Arthroscopy Techniques最新文献

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Suture Repair and Suspensory Button Fixation of Avulsion Fracture of the Fibular Styloid (Arcuate Fracture)

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103182

Surasak Srimongkolpitak M.D. , Pratchaya Manop M.D. , Bancha Chernchujit M.D.

The fibular head is attached to posterolateral corner structures, which are responsible for stabilization of the varus knee, external rotation, and posterior translation stability. The arcuate sign is a large piece of the fibular head that has avulsed longitudinally from the posterolateral corner. If the fixation system is not sufficient to secure the various stabilities of the knee, it will fail and cause significant knee instability. Concomitant involvement of the proximal tibiofibular joint (PTFJ) may also occur. Many patients, even after fixation, continue to experience persistent proximal knee pain and instability. PTFJ instability is often ignored and misdiagnosed, especially in cases involving the arcuate sign. Numerous fixation systems have been invented and reported in the literature, but they tend to focus solely on the fracture site and anatomic reduction, neglecting PTFJ instability. Suture repair and suspensory button fixation of an avulsion fracture of the fibular styloid (arcuate fracture) aims to establish fixation stability, provide a robust system, minimize the rate of fixation failure, reduce the incidence of implant irritation, and address PTFJ instability.

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引用次数: 0

Arthroscopic Repair of the Medial Meniscal Root Tear: A Simple Surgical Technique

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103186

Mohammad Ayati Firoozabadi M.D., Seyed Mohammad Milad Seyedtabaei M.D., Hesan Rezaee M.D., Omid Salkhori M.D., Seyed Mohammad Javad Mortazavi M.D.

Medial meniscal root tears pose significant challenges in orthopaedic practice, disrupting knee biomechanics and predisposing to degenerative changes. This article introduces an arthroscopic repair technique tailored for posterior root tears of the medial meniscus. The procedure involves meticulous preoperative evaluation, arthroscopic identification, and suture anchor fixation to restore normal knee mechanics. Inclusion and exclusion criteria ensure suitability, whereas postoperative care emphasizes early rehabilitation. By elucidating the surgical technique and outlining clinical implications, this article aims to equip surgeons with effective strategies for managing this challenging orthopaedic condition.

引用次数: 0

Surgical Technique of Single-Graft Double-Bundle Posterior Cruciate Ligament Reconstruction Using the Peroneus Longus Tendon

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103169

Michael Held M.D., Ph.D., F.C. Orth S.A., M.Med. Orth. , David North M.B.Ch.B., F.C. Orth S.A., M.Med. Orth. , Richard von Bormann M.B.Ch.B., F.C. Orth S.A., M.Med. Orth. , Waldo Scheepers M.B.Ch.B., M.Sc. Med.

The posterior cruciate ligament is the primary posterior stabilizer of the knee. Posterior cruciate ligament reconstruction (PCLR) has been demonstrated to improve outcomes and stability of the knee compared with conservative management. Numerous techniques are available to the treating surgeon, such as the double-bundle PCLR technique, which has biomechanical superiority over single-bundle PCLR. Residual knee laxity is decreased, native knee kinematics are better replicated, and improved subjective and objective outcomes have been reported with anatomic double-bundle PCLR. The potential disadvantages of allografts and the use of multiple grafts have created the need for the use of a double-bundle PCLR with a single autograft. Peroneus longus tendon (PLT) grafts are frequently used in anterior cruciate ligament reconstructions, and good results have been reported with their use in single-bundle PCLR. The advantages of the PLT graft include a long length, large cross-sectional area, and a simple harvesting technique. This article describes the arthroscopic technique of using the PLT for a single-graft double-bundle PCLR.

{"title":"Surgical Technique of Single-Graft Double-Bundle Posterior Cruciate Ligament Reconstruction Using the Peroneus Longus Tendon","authors":"Michael Held M.D., Ph.D., F.C. Orth S.A., M.Med. Orth. , David North M.B.Ch.B., F.C. Orth S.A., M.Med. Orth. , Richard von Bormann M.B.Ch.B., F.C. Orth S.A., M.Med. Orth. , Waldo Scheepers M.B.Ch.B., M.Sc. Med.","doi":"10.1016/j.eats.2024.103169","DOIUrl":"10.1016/j.eats.2024.103169","url":null,"abstract":"<div><div>The posterior cruciate ligament is the primary posterior stabilizer of the knee. Posterior cruciate ligament reconstruction (PCLR) has been demonstrated to improve outcomes and stability of the knee compared with conservative management. Numerous techniques are available to the treating surgeon, such as the double-bundle PCLR technique, which has biomechanical superiority over single-bundle PCLR. Residual knee laxity is decreased, native knee kinematics are better replicated, and improved subjective and objective outcomes have been reported with anatomic double-bundle PCLR. The potential disadvantages of allografts and the use of multiple grafts have created the need for the use of a double-bundle PCLR with a single autograft. Peroneus longus tendon (PLT) grafts are frequently used in anterior cruciate ligament reconstructions, and good results have been reported with their use in single-bundle PCLR. The advantages of the PLT graft include a long length, large cross-sectional area, and a simple harvesting technique. This article describes the arthroscopic technique of using the PLT for a single-graft double-bundle PCLR.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 1","pages":"Article 103169"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173408","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 Treatment of Horizontal Acromioclavicular Joint Instability With Reverse Weaver-Dunn Procedure

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103179

Oleg Milenin M.D. , Andrey Ratiev M.D., F.D. , Karen Egiazaryan M.D., F.D.

Acromioclavicular (AC) joint instability is a common issue. The stability of this joint depends on the combined support of the coracoclavicular ligaments and the AC ligament and capsular structures. Several surgical methods for treating horizontal instability have been reported. The arthroscopic Weaver-Dunn procedure, involving the transfer of the acromial end of the acromial-coracoid ligament to the clavicle, is a well-known option for coracoacromial reconstruction, particularly for addressing vertical instability. This technique has demonstrated positive functional and clinical outcomes. We modified the Weaver-Dunn procedure to treat horizontal instability of the AC joint. Using this technique, we transferred the coracoid end of the coracoacromial ligament to the clavicle.

引用次数: 0

A Simplified Technique for All-Inside Tibial Socket Retrograde Drill Guiding Using a 2- to 3.5-mm Concentric Cannula Without the All-Inside Tibial Guide Ring

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103177

Yizhong Peng M.D., Ph.D. , Wenbo Yang M.D., Ph.D. , Wei Yu M.D., Ph.D., Chunqing Meng M.D., Ph.D., Hong Wang M.D., Ph.D., Wei Huang M.D., Ph.D.

The all-inside anterior cruciate ligament (ACL) technique is a minimally invasive surgical procedure that has gained popularity due to its reduced invasiveness and improved patient outcomes. The establishment of tibial sockets remains a crucial step in ACL reconstruction, which has always been difficult in ACL reconstruction research. For doctors who are not very experienced, this technique of positioning and making sockets requires a special guide ring, and the tunnel entrance is prone to be anterior. Herein, we report a simplified technique using a self-made 2- to 3.5-mm concentric cannula to help surgeons easily master the all-inside technique. Our technique for tibial socket construction does not require the specific tibial guiding ring but uses a traditional tibial guiding ring for full-length tibial tunnel construction. With a 2-mm Kirschner wire and the traditional tibial guiding ring initially locating the tunnel position, the self-made concentric cannula helps combine the Kirschner wire with the guide pin sleeve, thereby impacting the guide pin sleeve into the tibial cortex at a controlled depth. Then, retrograde drilling is performed to create the socket. This technique provides feasible approaches for surgeons to transition from traditional full-long tunnel creation to the semi-long socket construction for the all-inside ACL technique.

{"title":"A Simplified Technique for All-Inside Tibial Socket Retrograde Drill Guiding Using a 2- to 3.5-mm Concentric Cannula Without the All-Inside Tibial Guide Ring","authors":"Yizhong Peng M.D., Ph.D. , Wenbo Yang M.D., Ph.D. , Wei Yu M.D., Ph.D., Chunqing Meng M.D., Ph.D., Hong Wang M.D., Ph.D., Wei Huang M.D., Ph.D.","doi":"10.1016/j.eats.2024.103177","DOIUrl":"10.1016/j.eats.2024.103177","url":null,"abstract":"<div><div>The all-inside anterior cruciate ligament (ACL) technique is a minimally invasive surgical procedure that has gained popularity due to its reduced invasiveness and improved patient outcomes. The establishment of tibial sockets remains a crucial step in ACL reconstruction, which has always been difficult in ACL reconstruction research. For doctors who are not very experienced, this technique of positioning and making sockets requires a special guide ring, and the tunnel entrance is prone to be anterior. Herein, we report a simplified technique using a self-made 2- to 3.5-mm concentric cannula to help surgeons easily master the all-inside technique. Our technique for tibial socket construction does not require the specific tibial guiding ring but uses a traditional tibial guiding ring for full-length tibial tunnel construction. With a 2-mm Kirschner wire and the traditional tibial guiding ring initially locating the tunnel position, the self-made concentric cannula helps combine the Kirschner wire with the guide pin sleeve, thereby impacting the guide pin sleeve into the tibial cortex at a controlled depth. Then, retrograde drilling is performed to create the socket. This technique provides feasible approaches for surgeons to transition from traditional full-long tunnel creation to the semi-long socket construction for the all-inside ACL technique.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 1","pages":"Article 103177"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173338","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

Long Head of the Biceps Tendon Pediculated Autograft Augmentation of Subscapularis Repair During Total Shoulder Arthroplasty

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103152

Tiago Martinho M.D. , Jeanni Zbinden M.D. , Alaa Elsenbsy M.D. , Alexandre Lädermann M.D.

Access to the glenohumeral joint during a deltopectoral approach to total shoulder arthroplasty (TSA) often requires some form of subscapularis (SSc) tendon detachment, which may lead to iatrogenic damage and insufficiency of a previously healthy structure. Despite optimization of SSc management techniques, the overall repair failure rate remains high. Although various biological and structural augmentation methods have been advocated to enhance healing of rotator cuff repairs, few options have yet been explored for SSc repair after TSA. In this Technical Note, we describe a method involving the long head of the biceps tendon as a pediculated autograft to reinforce the SSc repair after anatomic or reverse TSA. After long head of the biceps tendon tenodesis, its proximal part is released from the supraglenoid tubercle while remaining in its groove to be subsequently placed at the rotator interval and sutured either to the SSc, the supraspinatus, or the entire anterosuperior rotator cuff on an individual basis. Repurposing the otherwise-discarded tendon brings several mechanical and biological advantages for SSc repair healing at low cost and without donor-site morbidity.

{"title":"Long Head of the Biceps Tendon Pediculated Autograft Augmentation of Subscapularis Repair During Total Shoulder Arthroplasty","authors":"Tiago Martinho M.D. , Jeanni Zbinden M.D. , Alaa Elsenbsy M.D. , Alexandre Lädermann M.D.","doi":"10.1016/j.eats.2024.103152","DOIUrl":"10.1016/j.eats.2024.103152","url":null,"abstract":"<div><div>Access to the glenohumeral joint during a deltopectoral approach to total shoulder arthroplasty (TSA) often requires some form of subscapularis (SSc) tendon detachment, which may lead to iatrogenic damage and insufficiency of a previously healthy structure. Despite optimization of SSc management techniques, the overall repair failure rate remains high. Although various biological and structural augmentation methods have been advocated to enhance healing of rotator cuff repairs, few options have yet been explored for SSc repair after TSA. In this Technical Note, we describe a method involving the long head of the biceps tendon as a pediculated autograft to reinforce the SSc repair after anatomic or reverse TSA. After long head of the biceps tendon tenodesis, its proximal part is released from the supraglenoid tubercle while remaining in its groove to be subsequently placed at the rotator interval and sutured either to the SSc, the supraspinatus, or the entire anterosuperior rotator cuff on an individual basis. Repurposing the otherwise-discarded tendon brings several mechanical and biological advantages for SSc repair healing at low cost and without donor-site morbidity.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 1","pages":"Article 103152"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174427","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

Improved Medial-Internal Approach to Repair Posterior Root of Medial Meniscus by All-Suture Anchor Combined With Opening Wedge High Tibial Osteotomy 用全缝合锚结合开口楔形高胫骨截骨术修复内侧半月板后根的改良内侧-内侧入路方法

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103155

Xinda Zhang M.S. , Yi Zheng M.S. , Yingzhen Niu M.D. , Zhuangdai Zhang M.S. , Ziqi Shang B.S. , Zhen Chen B.S. , Jiangtao Dong M.D.

Medial meniscus posterior root tears often occur in patients with lower limb varus malalignment, which leads to mechanical overloading of the medial compartment and premature cartilage wear. Such injuries are often treated by the pullout technique or the suture anchor technique. In this context, the technique of repairing the posterior root of the medial meniscus using all-suture anchors combined with an opening wedge high tibial osteotomy has been proposed. In this technique, we describe a simple maneuver to repair medial meniscus posterior root tears. This technique repairs the posterior root of the medial meniscus by percutaneous puncture through a medial-internal approach with all-suture anchors in combination with opening wedge high tibial osteotomy. This technique has the advantages of simplicity, avoidance of the “bungee effect,” and reduction of wear and is worthy of clinical dissemination.

引用次数: 0

Decompression of the Posterior Horn of the Medial Meniscus Based on Arthroscopic Findings During Deep Flexion of the Knee Joint: Resection of Osseous Bulge on the Posteromedial Femoral Condyle 根据膝关节深屈时的关节镜检查结果为内侧半月板后角减压：股骨髁后内侧骨赘切除术

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103160

Jun Suganuma M.D. , Ryuta Mochizuki M.D.

In a knee with cam impingement of the posterior femoral condyle, the posterior horn of the medial meniscus (PHMM) is pinched and damaged between the medial femoral condyle (MFC) and the medial tibial plateau during deep flexion of the knee. The cam impingement is caused by an osseous bulge on the posteromedial surface of the distal femoral metaphysis and the absence of an alcove for the PHMM at the junction of the MFC and the posteromedial metaphysis of the femur. Therefore, the osseous bulge needs to be resected and the alcove needs to be restored when the PHMM is decompressed. However, it is difficult to evaluate whether the bone resection is sufficient to decompress the PHMM intraoperatively. Therefore, we developed a method to evaluate arthroscopically whether the PHMM is compressed between the MFC and the medial tibial plateau. This technique enables necessary and sufficient resection of bone tissue, regardless of the volume of the PHMM.

引用次数: 0

Restoring the Anteroposterior Shoulder Force Couple: Arthroscopic-Assisted Lower Trapezius Tendon Transfer With Partially Augmented Rotator Cuff Repair for Irreparable Massive Rotator Cuff Tears

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103176

Jianmin Zhang M.D., Guoyin Zhang M.D., Yang Yang M.D., Liwei Ying M.D., Li Ying Ph.D., Qingguo Zhang M.D., Xiaobo Zhou M.D.

Lower trapezius transfer presents a highly encouraging therapeutic approach for addressing posterosuperior irreparable massive rotator cuff tears. Based on studies on the balance of force couples of the rotator cuff, more scholars believe that attention should be paid to the reconstruction of the force couples of the rotator cuff. This study proposes a modified surgical approach that integrates an arthroscopic-assisted lower trapezius transfer with autologous hamstring tendon and partially augmented rotator cuff repair for irreparable massive rotator cuff tears, with a focus on restoring the anterior-posterior shoulder force couple.

引用次数: 0

Endoscopic Repair of the Distal Biceps Tendon

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2025-01-01 DOI: 10.1016/j.eats.2024.103181

Steven Bokshan M.D.

Distal biceps ruptures are common orthopaedic injuries that may result in cosmetic deformity, loss of subjective flexion strength, and loss of objective supination strength if treated nonoperatively. To combat this, both single- and dual-incision techniques have been developed to repair the distal biceps. Although each of these procedures has unique complications, both procedures are at risk of posterior interosseous nerve palsies, with up to 21% of surgeons reporting nerve palsies. This article proposes an endoscopically assisted biceps tendon repair that uses minimal retraction of the muscles in the forearm, which may lower the risk of traction-related nerve palsy. In addition, direct visualization of the radial tuberosity with a small-joint arthroscope allows for ideal placement of suture anchors on the native footprints of the short head and long head insertions of the biceps tendon.

引用次数: 0

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