Pub Date : 2025-12-01DOI: 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.
{"title":"Gluteus Maximus-Tensor Fascia Lata Transfer With Double-Row Repair and Bioinductive Scaffold Augmentation for Chronic Abductor Tendon Tears","authors":"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.","doi":"10.1016/j.eats.2025.103981","DOIUrl":"10.1016/j.eats.2025.103981","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103981"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814230","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.2025.103946
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.
{"title":"Arthroscopic-Assisted Open Excision of an Infrapatellar Tendon Osgood-Schlatter’s Bony Ossicle","authors":"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.","doi":"10.1016/j.eats.2025.103946","DOIUrl":"10.1016/j.eats.2025.103946","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103946"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814254","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.2025.103907
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.
{"title":"Semitendinosus Allograft Anterior Cable Reconstruction for Irreparable Rotator Cuff Tears Utilizing the Superior Glenoid Margin for Glenoid Fixation","authors":"Victor T. Hung M.D. , Maxwell C. Park M.D.","doi":"10.1016/j.eats.2025.103907","DOIUrl":"10.1016/j.eats.2025.103907","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103907"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814383","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}
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.
{"title":"Direct Arthroscopic Visualization of Anterior Cruciate Ligament Femoral Cortical Button Using Guide Pin Sleeve Technique to Confirm Appropriate Flipping Inside the Knee Joint","authors":"Keisho Ryu M.D., Ph.D. , Shoutaro Arakawa M.D., Ph.D. , Ryosuke Denda M.D. , Mitsuru Saito M.D., Ph.D.","doi":"10.1016/j.eats.2025.103978","DOIUrl":"10.1016/j.eats.2025.103978","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103978"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814386","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}
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.
{"title":"Hybrid Tie-Grip Suture Repair for Isolated Radial Tears in the Middle Segment of the Lateral Meniscus","authors":"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.","doi":"10.1016/j.eats.2025.103983","DOIUrl":"10.1016/j.eats.2025.103983","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103983"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814087","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.2025.103916
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.
{"title":"Bidirectional Tendon Strip: A Rectus Femoris Graft Harvesting Technique for Anterior Cruciate Ligament Reconstruction","authors":"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)","doi":"10.1016/j.eats.2025.103916","DOIUrl":"10.1016/j.eats.2025.103916","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103916"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814191","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.2025.103960
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.
{"title":"Arthroscopic Excision of the Juxta-Articular Osteoid Osteoma From the Calcaneus at the Sinus Tarsi","authors":"Mikołaj Wróbel M.D., Marta Kubisa M.D., Katarzyna Zielińska M.D., Monika Dorocińska M.D.","doi":"10.1016/j.eats.2025.103960","DOIUrl":"10.1016/j.eats.2025.103960","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103960"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814095","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.2025.103942
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.
{"title":"Glenoid Exposure for Anatomic Shoulder Arthroplasty in the Setting of Previous Latarjet Procedure","authors":"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.","doi":"10.1016/j.eats.2025.103942","DOIUrl":"10.1016/j.eats.2025.103942","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103942"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814215","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.2025.103923
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.
{"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. , 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.","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}
Pub Date : 2025-12-01DOI: 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.
{"title":"Tips for Successful Posterolateral Corner Reconstruction Using a Single Looped Construct","authors":"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.","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}