Arthroscopy Techniques最新文献

英文中文

Arthroscopic Anatomical Glenoid Reconstruction Using Iliac Crest Autograft With Double End-Button Fixation Technique 关节镜下自体髂骨移植双端扣固定技术重建关节盂

IF 1.1 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103966

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.

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.

关节镜解剖盂骨重建越来越被认为是一种有效的手术技术，用于解决与肩部不稳定相关的盂骨丢失。本技术说明提供了关节镜下解剖性关节盂重建的分步指南，该关节镜下解剖性关节盂重建采用双TightRope端扣固定髂骨自体移植物（Arthrex, Naples， FL）。手术通过3个关节镜入口进行：前下、前上和后。关节盂下表面的骨隧道是用关节盂外钻孔器（Arthrex）创建的。从同侧髂骨上取长20毫米，宽10毫米的自体三皮层移植物。在移植物中准备两个骨隧道，以容纳2个TightRope和DogBone结构（Arthrex）。移植物通过延伸的前下门静脉，穿过部分剥离的旋转肌间隙，同时保留肩胛下肌腱的完整性。然后使用双TightRope端扣固定，将其牢固地固定在盂前缘，并在盂后缘放置2个DogBones。手术过程以Bankart修复完成，完全覆盖移植物。这种全关节镜技术具有以下优点，包括微创、避免与硬件相关的并发症、保持肩胛下肌腱的完整性以及可靠的骨移植物与髂骨自体移植物愈合。

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引用次数: 0

Transosseous-Equivalent Double-Row Suture Anchor Technique for Proximal Hamstring Avulsion Injury 经骨等效双排缝合锚钉技术治疗近端腘绳肌撕脱伤

IF 1.1 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2025-12-01 DOI: 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.

近端腘绳肌腱断裂是运动人群中的重要损伤，通常是由于高速跑步时的偏心负荷或膝关节伸展时的髋关节屈曲造成的。如果治疗不当，这些损伤会导致功能损伤和恢复期延长。我们提出了一种使用SpeedBridge结构进行近端腘绳肌修复的综合方法。

引用次数: 0

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

Arthroscopy Techniques

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。

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

Arthroscopy Techniques

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。

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

Arthroscopy Techniques

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。

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

Arthroscopy Techniques

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

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

Arthroscopy Techniques

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。

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

Arthroscopy Techniques

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。

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

Arthroscopy Techniques

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。

引用次数: 0

Optimized Surgical Positioning Using an L-Shaped Support for Arthroscopic Repair of Lateral Meniscus Tears 应用l型支架优化手术定位在关节镜下修复外侧半月板撕裂

IF 1.1 Q3 ORTHOPEDICS

Arthroscopy Techniques

Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103944

Jose Leonardo Rocha de Faria M.D., M.Sc. Ph.D. , Camilo Partezani Helito M.D., Ph.D. , Charlie H. Brown M.D.

Traumatic lateral meniscal injuries are associated with an increased risk of knee joint degeneration and osteoarthritis. Meniscal preservation through surgical repair is crucial for maintaining knee joint biomechanics. This is especially true for the lateral meniscus, given its unique anatomical and biomechanical properties. Visualization of the lateral compartment during arthroscopy is critical to access the lateral meniscus tear pattern and to determine its suitability for repair. Distraction of the lateral compartment during surgical repair of the lateral meniscus is also important to avoid iatrogenic injury to the articular cartilage. This Technical Note describes a simple surgical positioning technique to improve visualization and opening of the lateral compartment using an L-shaped support commonly used in total knee arthroplasties. The proposed method significantly improves exposure of the lateral femorotibial compartment, reducing the need for manual assistance and facilitating surgical repair, particularly in bucket-handle tears of the lateral meniscus. In addition, we discuss biomechanical considerations, surgical outcomes, and techniques to optimize lateral meniscus repair, emphasizing the benefits of inside-out and outside-in sutures. The described positioning technique and repair strategies potentially enhance surgical outcomes and long-term joint preservation.

外伤性外侧半月板损伤与膝关节退变和骨关节炎的风险增加有关。手术修复保存半月板是维持膝关节生物力学的关键。鉴于外侧半月板独特的解剖和生物力学特性，这一点尤其适用于外侧半月板。关节镜下观察外侧腔室对于观察外侧半月板撕裂模式和确定其是否适合修复至关重要。在手术修复外侧半月板时，外侧隔室的撑开对于避免医源性关节软骨损伤也很重要。本技术说明介绍了一种简单的手术定位技术，使用l型支架改善外侧腔室的可视性和开放性，这种支架通常用于全膝关节置换术。该方法显著改善了股胫外侧腔室的暴露，减少了人工辅助的需要，便于手术修复，特别是外侧半月板的桶柄撕裂。此外，我们还讨论了优化外侧半月板修复的生物力学考虑、手术结果和技术，强调了由内而外和由外而内缝合的好处。所描述的定位技术和修复策略有可能提高手术效果和长期关节保护。

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