Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103959
Wei Ding M.M. , Shaohua Ding M.B. , Yamei Xu M.B. , Zheng Sun M.B. , Mingguang Bi M.M. , Jin Li M.B.
Intratendinous tears of the rotator cuff, a specific pattern of partial-thickness rotator cuff tears, are relatively common. Depending on the type of partial-thickness tear, surgeons may opt for debridement, acromioplasty, or repair (either conversion repair or in situ repair). However, there are only a few articles that focus specifically on the arthroscopic repair of intratendinous rotator cuff tears. Arthroscopic bursal-sided, transtendon, double-pulley repair is a practical surgical technique that aims to preserve the original structural integrity of the tendon. This method compresses the bursal-sided layer onto the bone, while minimizing the risk of tension mismatch between the articular and bursa sides. The procedure is relatively simple, as it does not require sutures to pass through the rotator cuff tendon itself. Additionally, it facilitates early rehabilitation and reduces the risk of postoperative stiffness.
{"title":"Arthroscopic Bursal-Sided Transtendon Double-Pulley Repair of Intratendinous Rotator Cuff Tears","authors":"Wei Ding M.M. , Shaohua Ding M.B. , Yamei Xu M.B. , Zheng Sun M.B. , Mingguang Bi M.M. , Jin Li M.B.","doi":"10.1016/j.eats.2025.103959","DOIUrl":"10.1016/j.eats.2025.103959","url":null,"abstract":"<div><div>Intratendinous tears of the rotator cuff, a specific pattern of partial-thickness rotator cuff tears, are relatively common. Depending on the type of partial-thickness tear, surgeons may opt for debridement, acromioplasty, or repair (either conversion repair or in situ repair). However, there are only a few articles that focus specifically on the arthroscopic repair of intratendinous rotator cuff tears. Arthroscopic bursal-sided, transtendon, double-pulley repair is a practical surgical technique that aims to preserve the original structural integrity of the tendon. This method compresses the bursal-sided layer onto the bone, while minimizing the risk of tension mismatch between the articular and bursa sides. The procedure is relatively simple, as it does not require sutures to pass through the rotator cuff tendon itself. Additionally, it facilitates early rehabilitation and reduces the risk of postoperative stiffness.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103959"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814151","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.2025.103911
Meng Wang B.M., Yiran Wang B.M., Hongyu Li B.M., Hangzhou Zhang M.D.
The posterior cruciate ligament (PCL) is the largest and strongest ligament of the knee, primarily functioning to restrict posterior tibial translation and serving as the main posterior stabilizer. However, posterior cruciate ligament reconstruction (PCLR) frequently is complicated by residual laxity and relatively high failure rates. Mesh has been widely used in clinical practice, and suture tape augmentation in PCLR has demonstrated favorable clinical outcomes. In addition, the combined transtibial tuberosity fixation significantly enhances fixation strength. In this Technical Note, we describe a PCLR technique incorporating mesh augmentation, suture augmentation, and the combined transtibial tuberosity fixation. This technique may reduce graft degeneration resulting from the “killer turn” and improve posterior knee stability.
{"title":"Single-Bundle Posterior Cruciate Ligament Reconstruction Using Autologous Hamstrings With Mesh and Suture Tape Augmentation With Transtibial Tubercle Fixation","authors":"Meng Wang B.M., Yiran Wang B.M., Hongyu Li B.M., Hangzhou Zhang M.D.","doi":"10.1016/j.eats.2025.103911","DOIUrl":"10.1016/j.eats.2025.103911","url":null,"abstract":"<div><div>The posterior cruciate ligament (PCL) is the largest and strongest ligament of the knee, primarily functioning to restrict posterior tibial translation and serving as the main posterior stabilizer. However, posterior cruciate ligament reconstruction (PCLR) frequently is complicated by residual laxity and relatively high failure rates. Mesh has been widely used in clinical practice, and suture tape augmentation in PCLR has demonstrated favorable clinical outcomes. In addition, the combined transtibial tuberosity fixation significantly enhances fixation strength. In this Technical Note, we describe a PCLR technique incorporating mesh augmentation, suture augmentation, and the combined transtibial tuberosity fixation. This technique may reduce graft degeneration resulting from the “killer turn” and improve posterior knee stability.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103911"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814190","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.2025.103922
Zirong Huang M.D., Wenhan Yang M.D., Yubo Niu M.Sc., Hanyu Yao Ph.D, Wenzhe Feng M.D., Yankan Ou M.D., Weimin Zhu M.D.,Ph.D.
Medial patellofemoral ligament injury is the primary stability barrier after patellar dislocation, with high recurrence rates with conservative treatment, making reconstruction surgery increasingly mainstream. This article describes an all-arthroscopic technique for medial patellofemoral ligament reconstruction using high-strength synthetic suture tape combined with suture anchors, eliminating the need for tendon harvesting. It involves anatomic localization of the patellar and femoral insertion sites, with appropriate tensioning and fixation at 30° of knee flexion to restore medial stability. This method shortens operative time and avoids donor-site complications (e.g. neurovascular injury, hematoma, and pain) and patellar fracture risks. Biomechanical studies show that the tensile strength of synthetic suture tape is comparable to that of autologous tendons, with clinical outcomes showing low recurrence rates and good functional recovery, making this method particularly suitable for children, patients with connective tissue disorders, or cases of multiple surgical failures. As a safe and efficient alternative, this technique warrants further clinical validation and implementation.
{"title":"All-Arthroscopic Reconstruction of the Medial Patellofemoral Ligament Using Artificial Ligament for Recurrent Patellar Dislocation","authors":"Zirong Huang M.D., Wenhan Yang M.D., Yubo Niu M.Sc., Hanyu Yao Ph.D, Wenzhe Feng M.D., Yankan Ou M.D., Weimin Zhu M.D.,Ph.D.","doi":"10.1016/j.eats.2025.103922","DOIUrl":"10.1016/j.eats.2025.103922","url":null,"abstract":"<div><div>Medial patellofemoral ligament injury is the primary stability barrier after patellar dislocation, with high recurrence rates with conservative treatment, making reconstruction surgery increasingly mainstream. This article describes an all-arthroscopic technique for medial patellofemoral ligament reconstruction using high-strength synthetic suture tape combined with suture anchors, eliminating the need for tendon harvesting. It involves anatomic localization of the patellar and femoral insertion sites, with appropriate tensioning and fixation at 30° of knee flexion to restore medial stability. This method shortens operative time and avoids donor-site complications (e.g. neurovascular injury, hematoma, and pain) and patellar fracture risks. Biomechanical studies show that the tensile strength of synthetic suture tape is comparable to that of autologous tendons, with clinical outcomes showing low recurrence rates and good functional recovery, making this method particularly suitable for children, patients with connective tissue disorders, or cases of multiple surgical failures. As a safe and efficient alternative, this technique warrants further clinical validation and implementation.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103922"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814195","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.2025.103919
Ashley D. Price B.S. , Kyle P. Messer D.O. , Brittney D. McEwan B.S. , Kadi L. Cooley M.D. , Matthew J. Kraeutler M.D.
Hip joint preservation is influenced by 3 primary factors: femoroacetabular impingement, hip dysplasia or instability, and femoral torsion abnormalities. When femoral torsion abnormalities are ignored, patients may not achieve optimal clinical outcomes. A derotational femoral osteotomy is a critical procedure for correcting these torsional abnormalities. The purpose of this article is to provide a standardized and reproducible technique for derotational femoral osteotomy to address excessive femoral antetorsion or retrotorsion in patients experiencing intra-articular hip pain.
{"title":"Derotational Femoral Osteotomy for Femoral Torsion Abnormalities","authors":"Ashley D. Price B.S. , Kyle P. Messer D.O. , Brittney D. McEwan B.S. , Kadi L. Cooley M.D. , Matthew J. Kraeutler M.D.","doi":"10.1016/j.eats.2025.103919","DOIUrl":"10.1016/j.eats.2025.103919","url":null,"abstract":"<div><div>Hip joint preservation is influenced by 3 primary factors: femoroacetabular impingement, hip dysplasia or instability, and femoral torsion abnormalities. When femoral torsion abnormalities are ignored, patients may not achieve optimal clinical outcomes. A derotational femoral osteotomy is a critical procedure for correcting these torsional abnormalities. The purpose of this article is to provide a standardized and reproducible technique for derotational femoral osteotomy to address excessive femoral antetorsion or retrotorsion in patients experiencing intra-articular hip pain.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103919"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814228","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.2025.103924
Antonella M. Henson-Vendrell B.S. , Emily T. Barr M.D. , Thomas W. Mason M.D. , Jelle P. van der List M.D., Ph.D. , Brian R. Waterman M.D.
Inferior pole fractures of the patella often result from trauma and often affect young, active patients. Most fractures show excellent healing, but nonunion can occur due to tensile forces. Symptomatic nonunion can be treated with open reduction and internal fixation for larger fractures or resection for small fragments. Open resection requires opening of the paratenon and partial patellar tendon release, while arthroscopic removal can be performed in a minimally invasive technique. This Technical Note presents arthroscopic resection as a promising option for carefully selected patients and athletes with refractory patellar nonunion and tendinopathy, as it offers reduced soft tissue disruption and provides functional improvement and significant symptom relief. It is a less invasive alternative to open surgery, providing successful treatment for athletes with high rates of return to sport and former activity level.
{"title":"Arthroscopic Resection of Nonunion Inferior Pole Patella Fracture","authors":"Antonella M. Henson-Vendrell B.S. , Emily T. Barr M.D. , Thomas W. Mason M.D. , Jelle P. van der List M.D., Ph.D. , Brian R. Waterman M.D.","doi":"10.1016/j.eats.2025.103924","DOIUrl":"10.1016/j.eats.2025.103924","url":null,"abstract":"<div><div>Inferior pole fractures of the patella often result from trauma and often affect young, active patients. Most fractures show excellent healing, but nonunion can occur due to tensile forces. Symptomatic nonunion can be treated with open reduction and internal fixation for larger fractures or resection for small fragments. Open resection requires opening of the paratenon and partial patellar tendon release, while arthroscopic removal can be performed in a minimally invasive technique. This Technical Note presents arthroscopic resection as a promising option for carefully selected patients and athletes with refractory patellar nonunion and tendinopathy, as it offers reduced soft tissue disruption and provides functional improvement and significant symptom relief. It is a less invasive alternative to open surgery, providing successful treatment for athletes with high rates of return to sport and former activity level.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103924"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814248","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.2025.103947
Lun Li M.B.B.S. , GuoDong Wu M.B.B.S. , Yuanyue Shi M.B.B.S. , Guofu Ma M.B.B.S. , Baoyu Chen M.D. , Guangping Deng M.B.B.S. , Yuqiang Huang M.S.
Anterior cruciate ligament injuries or ruptures significantly impair knee mobility and overall joint function. Surgical reconstruction is the standard treatment, most commonly performed using autologous semitendinosus and gracilis tendons. Recently, remnant-preserving anterior cruciate ligament reconstruction has gained popularity as a result of favorable clinical outcomes, and it is increasingly adopted by surgeons. The essential steps of the button with suture-tensioning technique are as follows: before graft passage, sutures are preloaded through the button portals; after drilling the bone tunnels, the preloaded sutures are advanced through the tibial tunnel into the joint cavity and retrieved for later use; once the graft is fixed in the standard manner, the femoral stump is sutured arthroscopically, tensioned, and secured at the femoral tunnel aperture. This method is cost-effective, reproducible, and technically straightforward. By pulling back the prepositioned sutures, the button’s flipping mechanism can be tested, minimizing the risk of incomplete seating against the femoral cortex caused by interposed soft tissue. Simultaneously, this maneuver tensions the residual stump, enhances joint stability, seals the femoral tunnel opening, prevents joint fluid backflow, and decreases the likelihood of graft impingement during knee extension.
{"title":"Anterior Cruciate Ligament Reconstruction With Additional Remnant-Preserving Stump Repair Using a Button and Suture-Tensioning Technique","authors":"Lun Li M.B.B.S. , GuoDong Wu M.B.B.S. , Yuanyue Shi M.B.B.S. , Guofu Ma M.B.B.S. , Baoyu Chen M.D. , Guangping Deng M.B.B.S. , Yuqiang Huang M.S.","doi":"10.1016/j.eats.2025.103947","DOIUrl":"10.1016/j.eats.2025.103947","url":null,"abstract":"<div><div>Anterior cruciate ligament injuries or ruptures significantly impair knee mobility and overall joint function. Surgical reconstruction is the standard treatment, most commonly performed using autologous semitendinosus and gracilis tendons. Recently, remnant-preserving anterior cruciate ligament reconstruction has gained popularity as a result of favorable clinical outcomes, and it is increasingly adopted by surgeons. The essential steps of the button with suture-tensioning technique are as follows: before graft passage, sutures are preloaded through the button portals; after drilling the bone tunnels, the preloaded sutures are advanced through the tibial tunnel into the joint cavity and retrieved for later use; once the graft is fixed in the standard manner, the femoral stump is sutured arthroscopically, tensioned, and secured at the femoral tunnel aperture. This method is cost-effective, reproducible, and technically straightforward. By pulling back the prepositioned sutures, the button’s flipping mechanism can be tested, minimizing the risk of incomplete seating against the femoral cortex caused by interposed soft tissue. Simultaneously, this maneuver tensions the residual stump, enhances joint stability, seals the femoral tunnel opening, prevents joint fluid backflow, and decreases the likelihood of graft impingement during knee extension.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103947"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814255","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}
Arthroscopy-assisted lower trapezius transfer is increasingly recognized as a standard approach for addressing irreparable posterosuperior rotator cuff tears. A posterior incision is made along the medial margin of the scapula to identify and dissect the lower trapezius. The Achilles allograft is arthroscopically fixed to the greater tuberosity with a knotless double-row “transosseous-equivalent” repair and to the trapezius using Pulver-Taft technique sutures. The arm should remain immobilized in abduction and neutral rotation for 6 weeks. This procedure enables a dynamic tendon transfer, restoring torque biomechanics and normalizing glenohumeral joint function.
{"title":"Lower Trapezius Transfer: Technical Tips for Tendon Harvesting and Arthroscopic Achilles Allograft Fixation","authors":"Abdul-ilah Hachem M.D. , Luis Rojas M.D. , Pablo Marcet M.D. , Betlem Fargues M.D. , Xavi Rius M.D. , Bassem Elhassan M.D.","doi":"10.1016/j.eats.2025.103908","DOIUrl":"10.1016/j.eats.2025.103908","url":null,"abstract":"<div><div>Arthroscopy-assisted lower trapezius transfer is increasingly recognized as a standard approach for addressing irreparable posterosuperior rotator cuff tears. A posterior incision is made along the medial margin of the scapula to identify and dissect the lower trapezius. The Achilles allograft is arthroscopically fixed to the greater tuberosity with a knotless double-row “transosseous-equivalent” repair and to the trapezius using Pulver-Taft technique sutures. The arm should remain immobilized in abduction and neutral rotation for 6 weeks. This procedure enables a dynamic tendon transfer, restoring torque biomechanics and normalizing glenohumeral joint function.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103908"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814377","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.2025.103975
Yizhong Peng M.D., Ph.D., Hong Wang M.D., Ph.D., Yi Li, Chunqing Meng M.D., Ph.D., Wenbo Yang M.D., Ph.D., Wei Huang M.D., Ph.D.
Tibial eminence avulsion fractures predominantly affect adolescents as the result of incomplete ossification, causing bony avulsion instead of ligament rupture. Suture or/and screw fixation has been established and considered as reliable strategies for arthroscopy technique. However, screw fixation may cause comminution, high reoperation rates, and growth arrest. Traditional suture fixation lacks rotational control and risks anterior cruciate ligament (ACL) shear damage via ligament penetration. To address these issues, we describe an arthroscopic 4-quadrant cross-suture fixation using 2-mm minitunnels. Under arthroscopy, 4 percutaneous minitunnels converge at the fracture center. High-strength sutures are intra-articularly crisscrossed over the fragment via polydioxanone shuttles without penetrating the ACL, gathered subcutaneously through a single tibial incision, and secured with sliding knots for anatomical reduction. This technique minimizes bone loss and tunnel confluence, eliminates ACL damage and metallic implants, enhances stability, and suits comminuted fractures. Requiring arthroscopic expertise, it optimizes stability, offering a promising minimally invasive solution for skeletally immature patients.
{"title":"Arthroscopic Four-Quadrant Cross-Suture Fixation Using Mini-Tunnels for Tibial Avulsion Fractures of the Anterior Cruciate Ligament","authors":"Yizhong Peng M.D., Ph.D., Hong Wang M.D., Ph.D., Yi Li, Chunqing Meng M.D., Ph.D., Wenbo Yang M.D., Ph.D., Wei Huang M.D., Ph.D.","doi":"10.1016/j.eats.2025.103975","DOIUrl":"10.1016/j.eats.2025.103975","url":null,"abstract":"<div><div>Tibial eminence avulsion fractures predominantly affect adolescents as the result of incomplete ossification, causing bony avulsion instead of ligament rupture. Suture or/and screw fixation has been established and considered as reliable strategies for arthroscopy technique. However, screw fixation may cause comminution, high reoperation rates, and growth arrest. Traditional suture fixation lacks rotational control and risks anterior cruciate ligament (ACL) shear damage via ligament penetration. To address these issues, we describe an arthroscopic 4-quadrant cross-suture fixation using 2-mm minitunnels. Under arthroscopy, 4 percutaneous minitunnels converge at the fracture center. High-strength sutures are intra-articularly crisscrossed over the fragment via polydioxanone shuttles without penetrating the ACL, gathered subcutaneously through a single tibial incision, and secured with sliding knots for anatomical reduction. This technique minimizes bone loss and tunnel confluence, eliminates ACL damage and metallic implants, enhances stability, and suits comminuted fractures. Requiring arthroscopic expertise, it optimizes stability, offering a promising minimally invasive solution for skeletally immature patients.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103975"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814460","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 : 2025-11-01DOI: 10.1016/j.eats.2025.103851
Dany Mouarbes M.D. , Ali Alayane M.D. , Victor Sonnery-Cottet M.D. , Regis Pailhe M.D., Ph.D. , Etienne Cavaignac M.D., Ph.D.
Chronic patellar tendon rupture has devastating functional consequences attributable to the loss of the extensor mechanism. Repairing a neglected patellar tendon rupture is challenging and often nearly impossible because of proximal patellar retraction and the poor quality of the remaining tendon. In this Technical Note, we describe a surgical technique for chronic patellar tendon reconstruction using semitendinosus and gracilis tendon autografts. Both tendons are left attached to the tibia and passed in a reverse figure-of-eight configuration to reconstruct the patellar tendon. The remaining viable patellar tendon tissue is reinserted into the tibia using a 5.5-mm anchor to restore the patellar height and enhance graft healing.
{"title":"Patellar Tendon Reconstruction for Chronic Patellar Tendon Rupture Using Hamstring Tendons: The Reverse Double Figure-of-Eight Technique","authors":"Dany Mouarbes M.D. , Ali Alayane M.D. , Victor Sonnery-Cottet M.D. , Regis Pailhe M.D., Ph.D. , Etienne Cavaignac M.D., Ph.D.","doi":"10.1016/j.eats.2025.103851","DOIUrl":"10.1016/j.eats.2025.103851","url":null,"abstract":"<div><div>Chronic patellar tendon rupture has devastating functional consequences attributable to the loss of the extensor mechanism. Repairing a neglected patellar tendon rupture is challenging and often nearly impossible because of proximal patellar retraction and the poor quality of the remaining tendon. In this Technical Note, we describe a surgical technique for chronic patellar tendon reconstruction using semitendinosus and gracilis tendon autografts. Both tendons are left attached to the tibia and passed in a reverse figure-of-eight configuration to reconstruct the patellar tendon. The remaining viable patellar tendon tissue is reinserted into the tibia using a 5.5-mm anchor to restore the patellar height and enhance graft healing.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 11","pages":"Article 103851"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145651730","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 : 2025-11-01DOI: 10.1016/j.eats.2025.103853
Camilo Partezani Helito M.D., Ph.D. , Andre Giardino Moreira da Silva M.D. , Tales Mollica Guimarães M.D. , Igor Farias de Araujo M.D. , Igor Gabriel Marques M.D. , Alberto Grassi M.D., Ph.D. , Stefano Zaffagnini M.D.
The rise in high-intensity sports among children and adolescents has led to more anterior cruciate ligament (ACL) reconstructions. Techniques have evolved to minimize growth plate damage and decrease failure rates. This article describes a surgical technique for combined ACL and anterolateral ligament (ALL) reconstruction in skeletally immature patients. The procedure uses a hamstring graft with preserved tibial attachment, creates a transphyseal tibial tunnel for the ACL, and routes the graft “over the top” on the femoral side—passing over the posterior aspect of the lateral femoral condyle and emerging extra-articularly on its lateral surface. The graft is then fixed at the anatomic ALL insertion point on the lateral femoral condyle. The remaining portion of the graft is passed deep to the iliotibial band and fixed to the tibia in an all-epiphyseal fashion at the anatomic ALL insertion point.
{"title":"Pediatric Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction With Hybrid Over-the-Top Femoral Fixation, Transphyseal Tibial Fixation, and Tibial All-Epiphyseal Anterolateral Ligament Fixation Using Attached Hamstring Autograft","authors":"Camilo Partezani Helito M.D., Ph.D. , Andre Giardino Moreira da Silva M.D. , Tales Mollica Guimarães M.D. , Igor Farias de Araujo M.D. , Igor Gabriel Marques M.D. , Alberto Grassi M.D., Ph.D. , Stefano Zaffagnini M.D.","doi":"10.1016/j.eats.2025.103853","DOIUrl":"10.1016/j.eats.2025.103853","url":null,"abstract":"<div><div>The rise in high-intensity sports among children and adolescents has led to more anterior cruciate ligament (ACL) reconstructions. Techniques have evolved to minimize growth plate damage and decrease failure rates. This article describes a surgical technique for combined ACL and anterolateral ligament (ALL) reconstruction in skeletally immature patients. The procedure uses a hamstring graft with preserved tibial attachment, creates a transphyseal tibial tunnel for the ACL, and routes the graft “over the top” on the femoral side—passing over the posterior aspect of the lateral femoral condyle and emerging extra-articularly on its lateral surface. The graft is then fixed at the anatomic ALL insertion point on the lateral femoral condyle. The remaining portion of the graft is passed deep to the iliotibial band and fixed to the tibia in an all-epiphyseal fashion at the anatomic ALL insertion point.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 11","pages":"Article 103853"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145651731","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}
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