Search

Radial meniscal tears can be challenging to address and require advanced arthroscopic techniques for satisfactory repair. When radial tears occur in older patients, the surgeon often encounters suboptimal tissue integrity that presents its own challenges. Incorporating ripstop sutures in tie-grip repair constructs for radial tears has been documented in the literature with favorable biomechanical properties. This Technical Note and accompanying video present a reproducible method for incorporating tie-grip and mobile ripstop stitches to fortify traditional meniscal repair configurations for radial tears. This technique augments the biomechanical strength of repair and may prove useful in poor tissue quality and areas of small focal deficiency, especially in scenarios with repairable but degenerative meniscal tissue. This is particularly relevant considering many repairs fail due to pull-through of sutures within the meniscal tissue., Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: M.H. is a paid consultant to D.J.O. Enovis; has received publishing royalties and financial or material support from Elsevier; is on the editorial or governing board of the Journal of Cartilage and Joint Preservation; and is a paid consultant to Moximed and Vericel. A.J.K. has received research support from Aesculap/B. Braun; is on the editorial or governing board of the American Journal of Sports Medicine; has received IP royalties from and is a paid consultant to Arthrex; and is a board or committee member of the Arthroscopy Association of North America and the International Cartilage Repair Society. All other authors (F.M., A.H., X.P., A.J.T.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors.)

Unstable osteochondritis dissecans lesions of the medial femoral condyle have classically been treated with open reduction and fixation under direct visualization through an open arthrotomy. Given the value of avoiding open arthrotomies, we present an arthroscopic approach for lesion elevation, debridement, and fixation. The lesion is first elevated using an arthroscopic elevator, leaving a laterally based osseous hinge. Once elevated, fibrous debris is debrided from the base of the lesion. Subsequently, the fragment is reduced, and percutaneous transpatellar instrumentation is used for fixation. The use of this technique allows for excellent mobilization, debridement, and fixation of the osteochondritis dissecans lesion while minimizing violation of periarticular soft tissues., (© 2024 The Authors.)

Shoulder arthroscopy is one of the most common orthopaedic procedures. Since its introduction in the 1970s, significant advances have been made in surgical techniques and instrumentation. Shoulder arthroscopy is often performed in either the beach-chair or lateral decubitus position, and each positioning technique has its own benefits. In this work, we will describe the history of lateral decubitus positioning for shoulder arthroscopy. We outline a detailed guide for safe and consistent lateral decubitus positioning, and key steps of lateral decubitus positioning will be emphasized. Pearls, pitfalls, advantages, and disadvantages of this positioning technique will also be discussed. With appropriate technique, lateral decubitus positioning is safe and effective for arthroscopic treatment of various shoulder pathologies., Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: K.R.O. is a paid consultant for Arthrex and Smith & Nephew. C.L.C. receives financial support from Arthrex and Springer and receives nonfinancial support from Major League Baseball. All other authors (M.N.U., F.M., X.P.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors.)

Labral tears most commonly occur anteriorly between the 12- and 3-o'clock positions, with the 12-o'clock position denoted as superior and the 3-o'clock position denoted as anterior. When approaching the 3-o'clock position and beyond, suture anchor placement becomes difficult given the challenging arthroscopic trajectory and an overall thin anterior rim of cortical bone for anchor purchase, resulting in a narrow angle of safe drilling. The purpose of this technical note is to present a safe and reproducible method of suture anchor placement during acetabular labral repair approaching the 3- and 4-o'clock positions, with the 12-o'clock position representing the superior anatomic location and the 3-o'clock position representing the anterior anatomic location regardless of hip laterality. We use an inside-out anchor placement technique to place far medial anchors, which differs from the conventional techniques (e.g., outside-in technique) in which anchor placement is performed along the external margin of the acetabular labrum., Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Funding was provided by the Foderaro-Quattrone Musculoskeletal-Orthopaedic Surgery Research Innovation Fund. A.J.K. reports a consulting or advisory relationship with Arthrex and B. Braun Medical and reports board membership with American Journal of Sports Medicine, International Cartilage Repair Society, and International Society of Arthroscopy, Knee Surgery & Orthopaedic Sports Medicine. M.H. reports a consulting or advisory relationship with DJO Enovis, Moximed, and Vericel and reports board membership with Journal of Cartilage and Joint Preservation. All other authors (F.M., Z.C.R., X.P.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors.)

Background: Given the safety concerns during the COVID-19 (coronavirus disease 2019) pandemic, residency programs suspended away rotations in 2021, and the interview process was transitioned to a virtual video format. In the present study, we assessed the extent to which these changes had affected match outcomes and whether medical school ranking, international graduate status, or affiliation with a home neurosurgery program had affected these outcomes., Methods: A cross-sectional analysis of neurosurgery match data from 2016 to 2021 was performed, and the match outcomes were assessed by matched program geography and program research ranking. χ 2 tests were performed to identify significant differences between the 2021 and 2016-2020 match results., Results: A total of 1324 confirmed matched neurosurgery residents were identified from 2016 to 2021 (2016-2020, n = 1113; 2021, n = 211). No statistically significant differences were found in the rates of matching at a home program, within state, or within region between 2021 and 2016-2020 in the overall cohort. The proportions of international graduates and students without home programs among the matched applicants were unchanged in 2021. In 2021, students from the top 25 medical schools were less likely to match within their state or region (P < 0.05)., Conclusions: Our findings might reflect enhanced weighting given by programs to applicants from top medical schools in the absence of data from in-person rotations and interviews. These findings, coupled with the potential benefits of an increasingly virtual application process in improving equity and diversity among candidates from underrepresented communities, should be considered when determining permanent modifications to future residency application cycles., (Copyright © 2021. Published by Elsevier Inc.)