Arthroscopic posterior bone block procedure using cortical screws has been reported since 2012 for management of recurrent instability associated with defects. To avoid screw complications, we describe a full arthroscopic technique based on button fixation. With 4 portals (posterior, poster lateral, anterior, and anterolateral), use specific glenoid guiding system (to perform 2 tunnels) buttons...

Injuries to the tibioperoneal syndesmosis are more frequent than previously thought and their treatment is essential for the stability of the ankle mortise.Recognition of these lesions is essential to avoid long-term morbidity.Diagnosis often requires complete history, physical examination, weight-bearing radiographs and MRI.Treatment-oriented classification is mandatory.It is recommended that ...

Tendon transfers pptay an important role in reconstructive foot and ankle surgery. Multiple methods for fixation of tendon to bone are used including suture of tendon to periosteum, suture into bone troughs, suture anchors, and passage through bone tunnels. With the increasing populatity of hamstring tendon anterior cruciate ligament reconstructions has come new fixation technology. Soft-tissue...

BACKGROUND In anterior cruciate ligament reconstruction performed using cortical button fixation on the femur, we have observed a "wobble" effect that can occur when a cannulated femoral drill is used over a guide pin that is not securely fixed in bone. Our study assessed the effect of drill "wobble" on femoral tunnel aperture in sawbones. METHODS Femoral tunnels were drilled in sawbones, whi...

Open transfer of the pectoralis minor through a deltopectoral approach has been described to treat irreparable tears of the upper two-thirds of the subscapularis. We present a less invasive arthroscopic-assisted technique for this transfer. Atraumatic dissection of the pectoralis minor and harvesting of the tendon with a bone chip from the coracoid process allow strong fixation with a double-bu...

Treatment of proximal hamstring avulsions is challenging regarding both timing and choice of repair. In chronic situations, the tissue can become attenuated, bringing into question the need for adjunctive allograft. In general, proximal hamstring avulsions are affixed back to the ischial tuberosity with suture anchors, with allograft used as needed for chronic situations. This article reports o...