Arthroscopic Revision with Autologous Iliac Crest Bone Graft for Failed Anatomic Glenoid Reconstruction Using Distal Tibia Allograft

Publication date: Available online 11 October 2019Source: Arthroscopy TechniquesAuthor(s): Rakesh John, Catherine M. Coady, Ivan WongAbstractRecurrent instability after anterior shoulder stabilization surgery is not an uncommon complication, with variable rates of recurrences associated with different surgical procedures. The Latarjet procedure continues to be the gold standard in the management of anterior instability with significant glenoid bone loss, although a recent trend toward arthroscopic anatomic glenoid reconstruction (AAGR) with distal tibial allograft has been noted, with excellent short-term results and minimal complication rates. Arthroscopic revision stabilization for failed stabilization procedures is increasingly being performed, although it is technically more challenging than the primary stabilization procedure because of the anatomic rearrangements of the index surgery. In this article, we describe a revision arthroscopic technique for anatomic glenoid reconstruction using iliac crest autograft for a previous failed AAGR procedure secondary to nonunion of the graft. The graft is passed through the Halifax far-medial portal without splitting the subscapularis. Arthroscopic revision in the setting of a failed AAGR procedure is technically easier than after a Latarjet procedure, as the anatomy is relatively undisturbed in the former, facilitating easier identification of anatomic landmarks, accurate graft positioning, and decreased risk of neurovascular inju...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research

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Publication date: Available online 25 October 2019Source: Arthroscopy TechniquesAuthor(s): Cecilia Pascual-Garrido, Maria T. Schwabe, Jorge Chahla, Masahiko HanedaAbstractGreater trochanteric pain syndrome can be caused by gluteus medius and minimus tendinopathy/tears and chronic trochanteric bursitis. Specifically, moderate-to-severe abductor tendon tears can cause severe lateral hip pain, limp, and abnormal gait. A variety of open and endoscopic techniques to treat glut abductors hip tears have been described. The use of scaffolds, such as acellular human dermal allograft, to augment tendon repair, already has been succe...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
We describe a superior gluteal reconstruction technique that is suitable for cases with abductor tendon tear with severe tendon loss.
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 21 September 2019Source: Arthroscopy TechniquesAuthor(s): Chen Hao Chiang, Leo Shaw, Wei Hsing Chih, Ming Long Yeh, Wei Ren SuAbstractIn large or massive rotator cuff tears, successful repairs are difficult and complication rates are high, because the torn tendon is contracted and the superior capsule is disrupted. Recent studies have shown that superior capsule reconstruction (SCR) in massive irreparable rotator cuff tears results in better clinical scores and preserves stable glenohumeral stability without significant complications. In this article, we propose a simple, efficient SCR te...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
We describe our modified technique for quadriceps tendon repair using a semitendinosus tendon autograft, with suturing of the quadriceps tendon stump to the patella via transosseous sutures, wherein the use of allograft and anchors is avoided. Our modified Pulvertaft weave technique is simple and reproducible.
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
We present an all-arthroscopic technique for reconstruction of the inferior glenohumeral ligament by means of palmaris longus autograft as an alternative to nonanatomic bone block procedures.
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 11 September 2019Source: Arthroscopy TechniquesAuthor(s): Kyle N. Kunze, Robert A. Burnett, Kevin K. Shinsako, Charles A. Bush-Joseph, Brian J. Cole, Jorge ChahlaAbstractRevision quadriceps tendon repair presents a challenging problem for the treating surgeon because of associated anatomic defects such as large tendon-gap deficits and preexistent poor tissue quality. Current methods for revision quadriceps tendon repair use tendon autograft, which may predispose to additional morbidity because the repair relies only on soft tissue fixation. In this Technical Note, we describe a technique ...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Fresh osteochondral allografting has gained popularity as a useful technique for managing difficult cartilage repair problems and, in revision situations, is a treatment of choice when other procedures such as microfracture, osteochondral autograft transfer, and cell-based therapies fail. However, it is a challenge when an allograft fails. Absent substantial progression of osteoarthritis, revising with another allograft results in a reasonable chance of "success" (but a high likelihood of further surgery along the way).
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Editorial Commentary Source Type: research
ConclusionsSuture tape augmentation of the MPFL resulted in similar primary contact pressures and joint kinematics in comparison with MPFL reconstruction using a tendon graft. A pretension of 2  N was found to restore the knee joint closest to normal patellofemoral kinematics.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
This study aims to study the publication trends in articular cartilage repair (ACR) techniques, over the last 10 years. A literature search was performed on the PubMed, Web of Science, and SCOPUS databases. We used suitable keywords and Boolean operators (articular cartilage injury AND “marrow stimulation OR microfracture (MFx),” “osteochondral autograft,” “osteochondral allograft” and “autologous chondrocyte implantation (ACI),” “scaffold”), on January 1, 2019. Trends in publication on these topics were analyzed, focusing on publications over the last 10 years, t...
Source: Indian Journal of Orthopaedics - Category: Orthopaedics Authors: Source Type: research
This article details our technique for performing a modified Lemaire lateral extra-articular tenodesis using iliotibial band autograft as an adjunct to ACL reconstruction.
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
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