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Arthroscopic Assisted Turf Toe Reconstruction With Knotless Suture Anchors and Suture Tape Augmentation
Nicholas K Pappa1, Kyle S Ardavanis2, Tobin Eckel1
1Department of Orthopaedic Surgery The Ohio State University Wexner Medical Center Columbus Ohio U.S.A.
Arthroscopy Techniques
|July 29, 2026
Summary
Turf toe, a common athletic injury, can be treated with arthroscopic surgery. This minimally invasive technique uses knotless anchors for faster recovery and reduced irritation in hallux metatarsophalangeal joint injuries.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Foot and Ankle Surgery
Background:
- Turf toe is a hyperextension injury of the great toe's metatarsophalangeal joint (MTPJ).
- This injury is prevalent in sports like football and soccer, often requiring surgical intervention for severe cases.
- Current treatment challenges include managing joint hematoma and minimizing post-operative complications.
Purpose of the Study:
- To describe an arthroscopic surgical technique for treating turf toe injuries.
- To detail the use of knotless suture anchors and suture tape for capsular reconstruction.
- To evaluate the potential for accelerated recovery and reduced soft tissue irritation.
Main Methods:
- Arthroscopic visualization and hematoma evacuation of the MTPJ.
- Utilization of all-suture knotless anchors to eliminate knots and reduce suture bulk.
- Capsular reconstruction augmented with suture tape for enhanced stability.
Main Results:
- Direct visualization and clearance of the MTPJ joint hematoma.
- Successful application of knotless suture anchors, minimizing suture burden and soft tissue irritation.
- Demonstration of a technique for arthroscopic-assisted capsular reconstruction.
Conclusions:
- Arthroscopic treatment of turf toe with knotless anchors offers a minimally invasive approach.
- This technique potentially reduces suture-related complications and promotes faster athlete recovery.
- Capsular reconstruction with suture tape augmentation provides a viable option for MTPJ injuries.
