» Genicular artery embolization (GAE) is a promising treatment option for patients with knee osteoarthritis who are unresponsive to nonsurgical treatments and not yet candidates for surgery. » Current evidence supports the effectiveness of GAE in reducing pain and synovitis, with few reported major adverse events. » The cost-effectiveness and long-term results of GAE compared with other treatment options require further investigation. » Limitations of existing studies include small sample sizes, single-center trials, and lack of comparison between embolic agents and other treatments. » Future research should focus on larger, multicenter trials with longer follow-up periods and head-to-head comparisons with alternative treatment modalities to establish the role of GAE in the management of knee osteoarthritis.

Background: The aim of this study was to compare the efficacy of 3 methods of intraoperative analgesic cocktail injection during total knee arthroplasty (TKA)—intra-articular (IA), periarticular (PA), and combined intra-articular and periarticular (IA+PA)—on controlling early postoperative pain. Methods: This was a prospective double-blinded parallel randomized clinical trial. A total of 153 patients scheduled for TKA were allocated to IA, PA, or IA+PA (51 patients each) by block randomization. The primary outcome was morphine consumption. Secondary outcomes were visual analogue scale (VAS) pain, knee flexion, straight leg raising, Knee Society Score (KSS), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results: The morphine consumption was lowest in the PA group (median = 0, interquartile range [IQR] = 5) and highest in the IA group (median = 10, IQR = 5). The PA group had significantly lower VAS pain at rest than either IA (mean difference = −0.70; 95% confidence interval [CI] = −0.93 to −0.46; p < 0.001) or PA+IA (mean difference = −0.41; 95% CI = −0.65 to −0.18; p < 0.001). The PA group had also lower VAS pain during activity compared with IA (mean difference = −0.63; 95% CI = −0.85 to −0.40; p < 0.001) and IA+PA (mean difference = −0.38; 95% CI = −0.61 to −0.16; p < 0.001). The PA group had significantly greater active knee flexion compared with IA (mean difference = 9.68°; 95% CI = 5.50° to 13.86°; p < 0.001) and IA+PA (mean difference = 5.13°; 95% CI = 0.95° to 9.31°; p = 0.010). Passive knee flexion was greater for PA than IA (mean difference = 7.85°; 95% CI = 4.25° to 11.44°; p < 0.001). Other outcome variables were not significantly different among the 3 groups. The only complications were wound drainage (1 each in the IA and IA+PA groups) and deep venous thrombosis (1 in the IA group). Conclusions: PA was associated with less early postoperative pain and greater active knee flexion compared with the other 2 analgesic methods. Level of Evidence: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

» Arthroscopic anterior cruciate ligament (ACL) reconstruction is widely regarded for its excellent results in restoring tibiofemoral anterior laxity to near-normal levels. » However, some operated patients may still experience anterolateral rotatory instability, leading to dissatisfaction and feelings of instability. After ruling out injuries to the posteromedial corner, lateral collateral ligament, and posterolateral corner, the focus should shift to the anterolateral ligament (ALL) and Kaplan fibers. » For ALL injuries causing internal rotatory instability at around 30 degrees knee flexion, a modified deep Lemaire tenodesis is recommended. » Kaplan fiber injuries leading to internal rotatory instability at angles greater than 30 degrees knee flexion can be treated with a modified superficial Lemaire surgery and iliotibial band strap fixation in the distal Kaplan fiber anatomical position.

Flail foot is a condition characterized by a significant weakness in ankle dorsiflexion, resulting in limited or no active mobility in the ankle. To address this issue, we described a novel approach called tenodesis, which has been developed for ankle joint stabilization. This technique utilizes the patient's tendons to minimize potential complications. The primary focus of this method is to preserve ankle passive dorsiflexion, thereby maintaining the foot in a neutral position, helping prevent foot drop, reducing the risk of neuropathic ulcers, and keeping joint proprioception. Furthermore, maintaining passive ankle dorsiflexion is particularly important in societies where activities such as squatting are integral to daily life. The study aims to introduce a new surgical technique for flail foot.

Ramp lesions of the medial meniscus are frequently associated with anterior cruciate ligament injuries and contribute to persistent instability if untreated. Diagnosis is challenging, and repair techniques often require posteromedial portals or specialized devices. We describe a simplified angiocatheter‐assisted all‐inside repair performed entirely through anterior portals. Using an 18‐gauge angiocatheter loaded with FiberWire sutures (Arthrex, Naples, FL), sutures are passed across the meniscocapsular junction and secured with a sliding Duncan knot. This method avoids posteromedial dissection, reduces operative time, and eliminates dependence on costly implants. It is safe, reproducible, and cost‐effective, offering a practical alternative when conventional repair systems are unavailable.