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Gluteus Maximus-Tensor Fascia Lata Transfer With Double-Row Repair and Bioinductive Scaffold Augmentation for Chronic Abductor Tendon Tears 臀大肌-阔筋膜张肌转移双排修复和生物诱导支架增强治疗慢性外展肌腱撕裂
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103981
Jorge Sánchez-Mateos M.D. , Felipe Casanova M.D. , M. Agustina Olaran M.D. , Juan Bernardo Villarreal-Espinosa M.D. , Melissa L. Carpenter B.S. , Germán Escribano M.D. , Jorge Chahla M.D., Ph.D.
Hip abductor tendon tears are a common cause of lateral hip pain and gait disturbance, especially in older adults. While conservative treatment is first-line, high failure rates often necessitate surgical intervention. Chronic, retracted tears with poor tendon quality pose a surgical challenge. In such cases, transfer of the anterior portion of the gluteus maximus and tensor fascia lata is a viable option. This Technical Note describes the surgical approach for managing chronic, retracted tears combining gluteus maximus-tensor fascia lata transfer and abductor tendon double-row repair with bioinductive collagen scaffold augmentation.
髋关节外展肌腱撕裂是髋关节外侧疼痛和步态障碍的常见原因,尤其是在老年人中。虽然保守治疗是一线,但高失败率往往需要手术干预。慢性,收缩撕裂与肌腱质量差提出了手术的挑战。在这种情况下,转移臀大肌前部和阔筋膜张肌是一种可行的选择。本技术说明描述了治疗慢性挛缩撕裂的手术方法,结合臀大肌-阔筋膜张量转移和外展肌腱双行修复与生物诱导胶原支架增强。
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引用次数: 0
Arthroscopic-Assisted Open Excision of an Infrapatellar Tendon Osgood-Schlatter’s Bony Ossicle 关节镜辅助下开放切除髌下肌腱
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103946
Rylan A. Behnke B.S., Nicholas K. Retzer B.S., Benjiman J. Wilebski M.D., A.T.C., Luke V. Tollefson B.S., Matthew T. Rasmussen M.D., Dustin R. Lee M.D., Robert F. LaPrade M.D., Ph.D.
Osgood-Schlatter disease (OSD) is a cumulative traction apophysitis condition caused by microavulsions along the apophysis at the tibial tuberosity and patellar tendon, which sometimes create a protruding bony ossicle at the anterior tibial tubercle. Although most cases of OSD resolve with supportive treatment, some cases that persist after physeal plate closure may require surgery. Previously described surgical management techniques for OSD ossicles have required either an open excision, which disrupts the patellar tendon, or through arthroscopic or buroscopic procedures that are technically challenging. This Technical Note describes an arthroscopically assisted open excision of an infrapatellar tendon Osgood-Schlatter’s bony ossicle.
osgood - sch后期病(OSD)是一种累积性牵拉性骨突炎,由胫骨结节和髌骨肌腱突突处的微撕脱引起,有时在胫骨前结节处形成突出的骨小骨。虽然大多数OSD可以通过支持治疗解决,但有些病例在骨骺板闭合后仍然存在,可能需要手术治疗。先前描述的OSD小骨的手术治疗技术需要开放切除,这会破坏髌骨肌腱,或者通过关节镜或内镜手术,这在技术上具有挑战性。本技术说明描述了关节镜辅助下开放切除髌下肌腱osgood - schrat骨性听骨。
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引用次数: 0
Semitendinosus Allograft Anterior Cable Reconstruction for Irreparable Rotator Cuff Tears Utilizing the Superior Glenoid Margin for Glenoid Fixation 利用上盂缘固定半腱肌同种异体前索重建不可修复的肩袖撕裂
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103907
Victor T. Hung M.D. , Maxwell C. Park M.D.
For large posterosuperior rotator cuff tears with irreparable combined supraspinatus and partial infraspinatus tears, anterior cable reconstruction (ACR) using allograft tendon can restore superior stability and reduce subacromial contact pressures without limiting motion. ACR was originally performed using rigid glenoid neck anchors, but superior glenoid margin fixation with knotless all-suture soft anchors may improve technical efficiency. This Technical Note describes the surgical indications and technique for a labral-based ACR using a semitendinosus allograft for large-to-massive rotator cuff defects without needing a Neviaser portal.
对于大的后上肩袖撕裂伴不可修复的合并脊上肌和部分脊下肌撕裂,采用同种异体肌腱进行前索重建(ACR)可以恢复良好的稳定性,减少肩峰下接触压力,而不限制运动。ACR最初使用刚性关节盂颈锚进行,但使用无结全缝合软锚进行关节盂缘固定可以提高技术效率。本技术说明描述了在不需要Neviaser门静脉的情况下,使用同种异体半腱肌移植术治疗大到大面积肩袖缺损的唇基ACR的手术指征和技术。
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引用次数: 0
Direct Arthroscopic Visualization of Anterior Cruciate Ligament Femoral Cortical Button Using Guide Pin Sleeve Technique to Confirm Appropriate Flipping Inside the Knee Joint 直接关节镜下应用导针套筒技术观察前交叉韧带股骨皮质扣以确定膝关节内适当翻转
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103978
Keisho Ryu M.D., Ph.D. , Shoutaro Arakawa M.D., Ph.D. , Ryosuke Denda M.D. , Mitsuru Saito M.D., Ph.D.
The anterior cruciate ligament (ACL) TightRope RT/BTB (Arthrex, Naples, FL) is an adjustable-loop device with a button used in ACL reconstruction. Malposition of the ACL TightRope RT/BTB button (3.5 mm × 13 mm) can be a complication. We describe a safe and simple method using the 2.4-mm guide pin sleeve from the RetroConstruction drill guide set (Arthrex), with direct arthroscopic visualization, to prevent the ACL TightRope RT/BTB button from over-running and flipping outside the joint. The key points of this method are as follows: First, the soft tissue around the guide pin used to create the femoral tunnel is carefully dissected under arthroscopy. Second, the graft is gently advanced into the femoral socket until the button is nearly entering the guide pin’s hole. Third, the blue passing suture from the iliotibial band portal is guided into the 2.4-mm guide pin sleeve, and the sleeve’s tip is then advanced into the joint. Next, the graft is pulled upward until the button contacts the tip of the sleeve. Finally, the tibial-side strands of the graft are pulled distally so that the button seats just above the lateral femoral cortex. This technique can help facilitate the use of all adjustable-loop devices.
前交叉韧带(ACL) TightRope RT/BTB (Arthrex, Naples, FL)是一种带按钮的可调节环装置,用于ACL重建。ACL TightRope RT/BTB按钮(3.5 mm × 13 mm)错位可成为并发症。我们描述了一种安全简单的方法,使用RetroConstruction钻头导向装置(Arthrex)的2.4 mm导向销套,在直接关节镜下观察,以防止ACL TightRope RT/BTB按钮在关节外过度移动和翻转。该方法的要点如下:首先,在关节镜下仔细解剖用于创建股骨隧道的导针周围的软组织。其次,将移植物缓慢推进股窝,直到钮扣几乎进入导针孔。第三,将髂胫束门静脉的蓝色通过缝线导入2.4 mm导针套中,然后将导针套的尖端推进到关节中。接下来,将移植物向上拉,直到钮扣接触袖尖。最后,将移植物胫骨侧的股束向远端牵拉,使钮扣位于股外侧皮质的正上方。这种技术可以帮助促进所有可调回路装置的使用。
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引用次数: 0
Hybrid Tie-Grip Suture Repair for Isolated Radial Tears in the Middle Segment of the Lateral Meniscus 外半月板中段孤立桡骨撕裂的复合扎握缝合线修复
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103983
Ryohei Uchida M.D., Ph.D. , Shuji Horibe M.D., Ph.D. , Tomoki Ohori M.D., Ph.D. , Toshitaka Tsunematu M.D., Ph.D. , Hiroyuki Tanaka M.D., Ph.D. , Seiji Okada M.D., Ph.D. , Ryo Iuchi M.D., Ph.D.
Radial tears in the middle segment are the most common type of traumatic lateral meniscus injury in young athletes with stable knees. Conventionally, meniscectomy was the first-line treatment for this type of tear, but it did not prevent degenerative changes or decreases in meniscal function. Therefore, several studies have reported meniscal repair of radial tears in the middle segment of the lateral meniscus (RTMLMs) involving the vascular zone as an alternative treatment option. However, this type of tear had low healing potential. Regardless of repair technique, complete healing rates on second-look arthroscopy after repair of isolated RTMLMs were still low. Therefore, a hybrid suture repair technique, combining all-inside suture and inside-out repair techniques, is considered more suitable for isolated RTMLMs than conventional repair techniques. This technical note describes procedures and benefits of hybrid tie-grip suture repair techniques for RTMLMs.
桡骨中段撕裂是膝关节稳定的年轻运动员最常见的外伤性外侧半月板损伤。传统上,半月板切除术是这种撕裂的一线治疗方法,但它并不能防止半月板功能的退行性改变或下降。因此,一些研究报道了外侧半月板中段(RTMLMs)损伤血管带的径向撕裂的半月板修复作为一种替代治疗选择。然而,这种类型的撕裂具有较低的愈合潜力。无论采用何种修复技术,孤立性RTMLMs修复后的二次关节镜完全愈合率仍然很低。因此,混合缝合修复技术,结合全内缝合和由内到外修复技术,被认为比传统的修复技术更适合分离的rtmlm。本技术说明描述了RTMLMs的混合扎夹缝合修复技术的程序和优点。
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引用次数: 0
Bidirectional Tendon Strip: A Rectus Femoris Graft Harvesting Technique for Anterior Cruciate Ligament Reconstruction 双向肌腱条带:股直肌移植收获技术用于前交叉韧带重建
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103916
Jia Ying Lee M.B.B.S., M.R.C.S., M.Med.(Singapore) , Jun Wei Soong M.B.B.S., M.Med., F.R.C.S.(Orth) , Deborah Huang M.Med., F.R.C.S.(Orth) , Paul Chang M.B.B.S., F.R.C.S. (Edin), F.A.M.S. , Ting Cong M.D. , Matthieu Ollivier M.D., Ph.D. , Zi Yang Chia M.B.B.S., M.Med., F.R.C.S.(Orth)
In recent years, alternative graft options for anterior cruciate ligament (ACL) reconstruction have gained attention, with the quadriceps tendon and rectus femoris (RF) favored for their biomechanical robustness and biological integration potential. However, traditional retrograde techniques harvesting from the patellar insertion pose technical challenges. These include poor visualization, tight overlying soft tissues and condensation of the quadriceps tendons at the suprapatellar region, and increased risk of capsular breach and donor-site morbidity. We describe the bidirectional tendon strip technique, in which retrograde harvesting is initiated 8 cm proximal to the superior pole of the patella with an open stripper. This point allows for consistent identification of tendon width and depth with minimal dissection. We then proceed to harvest distally with a cylindrical tendon corer. This approach enables controlled graft harvesting with predictable thickness and length for a broad range of reconstructions, including ACL reconstruction with various lateral stabilization techniques and PCL reconstruction. The bidirectional tendon strip technique represents a refined, reproducible approach for RF tendon harvest in ACL reconstruction. It integrates the anatomic consistency and strength of the RF with a minimally invasive strategy that minimizes morbidity and optimizes graft characteristics.
近年来,前交叉韧带(ACL)重建的替代移植物选择得到了关注,股四头肌肌腱和股直肌(RF)因其生物力学稳健性和生物整合潜力而受到青睐。然而,传统的从髌骨止点逆行采集技术存在技术挑战。这些包括视觉不良、覆盖软组织紧致和髌上区域股四头肌肌腱缩合,以及囊破裂和供体部位发病的风险增加。我们描述了双向肌腱剥离技术,其中使用开放式剥离器在髌骨上极近端8厘米处开始逆行收获。这一点允许在最小剥离的情况下一致地识别肌腱的宽度和深度。然后我们用一个圆柱形肌腱盖进行远端摘取。这种方法可以控制移植物的收获,并具有可预测的厚度和长度,适用于广泛的重建,包括采用各种横向稳定技术的ACL重建和PCL重建。双向肌腱条带技术是ACL重建中射频肌腱收获的一种精细、可重复的方法。它将RF的解剖一致性和强度与微创策略相结合,将发病率降至最低,并优化移植物特性。
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引用次数: 0
Arthroscopic Excision of the Juxta-Articular Osteoid Osteoma From the Calcaneus at the Sinus Tarsi 跗窦跟骨关节旁骨样骨瘤的关节镜切除
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103960
Mikołaj Wróbel M.D., Marta Kubisa M.D., Katarzyna Zielińska M.D., Monika Dorocińska M.D.
Osteoid osteoma (OO) is a benign bone tumor that can rarely occur in the sinus tarsi, where its nonspecific symptoms may lead to delayed or incorrect diagnosis. When identified in this location, arthroscopic excision offers a minimally invasive and precise approach for management, although reports of its use remain limited. When OO is suspected in the sinus tarsi, based on clinical findings and confirmed through imaging, arthroscopic resection may be considered. Using standard anterior ankle portals, the surgeon can access and excise the lesion with minimal disruption to surrounding structures. Histological confirmation should be obtained, and thorough debridement of the nidus is essential to prevent recurrence. Arthroscopic excision of osteoid osteoma in the sinus tarsi is a safe and effective technique that facilitates accurate lesion removal while preserving adjacent anatomy. This method serves as a viable alternative to open excision or radio frequency ablation in appropriate cases.
骨样骨瘤(OO)是一种良性骨肿瘤,很少发生在鼻窦,其非特异性症状可能导致诊断延迟或错误。当确定在这个位置时,关节镜切除提供了一种微创和精确的治疗方法,尽管其使用的报道仍然有限。当怀疑鼻窦有OO时,根据临床表现并经影像学证实,可考虑关节镜切除。使用标准的踝关节前门静脉,外科医生可以进入并切除病变,对周围结构的破坏最小。应获得组织学证实,彻底清创病灶是防止复发的必要条件。关节镜下切除跗骨窦骨样骨瘤是一种安全有效的技术,可以在保留邻近解剖结构的同时准确切除病变。在适当的情况下,该方法可作为开放切除或射频消融的可行替代方法。
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引用次数: 0
Glenoid Exposure for Anatomic Shoulder Arthroplasty in the Setting of Previous Latarjet Procedure 解剖性肩关节置换术中关节盂暴露与先前Latarjet手术的关系
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103942
Jawaher Alkhateeb M.D. , Charlotte Langley B.Sc. , Andrew Trenholm M.D., M.Sc., F.A.A.O.S., F.R.C.S.C. , Ivan Wong M.D., F.R.C.S.(C), M.A.C.M., F.A.A.N.A.
Performing arthroplasty on shoulders that have previously undergone a Latarjet procedure is challenging. The alterations in surgical landmarks, anatomic planes, and extensive scarring complicate the surgical dissection and obscure glenoid exposure. This article describes a stepwise approach to glenoid exposure and preparation for anatomic total shoulder arthroplasty in the context of a prior Latarjet procedure. We provide a visual demonstration of the altered tissue planes, as well as the close proximity of neurovascular structures relative to the transferred bone block, and further discuss the technical difficulties in removing the Latarjet screws.
在先前接受过Latarjet手术的肩膀上进行关节置换术是具有挑战性的。手术标志、解剖平面的改变和广泛的疤痕使手术解剖和关节盂暴露变得复杂。这篇文章描述了在先前Latarjet手术的背景下,肩胛盂暴露和解剖性全肩关节置换术准备的逐步方法。我们提供了改变的组织平面的视觉演示,以及相对于转移的骨块的神经血管结构的接近,并进一步讨论了拆除Latarjet螺钉的技术难点。
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引用次数: 0
Soft Tissue Quadriceps Tendon Autograft Harvest Technique With Determination of Proper Graft Length for Anterior Cruciate Ligament Reconstruction 自体软组织股四头肌肌腱摘取技术及确定前交叉韧带重建的合适移植物长度
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103923
Benjamin J. Levy M.D. , Noah C. Stevens B.S. , Joshua L. Stich B.S. , Rodney Y. Arthur M.D. , Andrew E. Jimenez M.D. , Nathan L. Grimm M.D.
The quadriceps tendon has been shown to be a reliable and versatile graft choice for anterior cruciate ligament reconstruction. Although reconstruction with quadriceps graft allows for several advantages, excellent outcomes, and choice of harvest length, there remain technical challenges in utilization. Graft mismatch, although less commonly described with quadriceps graft than patella tendon, remains a point of emphasis, with surgeon concerns of “bottoming out” grafts or having grafts that are too short. As such, we present a simple, reproducible technique for achieving ideal graft length for quadriceps tendon autograft anterior cruciate ligament reconstruction based on patient’s height.
股四头肌肌腱已被证明是前交叉韧带重建的可靠和通用的移植物选择。虽然股四头肌移植物重建有几个优点,效果好,可选择收获长度,但在应用上仍存在技术挑战。尽管与髌骨肌腱相比,股四头肌移植物不匹配的描述较少,但仍然是一个重点,外科医生担心“触底”移植物或移植物太短。因此,我们提出了一种简单、可重复的技术,以实现基于患者身高的自体股四头肌腱前交叉韧带重建的理想移植物长度。
{"title":"Soft Tissue Quadriceps Tendon Autograft Harvest Technique With Determination of Proper Graft Length for Anterior Cruciate Ligament Reconstruction","authors":"Benjamin J. Levy M.D. ,&nbsp;Noah C. Stevens B.S. ,&nbsp;Joshua L. Stich B.S. ,&nbsp;Rodney Y. Arthur M.D. ,&nbsp;Andrew E. Jimenez M.D. ,&nbsp;Nathan L. Grimm M.D.","doi":"10.1016/j.eats.2025.103923","DOIUrl":"10.1016/j.eats.2025.103923","url":null,"abstract":"<div><div>The quadriceps tendon has been shown to be a reliable and versatile graft choice for anterior cruciate ligament reconstruction. Although reconstruction with quadriceps graft allows for several advantages, excellent outcomes, and choice of harvest length, there remain technical challenges in utilization. Graft mismatch, although less commonly described with quadriceps graft than patella tendon, remains a point of emphasis, with surgeon concerns of “bottoming out” grafts or having grafts that are too short. As such, we present a simple, reproducible technique for achieving ideal graft length for quadriceps tendon autograft anterior cruciate ligament reconstruction based on patient’s height.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103923"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814247","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}
引用次数: 0
Tips for Successful Posterolateral Corner Reconstruction Using a Single Looped Construct 成功使用单环结构重建后外侧角的技巧
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103930
Alexander P. Decilveo M.D. , Neil Patel M.D. , Allison Ariniello M.D. , Nils Calderón Tejerina M.D., Ph.D. , Joseph N. Liu M.D. , Bruce A. Levy M.D. , George F. Rick Hatch III M.D.
Several methods for posterolateral corner reconstruction (PLC-R) exist, both anatomic and nonanatomic. We present our PLC-R using a modified LaPrade technique. In our technique, a single continuous graft is used for all fixation points with the addition of an anterolateral ligament reconstruction and suture tape for anterolateral capsule reinforcement. In this technical note, tips for successful PLC-R are described in detail using this single continuous looped construct.
有几种后外侧角重建(PLC-R)的方法,包括解剖和非解剖。我们使用改进的LaPrade技术展示PLC-R。在我们的技术中,单个连续移植物用于所有固定点,外加前外侧韧带重建和缝合带用于前外侧囊加固。在本技术说明中,使用此单个连续循环结构详细描述了成功的PLC-R的技巧。
{"title":"Tips for Successful Posterolateral Corner Reconstruction Using a Single Looped Construct","authors":"Alexander P. Decilveo M.D. ,&nbsp;Neil Patel M.D. ,&nbsp;Allison Ariniello M.D. ,&nbsp;Nils Calderón Tejerina M.D., Ph.D. ,&nbsp;Joseph N. Liu M.D. ,&nbsp;Bruce A. Levy M.D. ,&nbsp;George F. Rick Hatch III M.D.","doi":"10.1016/j.eats.2025.103930","DOIUrl":"10.1016/j.eats.2025.103930","url":null,"abstract":"<div><div>Several methods for posterolateral corner reconstruction (PLC-R) exist, both anatomic and nonanatomic. We present our PLC-R using a modified LaPrade technique. In our technique, a single continuous graft is used for all fixation points with the addition of an anterolateral ligament reconstruction and suture tape for anterolateral capsule reinforcement. In this technical note, tips for successful PLC-R are described in detail using this single continuous looped construct.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103930"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814252","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}
引用次数: 0
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Arthroscopy Techniques
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