Christophersenchilders6872

Graft harvesting is often a challenging step of anterior cruciate ligament reconstructions. Accurate isolation of the hamstring tendons at the pes anserinus is crucial to successful graft harvesting. We describe a technique of using a branch of the inferior medial geniculate artery overlying the pes anserinus insertion as an anatomical landmark to localize the hamstring tendons for harvest. Kenpaullone By using this vessel as an anatomical landmark, the incision length was decreased and the time required to harvest reduced. This is a highly reproducible technique and will be beneficial for soft tissue harvesting surgeons to ease hamstring graft harvesting.The proximal humerus fracture is common in both adult and elderly patients, with an incidence of approximately 5%, of whom about 1 in 4 is treated operatively. To achieve the healing of the fracture, the operative technique is combined with an internal fixation by a locking plate and tension band rotator cuff sutures by passing the sutures through each eyelet hole of the plate and tightening them. The tension band rotator cuff sutures provide good functional and radiographic outcomes in cases of proximal humerus fracture. The surgeons normally pass a rotator cuff suture through each eyelet hole using a curved needle which can pass only one suture in one eyelet hole. We propose a shuttle suture technique to easily pass the rotator cuff sutures through the eyelet holes of the locking plate.Posterior cruciate ligament injury is one of the most common problems in sports medicine. The treatment of choice for this injury is posterior cruciate ligament reconstruction, which improves the biomechanical and clinical stabilities of the knee. There are many graft choices, of which the bone-patellar tendon-bone (BPTB) graft is a popular option. In applying the BPTB graft, most surgeons use the transtibial technique by passing the graft from the tibial tunnel to the femoral tunnel, which is normally performed without problems, but there is a chance of patellar tendon fiber damage because of the sharp turn required from the tibial tunnel to the femoral tunnel. To minimize this risk, herein we propose a transportal graft passage technique with which it is easy to pass the BPTB graft and reduce the risk of graft damage.Anterior cruciate ligament intra-articular reconstruction may require extra-articular reinforcement in certain situations. As knee lateral region anatomical and biomechanical knowledge has increased with new research, it has been reported that the iliotibial band is important in the anterolateral stabilization of the knee. Possible indications for a "more anatomical" extra-articular tenodesis focusing on capsulo-osseous layer tensioning and distal Kaplan fibers reconstruction are reported, surgical approach details are described, and scientific data that gives support for this procedure are discussed.Posterior lateral meniscus root tears are defined as tears that occur within 9 mm of the posterior lateral meniscus insertion or as avulsions of the insertion. If root tears are left unrepaired, functional alterations and early degenerative changes occur in the affected compartment. Several surgical techniques have been described to reattach the posterior horn of the lateral meniscus, including transtibial pull-out technique and side-to-side repair technique. This surgical technique reports an alternative way to repair posterior lateral meniscus root tears that are associated with or without an anterior cruciate ligament graft tear. The technique involves the placement of a suture anchor on the lateral meniscus root footprint through the outside-in anterior cruciate ligament femoral tunnel, which minimizes the possibility of iatrogenic lesions and facilitates repair.Traditional Bankart repairs for anterior labral tears of the shoulder use suture anchors to repair the anterior shoulder labrum and capsule to the glenoid. The technique described here involves releasing the anterior capsule of the glenoid and shifting it superiorly along with the labrum before anchoring. The intention of this extra step is to replicate the open technique, where the entire capsule is shifted superiorly on the glenoid.Isolated greater tuberosity fractures with displacement require usually open reduction and fixation to prevent poor outcomes, but high levels of morbidity have been reported. Recently, newer techniques describe arthroscopic fixation of greater tuberosity fracture for young patients; however, in elderly patients with comminuted osteoporotic fractures, this entity is more complex. A new arthroscopic technique is described through a minimally invasive approach that allows the evaluation of the glenohumeral joint and the treatment of associated pathology. These comminuted fractures can be treated using suture bridge technique. Postoperatively, rehabilitation consists of a similar regimen to that of a rotator cuff repair. With the appropriate surgical technique, good clinical outcomes can be obtained.Three popular repair techniques for preserving the torn meniscus are the all-inside, outside-in, and inside-out techniques. Among these, the inside-out technique has shown low failure rates, and it therefore remains the gold-standard technique for repairing the torn meniscus. For extensive and chronic meniscal tears, proper use of this technique has become fundamental for knee surgeons. Nevertheless, challenges in using this technique include a higher risk of catching the neurovascular bundles on the posteromedial and posterolateral sides of the knee and difficulties in reducing and stabilizing chronically displaced meniscal fragments. In this article, the inside-out technique is revisited with an emphasis on anatomic details of how to avoid the neurovascular bundles while addressing extensive and chronic meniscal lesions.Surgical simulation offers a solution to the problems of reduced training time and surgical exposure by allowing trainees to develop surgical skills outside of the operating room in a safe, cost-effective environment. We developed a highly detailed, procedure-specific shoulder arthroscopy simulator using 3-dimesional printing with the aim of providing greater access to cost-effective simulation support to trainees.