧道。

引用次数: 0

Arthroscopic Mobilization Techniques for Retracted Immobile Rotator Cuff Tears 肩袖撕裂牵拉不动的关节镜活动技术

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103087

Anthony J. Marois M.D., Larry D. Field M.D.

The treatment of massive, retracted rotator cuff tears remains a significant challenge to orthopaedic surgeons. While debridement and partial repair has been described as a viable option, surgeons seeking to perform a complete repair often must employ advanced mobilization techniques to lateralize retracted immobile rotator cuff tissue. Tears that appear irreparable often may be effectively mobilized with elements of capsular release, anterior interval slide, or posterior interval slide. When rotator cuff tissue is mobilized to the medial aspect of the anatomic footprint, a low-tension repair can be performed with good clinical outcomes.

对骨科医生来说，治疗肩袖大面积牵拉性撕裂仍然是一项重大挑战。虽然清创和部分修复已被描述为一种可行的选择，但外科医生在寻求进行完全修复时，往往必须采用先进的活动技术，使回缩不动的肩袖组织侧移。通过关节囊松解、前间隙滑动或后间隙滑动等方法，往往可以有效地活动看似无法修复的撕裂。当肩袖组织被移动到解剖足迹的内侧时，就可以进行低张力修复，并取得良好的临床效果。

引用次数: 0

Basics of Shoulder Arthroscopy Part IV: Diagnostic Arthroscopy in the Lateral Decubitus Position 肩关节镜检查基础第四部分：侧卧位关节镜诊断检查

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.eats.2024.103081

Fabien Meta M.D., Marisa N. Ulrich M.D., Sean C. Clark B.S., Jonathan D. Barlow M.D., Kelechi R. Okoroha M.D., Christopher L. Camp M.D.

Shoulder arthroscopy is a versatile method for treating a variety of shoulder pathologies in a minimally invasive manner. Typically, it is performed with the patient positioned in a beach-chair or lateral decubitus position with the latter being conventionally preferred for shoulder instability work given the use of traction and creation of a distracted joint. This allows ideal visualization and accessibility of the anterior, inferior, and posterior aspects of the glenoid, labrum, and axillary pouch. Despite the apparent advantages, the lateral decubitus position comes with its own technical challenges. Many of these may stem from surgeon training, experience, and level of familiarity with the positioning and arthroscopic view. This Technical Note demonstrates a reproducible and teachable method for efficient and effective diagnostic shoulder arthroscopy in the lateral decubitus position, along with presenting its associated advantages and disadvantages.

肩关节镜是一种以微创方式治疗各种肩部病变的多功能方法。通常情况下，患者取沙滩椅位或侧卧位进行手术，后者是肩关节不稳定手术的传统首选，因为可以使用牵引力并形成分心关节。这样可以对盂前部、下部和后部、盂唇和腋窝进行理想的观察和触及。尽管侧卧位有明显的优势，但也有其自身的技术难题。其中许多可能源于外科医生的培训、经验以及对定位和关节镜视野的熟悉程度。本技术说明展示了在侧卧位下进行高效诊断性肩关节镜检查的可重复、可传授的方法，并介绍了其相关的优缺点。

引用次数: 0

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Arthroscopy Techniques

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀