journal
https://read.qxmd.com/read/38835477/arthroscopic-sandwich-autografting-technique-for-massive-glenoid-bone-defect-using-iliac-crest-and-coracoid-process-grafts
#1
JOURNAL ARTICLE
Alexander A Vetoshkin, Hayk H Aghamalyan, Sergey S Gusev
Shoulder joint instability can lead to bone loss on both the glenoid side and the posterior part of the humeral head, known as bipolar bone loss. To restore glenoid defects, bone procedures like the Latarjet operation or free bone block transfer from the iliac crest are the primary options, restoring defects of up to 25% to 30%. However, in some cases, the glenoid defect may exceed 40%. This article discusses a unique technique for restoring glenoid bone defects up to 50%, using 2 bone grafts-a free graft from the iliac crest and the coracoid process with conjoint tendon complex...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835476/anterior-cruciate-ligament-over-the-top-plus-lateral-plasty-and-minimally-invasive-double-bundle-posteromedial-corner-reconstruction
#2
JOURNAL ARTICLE
Giulio Maria Marcheggiani Muccioli, Vito Gaetano Rinaldi, Stefano Zaffagnini
The medial collateral ligament (MCL) and the posteromedial corner (PMC) of the knee are essential structures for maintaining medial knee stability. Chronic MCL instability is infrequent but can necessitate surgical intervention. Various surgical techniques have been described, but they often involve the use of tibial tunnels, which may complicate concurrent ligament reconstructions. This study aims to present a minimally invasive double-bundle PMC reconstruction technique that avoids the use of tibial tunnels...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835475/use-of-a-spinal-needle-through-the-deep-rotator-cuff-tissue-to-treat-rotator-cuff-tears-under-direct-articular-vision
#3
JOURNAL ARTICLE
Minghua Zhang, Jiajing Lai, Daohua Chen, Chunfang Jian
Achieving sufficient attachment of deep rotator cuff tissue to the footprint area on the greater tubercle of the humerus is essential for functional recovery, yet the optimal approach remains uncertain. We introduce a surgical technique for rotator cuff tear repair using a spinal needle to penetrate deep rotator cuff tissue under direct arthroscopic visualization. After trimming the torn edge, an arthroscope is inserted into the joint cavity through a posterior portal, and a hole is drilled into the humeral head cartilage margin using an upper approach, facilitating the implantation of an internal shoulder row nail...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835474/endoscopic-repair-of-partial-gluteus-medius-tear-staple-configuration-with-suture-anchors
#4
JOURNAL ARTICLE
Nancy Park, Serkan Surucu, Ronak Mahatme, Kian Kardestuncer, Seema Patel, Andrew Jimenez
Tears of the gluteus medius and minimus have emerged as significant contributors to lateral hip pain and functional impairment. Surgical intervention reliably delivers pain alleviation and ability to return to activities. Nevertheless, conventional open procedures entail substantial incisions, extensive tissue damage, and protracted recovery. Endoscopic approaches have provided minimally invasive alternative strategies. This Technical Note details a method for addressing partial gluteus medius tears by recreating the hip abductor tendon insertion footprint and employing a bioinductive patch to promote wound healing...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835473/extra-articular-endoscopic-bp-decompression-surgical-technique
#5
JOURNAL ARTICLE
Evgeniy Aleksandrovich Belyak, Fjodor Leonidovich Lazko, Albert Akramovich Sufianov, Dmitriy Lvovich Paskhin, Alexey Petrovich Prizov, Maxim Fjodorovich Lazko, Ranel Khamitovich Sagdiev, Nikolay Vasil Evich Zagorodniy
We describe all-endoscopic brachial plexus (BP) decompression. Surgery is performed with the patient in the beach-chair position with the usual arthroscopic instruments and pump. The first step is to create 2 portals at the area of the coracoid process and decompress the infraclavicular part of the BP at area of thoracic aperture and coracoid. The second step includes performing 2 portals at supraclavicular fossa and performing decompression of BP at interscalene space. The postoperative period includes a short period of sling immobilization (3-5 days), immediate passive motion after surgery, and active motion after removal of the sling...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835472/optimization-of-graft-position-at-the-tibia-footprint-in-anterior-cruciate-ligament-revision-lasso-technique
#6
JOURNAL ARTICLE
Yong-Yao Tan, Sir-Young James Loh
In anterior cruciate ligament (ACL) revision cases, the resultant bigger aperture at the tibia footprint can cause graft instability. The increased movement hinders bone-graft integration and leads to graft abrasion. This article describes a technique to optimize graft stability when using a soft tissue graft for ACL revision. The technique is used when there is suspicion of size mismatch between the new tibia footprint aperture and the graft. The first stage involves passing a suture via an anterolateral tibial tunnel connecting with the revision tibia tunnel distal to the tibia footprint aperture...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835471/two-portal-arthroscopic-knotless-all-suture-anchor-posterior-labral-repair
#7
JOURNAL ARTICLE
Mubinah Khaleel, Lasun O Oladeji, Conor A Smith, Steven F DeFroda, Clayton W Nuelle
Isolated posterior shoulder instability accounts for approximately 10% of shoulder instability cases. Patients may present after an acute trauma or with insidious onset and associated posterior shoulder pain. Knotless and all-suture anchor devices have become increasing popular and are often used in arthroscopic shoulder instability cases to avoid knot stacks and allow for the ability to re-tension the fixation. This technical note describes our technique for 2-portal posterior labral repair using knotless all-suture anchors with the patient in the lateral decubitus position...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835470/all-soft-tissue-meniscus-allograft-transplantation-with-circumferential-suture-tape-augmentation-to-mitigate-hoop-stress-and-promote-centralization
#8
JOURNAL ARTICLE
Jarod A Richards, Jacob T Williamson, David R Woodard, David N M Caborn
Meniscus allograft transplantation (MAT) is a technically challenging procedure. Bone plugs, slot techniques, and all-soft-tissue fixation techniques have been described in the past. Each technique comes with advantages and disadvantages. Native menisci have circumferential collagen fibers to help resist hoop stress during loading cycles. Although hoop stress resistance is a known function of the menisci, its recreation in MAT has only been targeted indirectly through anatomic root placement. The authors describe the use of a high-tensile suture tape (i...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835469/latissimus-dorsi-tendon-rupture-repair-a-surgical-technique-video-case-report-and-cadaveric-anatomic-demonstration
#9
JOURNAL ARTICLE
Elizabeth Ford, Dylan R Chayes, Mark Ayzenberg
Isolated latissimus dorsi tendon rupture is an exceedingly rare injury with a paucity of literature available to help guide management. The anatomy of the posterior aspect of the axilla and chest wall is complex. Nonoperative treatment has been described as an acceptable form of management for these injuries. A small subset of case reports and case series also show success with latissimus dorsi repair. We show a one-incision technique for repair of a humeral-sided avulsion of the latissimus dorsi tendon.
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835468/maximizing-the-benefits-of-postless-hip-arthroscopy-on-off-traction-technique-during-labral-repair-to-restore-the-labral-suction-seal
#10
JOURNAL ARTICLE
Lucas J Ray, Mahad M Hassan, Ryan R Fader
The acetabular labrum plays a key role in proper biomechanical hip function through creation or maintenance of a suction seal between the femoral head and acetabulum. The suction seal effect has been shown to provide stability within the hip, improve biomechanics, and decrease the chance for long-term development of osteoarthritis by optimizing function and force distribution within the hip. Femoral acetabular impingement syndrome damages the labrum and chondrolabral junction, thus negatively impacting the ability of the labrum to maintain native suction seal...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835467/transosseous-repair-of-isolated-posterior-medial-meniscal-root-injuries-in-children-and-adolescents
#11
JOURNAL ARTICLE
Kiranpreet K Nagra, Ruth H Jones, Preston W Gross, Peter Cirrincione, Danielle E Chipman, Alexandra M Farrell, Harry G Greditzer, Daniel W Green, Peter D Fabricant
The meniscal roots are critically important for maintaining knee stability, functional load distribution, and proper knee kinematics. Although adult meniscal root injuries have been a topic of increasing research, medial meniscus injuries also occur in pediatric and adolescent patients, with up to 2% of meniscal injuries involving root attachments. The purpose of this Technical Note is to demonstrate the transosseous repair of isolated posterior medial meniscal root injuries in children and adolescents, including tear visualization on magnetic resonance imaging and during arthroscopy, operative technique, and postoperative management...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835466/combined-medial-collateral-ligament-reconstruction-and-polyethylene-exchange-for-valgus-instability-following-total-knee-arthroplasty
#12
JOURNAL ARTICLE
Ajay C Kanakamedala, Charles C Lin, Ryan J Whalen, Thomas R Hackett, Matthew T Provencher, Armando F Vidal, Joshua C Rozell, Raymond H Kim
Valgus instability can occur after total knee arthroplasty (TKA) due to traumatic medial collateral ligament (MCL) injury, component malpositioning, or progressive ligamentous laxity. Although revision TKA with exchange of the polyethylene to a varus-valgus-constrained liner can reduce laxity due to MCL insufficiency, isolated liner exchange in the setting of collateral ligament insufficiency may lead to greater strain at the cement-bone or implant-cement interface and possibly a greater rate of aseptic loosening...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835465/arthroscopic-repair-of-acetabular-cartilage-delamination-using-chondral-nail-fixation-in-patients-with-femoroacetabular-impingement
#13
JOURNAL ARTICLE
Hanmei Dong, Kang Tian, Guanying Gao, Rongge Liu, Siqi Zhang, Zhenlong Liu, Yan Xu
Acetabular cartilage delamination is commonly seen in patients with femoroacetabular impingement (FAI), especially ones with the cam deformity. However, the definition and classification of acetabular cartilage injuries caused by FAI to guide clinical treatment remain controversial. Moreover, treatment of acetabular cartilage damage always causes a dilemma for surgeon during surgery. We believe a reliable repair of the acetabular cartilage delamination will lead to a better long-term outcome for patients with FAI...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835464/simplified-technique-for-arthroscopic-repair-of-the-meniscus-root-tear-of-the-knee
#14
JOURNAL ARTICLE
Sai-Won Kwon, Byung-Ill Lee, Se-Young Chang, Kyungjun Lim, Ki Jin Jung
This report describes the arthroscopic transtibial pullout repair technique using multiple simple stitch (MSS), which was used to treat a medial meniscus posterior root tear (MMPRT) of the knee. The most commonly used technique to address this type of MMPRT is currently arthroscopic transtibial pullout repair. MSS pullout repair technique can provide excellent pullout strength and large tissue-bone contact area, which facilitates successful healing potential. This MSS pullout repair technique may be suggested as another useful option that can be used in the treatment of MMPRT...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835463/standard-versus-dysplastic-inlay-implant-for-patellofemoral-arthroplasty-surgical-technique-and-decision-making
#15
JOURNAL ARTICLE
Juan Ignacio Erquicia, David Martínez Jiménez, Albert Pons Riverola, Emiliano Cavalieri, Berta Gasol, Eric Camprubí, Jordi García Bonet, Joan Leal Blanquet
Patellofemoral arthroplasty (PFA) has emerged as an alternative bone-preserving surgical option for treating isolated symptomatic patellofemoral osteoarthritis that better replicates the natural knee kinematics compared with total knee arthroplasty. Achieving successful outcomes in PFA relies on meticulous patient selection, proper surgical technique, and appropriate implant choice and placement. Recent advancements in inlay trochlea implants, allowing for customized and anatomic joint line reconstruction with less bone resection, have demonstrated significant improvements in functional outcome scores and pain relief...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835462/circumferential-cross-stitch-suture-for-longitudinal-lateral-meniscal-tear-around-the-popliteal-tendon-hiatus-region
#16
JOURNAL ARTICLE
Takaki Sanada, Tomoki Murakami, Hiroshi Iwaso, Honda Eisaburo, Shin Sameshima, Yutaro Ishida, Miyu Inagawa
Lateral meniscal repair of the popliteal hiatus is technically demanding. The inside-out technique requires an additional incision and carries the risk of posterolateral soft tissue damage to the knee joint. In addition, the presence of the popliteal tendon limits the route of the suture thread. Within the current trend of the all-inside suture technique, meniscal suture-based all-inside repair demonstrates biomechanical advantages over anchor-based all-inside repair. We introduce a meniscal suture-based all-inside meniscal repair technique for longitudinal lateral meniscal tears...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835461/arthroscopic-posterior-bone-block-stabilization-using-a-tricortical-autograft-of-the-ipsilateral-scapular-spine
#17
JOURNAL ARTICLE
Antonia Schlüßler, Aaron Martinez-Ulloa, Philipp Moroder, Markus Scheibel
Posterior bone grafting represents an emerging therapeutic approach for addressing recurrent instability in the posterior shoulder, particularly when coupled with substantial glenoid bone loss. Although not as prevalent as anterior instability, recent years have witnessed the development of numerous open and arthroscopic bony reconstruction methods. A technical gold standard for posterior bone grafting remains undefined, leading to ongoing advancements in bone grafting techniques. In response to past challenges associated with screw fixation, metal-free arthroscopic fixation procedures have been introduced to the realm of bone grafting...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835460/double-needle-technique-for-temporary-stabilization-of-unstable-meniscal-tear-during-all-inside-meniscal-repair
#18
JOURNAL ARTICLE
Luca Farinelli, Amit Meena, Sachin Tapasvi, Elisabeth Abermann, Christian Fink, Christian Hoser
Meniscus tears are common in patients with primary or revision anterior cruciate ligament injuries. Given their important mechanical role in the joint, efforts are being made to repair as much of the meniscus tear as possible. However, all-inside repair might be challenging in case of an unstable tear due to the dislocation of the meniscal flap after deploying the first anchor. Therefore, we describe the details of our technique that allows the surgeon to stabilize the meniscal tear before all-inside repair, ensuring the reduction of the tear throughout the entire procedure...
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835459/arthroscopic-autologous-iliac-bone-grafting-with-double-row-elastic-fixation-and-double-antirotating-anchors-for-recurrent-anterior-shoulder-dislocation-with-massive-glenoid-bone-defect
#19
JOURNAL ARTICLE
Dazhi Wang, Jianlong Ni, Dongjian Wang, Wang Wei, Ruiying Li, Meng Feng, Zhibin Shi
The management of recurrent anterior shoulder dislocations with massive glenoid bone defects typically involves arthroscopic intervention. Autologous iliac bone grafting with double-row elastic fixation reportedly yields excellent outcomes. In this article, we introduce a specialized technique for iliac bone grafting that uses double-row elastic fixation and double antirotating anchors. Implementation of this technique prevents the occurrence of iliac graft rotation.
May 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38835458/erratum
#20
(no author information available yet)
[This corrects the article DOI: 10.1016/j.eats.2023.08.029.].
May 2024: Arthroscopy Techniques
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