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WITHDRAWN: Thermal Modalities Including Hot Baths and Cold Plunges Play a Unique Role in Injury Prevention and Recovery 撤回:热方式包括热浴和冷浴在伤害预防和恢复中发挥独特的作用
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2024.103305
Kiera L. Vrindten M.B.S. , Danielle P. Lonati B.A. , Jillian L. Mazzocca B.A. , Elizabeth G. Matzkin M.D.
This article has been withdrawn from Arthroscopy Techniques due to an error on the part of the Publisher. The article was intended for publication in Arthroscopy, Medicine, and Rehabilitation (where it is still published DOI: https://doi.org/10.1016/j.asmr.2025.101143) but was mistakenly also published in Arthroscopy Techniques. The Publisher apologizes for any inconvenience this may cause and would also like to make clear that there was no fault on the part of the article's author, and no fault with the article itself. The withdrawal has taken place simply to ensure that the publication record is correct.
The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/policies-and-standards/article-withdrawal
由于出版商的错误,这篇文章已经从《关节镜技术》杂志上撤下。这篇文章原本打算发表在《关节镜、医学和康复》杂志上(DOI: https://doi.org/10.1016/j.asmr.2025.101143),但却错误地发表在《关节镜技术》杂志上。出版商对由此可能造成的任何不便表示歉意,并希望澄清,这不是文章作者的过错,也不是文章本身的过错。撤回只是为了确保出版记录的正确性。完整的爱思唯尔文章撤回政策可在https://www.elsevier.com/about/policies-and-standards/article-withdrawal找到
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引用次数: 0
Arthroscopic Fixation of Acute Bony Bankart Fractures Using Circumferential Suture Cerclage With a Transglenoid Technique 关节镜下经关节盂技术环缝环扎治疗急性骨班克特骨折
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103905
Tyson J. Kauffman B.S. , Daniel J. Liechti M.D. , Daniel J. Shubert M.D. , Kevin H. Shepet M.D.
Bony Bankart anterior glenoid rim fractures typically result from traumatic anterior shoulder instability. Management options include nonoperative treatment, open reduction and internal fixation, and arthroscopic fixation. Treatment selection varies based on fracture size, displacement, comminution, and chronicity, as well as patient-specific factors. Arthroscopic fixation has shown similar functional outcomes with lower morbidity when compared with open techniques. The purpose of this technical note is to describe a reproducible arthroscopic technique for anterior glenoid fracture reduction and fixation using a suture cerclage construct. This method uses metal-free, robust suture cerclage fixation to capture and reduce the fracture via guided bone tunnels.
骨班卡特前盂缘骨折通常是由外伤性前肩不稳引起的。治疗方案包括非手术治疗、切开复位内固定和关节镜固定。治疗方法的选择取决于骨折的大小、移位、粉碎程度和慢性程度,以及患者的具体因素。与开放式技术相比,关节镜内固定显示出相似的功能结果,且发病率更低。本技术说明的目的是描述一种可重复的关节镜技术,用于前盂骨折复位和使用缝合环扣结构固定。该方法采用无金属、坚固的缝合环扣固定,通过引导骨隧道捕获并减少骨折。
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引用次数: 0
Arthroscopic Circumferential Lateral Meniscus Reconstruction Using Pull-Through Technique and Anterior Half Peroneal Longus Tendon Autograft 关节镜下应用拉穿技术及自体腓长肌前半段肌腱重建半月板
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103964
Junming Wan M.D.
Total meniscectomy for irreparable meniscal tears results in kinematics of the lower limb and early osteoarthritis of the knee. Some strategies for reconstruction of the meniscus include meniscus allograft transplantation and meniscal scaffold replacement. Although meniscus allograft transplantation is widely used, it has limitations such as the graft sources, high costs, and high risk of disease transmission. The research on meniscal scaffold replacement is still in the animal experimental stage, and there is a lack of large-scale clinical trial data. In this Technical Note, the lateral meniscus is reconstructed by using the pull-out technique with anterior half autologous peroneal longus tendon. This technique provides a simple and efficient method for the reconstruction of the total meniscus.
全半月板切除术治疗不可修复的半月板撕裂导致下肢运动学和早期膝关节骨关节炎。半月板重建的策略包括同种异体半月板移植和半月板支架置换术。同种异体半月板移植虽被广泛应用,但存在移植物来源、费用高、疾病传播风险高等局限性。半月板支架置换术的研究尚处于动物实验阶段,缺乏大规模的临床试验数据。在这个技术笔记中,外侧半月板是通过使用前半自体腓长肌腱的拔出技术重建的。该技术为全半月板的重建提供了一种简单有效的方法。
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引用次数: 0
Arthroscopic Medial Meniscus Replacement Using a Peroneus Longus Autograft: Surgical Technique 关节镜下自体腓骨长肌置换术:手术技术
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103958
Erdinç Genç M.D. , Emin Can Balcı M.D. , Okan Tezgel M.D. , Mehmet Kürşat Yılmaz M.D.
Medial meniscus deficiency is associated with progressive joint degeneration and impaired load distribution in the knee. While meniscus allograft transplantation is an established treatment for young and active patients, its accessibility is limited in many regions. This technical note describes a reproducible arthroscopic technique for medial meniscus replacement using an autograft harvested from the peroneus longus tendon. After subtotal meniscectomy, tibial tunnels are created at the native root attachment sites, and the graft is shaped and passed through the posterior tunnel. The graft is secured with an all-inside suture device and tensioned anteriorly. This method provides a biologically compatible and cost-effective alternative for meniscal reconstruction in patients without access to allograft tissue.
内侧半月板缺陷与进行性关节退变和膝关节负荷分布受损有关。虽然同种异体半月板移植是一种成熟的治疗年轻和活跃的患者,其可及性在许多地区是有限的。本技术说明描述了一种可重复的关节镜技术,使用腓长肌腱自体移植物进行内侧半月板置换术。半月板次全切除术后,在原根附着处建立胫骨隧道,植骨成形并通过后隧道。移植物用全内缝合装置固定,并在前张紧。这种方法为无法获得同种异体移植组织的半月板重建患者提供了一种生物相容性和成本效益高的替代方法。
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引用次数: 0
Medial Patellofemoral Complex Reconstruction Using the Rectus Femoris Tendon 利用股直肌肌腱重建内侧髌股复合体
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103971
Anshu Shekhar M.S. , Sachin Tapasvi M.S., D.N.B., F.R.C.S. , Camilo Helito M.D., Ph.D.
The medial proximal static stabilizers of the patella are the medial patellofemoral ligament (MPFL) and the medial quadriceps tendon femoral ligament. These are collectively referred to as the “medial patellofemoral complex” (MPFC). MPFL reconstruction is the workhorse of patellar stabilization surgery for recurrent lateral instability. We describe a technique for reconstructing the MPFC using the ipsilateral rectus tendon. The tendon is harvested via a curved superomedial incision using an open stripper, preserving its distal attachment. The tendon is prepared, flipped, and passed in the sub-vastus space toward the medial femoral epicondyle. A small longitudinal incision is used to retrieve the tendon. The anatomic attachment of the MPFC is identified using both palpatory and radiographic landmarks. A 25-mm-long loop of tendon is sutured and docked within a socket of the same diameter. Fixation is performed using a 7 × 25-mm interference screw with the knee in 20° of flexion and lateral patellar glide. This limb reconstructs the medial quadriceps tendon femoral ligament component. The rest of the tendon is shuttled back to the superomedial patella in the previous tissue plane and fixed at the junction of the proximal and middle thirds of the patella using a 2.8-mm suture anchor. This limb reconstructs the MPFL.
髌骨的内侧近端静态稳定器是内侧髌股韧带(MPFL)和内侧股四头肌肌腱股韧带。这些被统称为“内侧髌股复合体”(MPFC)。MPFL重建是髌骨稳定手术治疗复发性外侧不稳的主要方法。我们描述了一种利用同侧直肌肌腱重建MPFC的技术。使用开放剥离器通过弯曲的上内侧切口切除肌腱,保留其远端附着。将肌腱准备好,翻转,并在股亚间隙向股内上髁方向通过。一个小的纵向切口用于恢复肌腱。MPFC的解剖附著是通过触诊和x线标志来确定的。一个25毫米长的肌腱环被缝合并停靠在相同直径的窝内。使用7 × 25毫米干涉螺钉固定膝关节,膝关节屈曲20°,髌骨外侧滑动。该肢体重建股四头肌内侧肌腱股韧带组成部分。其余肌腱在前一个组织平面上穿梭回到髌骨上内侧,并使用2.8 mm缝合锚钉固定在髌骨近端和中三分之一的交界处。这条肢体重建了强外行。
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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
Anterior Cruciate Ligament With Anterolateral Ligament Reconstruction Using Hamstring Autograft With Preserved Distal Attachment 保留远端附着体的自体腘绳肌腱前交叉韧带重建
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103580
Mohammed Aquib Shakeel M.S., D.N.B., Vadhiraj Krishna Janardhan Balla D.N.B., Rakshith A. G M.S., D.N.B., Rajkumar S. Amaravathi D.N.B., Atul John M.S., Madan Mohan M M.S.
Despite advances in surgical techniques for anterior cruciate ligament (ACL) reconstruction, rotational instability has been seen in some patients postoperatively. Recently, authors have reported the anatomic and functional characteristics of the anterolateral ligament (ALL)—a structure that originates near the lateral epicondyle on the femur and inserts on the tibia between the Gerdy tubercle and the fibular head. The ALL is an important stabilizer against anterolateral tibial rotation per recent biomechanical studies, and excellent initial clinical results have been shown with its reconstruction. Several techniques have been developed to try to anatomically address this structure in the setting of ACL reconstruction. This article details a simple anatomic technique to reconstruct the ACL and ALL of the knee using hamstring tendon autograft while retaining the semitendinosus and gracilis insertion on the tibia.
尽管前交叉韧带(ACL)重建的手术技术有所进步,但一些患者术后出现旋转不稳定。最近,作者报道了前外侧韧带(ALL)的解剖和功能特征,这是一种起源于股骨外侧上髁附近并插入胫骨Gerdy结节和腓骨头之间的结构。根据最近的生物力学研究,ALL是一种重要的胫骨前外侧旋转稳定剂,其重建已显示出良好的初步临床结果。在前交叉韧带重建的背景下,已经发展了几种技术,试图从解剖学上解决这种结构。本文详细介绍了一种简单的解剖技术,在保留胫骨半腱肌和股薄肌止点的情况下,利用腘绳肌腱自体移植物重建膝关节前交叉韧带和ALL。
{"title":"Anterior Cruciate Ligament With Anterolateral Ligament Reconstruction Using Hamstring Autograft With Preserved Distal Attachment","authors":"Mohammed Aquib Shakeel M.S., D.N.B.,&nbsp;Vadhiraj Krishna Janardhan Balla D.N.B.,&nbsp;Rakshith A. G M.S., D.N.B.,&nbsp;Rajkumar S. Amaravathi D.N.B.,&nbsp;Atul John M.S.,&nbsp;Madan Mohan M M.S.","doi":"10.1016/j.eats.2025.103580","DOIUrl":"10.1016/j.eats.2025.103580","url":null,"abstract":"<div><div>Despite advances in surgical techniques for anterior cruciate ligament (ACL) reconstruction, rotational instability has been seen in some patients postoperatively. Recently, authors have reported the anatomic and functional characteristics of the anterolateral ligament (ALL)—a structure that originates near the lateral epicondyle on the femur and inserts on the tibia between the Gerdy tubercle and the fibular head. The ALL is an important stabilizer against anterolateral tibial rotation per recent biomechanical studies, and excellent initial clinical results have been shown with its reconstruction. Several techniques have been developed to try to anatomically address this structure in the setting of ACL reconstruction. This article details a simple anatomic technique to reconstruct the ACL and ALL of the knee using hamstring tendon autograft while retaining the semitendinosus and gracilis insertion on the tibia.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103580"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814091","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
Arthroscopically Assisted Double-Bundle Reconstruction Technique for Medial Patellofemoral Ligament 关节镜辅助下髌股内侧韧带双束重建技术
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103898
Shixin Nie M.D., Ph.D., Chengjie Lian M.D., Ph.D., Pei Zhao M.D., Ph.D., Zhi Chen M.D., Ph.D., Zhengru Wu M.D., Hua Zhang M.D., Ph.D.
Recurrent patellar dislocation, often caused by medial patellofemoral ligament (MPFL) injury, is commonly treated with MPFL reconstruction. Traditional open techniques are invasive, whereas arthroscopic single-bundle methods may not fully restore native ligament anatomy. This Technical Note presents an improved arthroscopic double-bundle MPFL reconstruction technique featuring (1) dual-anchor patellar fixation for anatomical restoration; (2) fluoroscopy-free femoral tunnel placement (12 mm distal and 6 mm posterior to adductor tubercle); and (3) real-time graft isometry testing to ensure optimal tension. The technique provides biomechanical stability while minimizing invasiveness. Although promising, long-term outcomes require further study, and the procedure demands surgical expertise.
复发性髌骨脱位通常由内侧髌股韧带(MPFL)损伤引起,通常采用髌股韧带重建治疗。传统的开放技术是侵入性的,而关节镜下的单束方法可能无法完全恢复原始韧带解剖结构。本技术报告介绍了一种改进的关节镜双束强韧带重建技术,其特点是:(1)双锚定髌骨固定用于解剖修复;(2)无需透视的股骨隧道置入(距内收肌结节远端12 mm,后侧6 mm);(3)实时接枝等距测试,确保最佳张力。该技术提供了生物力学稳定性,同时将侵入性降到最低。虽然前景看好,但长期效果需要进一步研究,而且手术需要外科专业知识。
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引用次数: 0
Arthroscopic Centralization During Meniscal Allograft Transplantation 半月板同种异体移植的关节镜定位
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103980
Saagar Dhanjani B.A. , Tim Wang M.D.
Pathologic extrusion of the meniscus, defined as displacement of more than 3 mm beyond the tibial plateau border, can disrupt tibiofemoral contact mechanics by reducing hoop strain resistance and increasing articular cartilage contact pressure. Meniscal extrusion following meniscal allograft transplantation is well documented, with studies reporting extrusion rates of over 40%. This Technical Note aims to describe the centralization of a meniscus allograft during transplantation.
半月板的病理性挤压,定义为超过胫骨平台边界3mm的位移,可以通过降低环应变阻力和增加关节软骨接触压力来破坏胫股接触力学。同种异体半月板移植后的半月板挤压有很好的文献记载,研究报告挤压率超过40%。本技术说明旨在描述移植过程中半月板移植的中心化。
{"title":"Arthroscopic Centralization During Meniscal Allograft Transplantation","authors":"Saagar Dhanjani B.A. ,&nbsp;Tim Wang M.D.","doi":"10.1016/j.eats.2025.103980","DOIUrl":"10.1016/j.eats.2025.103980","url":null,"abstract":"<div><div>Pathologic extrusion of the meniscus, defined as displacement of more than 3 mm beyond the tibial plateau border, can disrupt tibiofemoral contact mechanics by reducing hoop strain resistance and increasing articular cartilage contact pressure. Meniscal extrusion following meniscal allograft transplantation is well documented, with studies reporting extrusion rates of over 40%. This Technical Note aims to describe the centralization of a meniscus allograft during transplantation.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103980"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814099","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
A 3-Dimensional-Printed Shoulder Simulator for Rotator Cuff Repair Training 用于肩袖修复训练的三维打印肩模拟器
IF 1.1 Q3 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1016/j.eats.2025.103955
Patrick A. Massey M.D., M.B.A., Payton Yerke Hansen M.D., Robert Rutz M.D., Wayne Scalisi M.D., Arjun Verma B.S., Giovanni F. Solitro Ph.D.
With advances in medical technology, the use and indications for arthroscopic procedures have expanded. Simulation training has been shown to directly translate to operative skills; however, high costs and limited funding impede access for many orthopaedic surgery resident physicians. This article introduces a low-cost, high-fidelity, highly adaptable, and anatomically accurate 3-dimensional-printed arthroscopic shoulder simulator that can improve access to arthroscopic training opportunities. This simulator was developed from computed tomography imaging of a cadaveric shoulder and designed with easily assembled, modular components that can simulate multiple shoulder pathologies. The authors show a double-row rotator cuff repair using the simulator. This procedure and others can be simulated with a rubber band, a glove, or a commercially available bone block.
随着医疗技术的进步,关节镜手术的用途和适应症已经扩大。模拟训练已被证明可以直接转化为操作技能;然而,高昂的费用和有限的资金阻碍了许多骨科住院医师的就诊。本文介绍了一种低成本,高保真度,高适应性,解剖精确的三维打印关节镜肩部模拟器,可以提高关节镜训练的机会。该模拟器是根据尸体肩部的计算机断层成像开发的,设计具有易于组装的模块化组件,可以模拟多种肩部病变。作者展示了使用模拟器进行双排肩袖修复。这个过程和其他过程可以用橡皮筋、手套或市售的骨块来模拟。
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引用次数: 0
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Arthroscopy Techniques
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