Arthroscopic Assisted Turf Toe Reconstruction With Knotless Suture Anchors and Suture Tape Augmentation

Abstract Turf toe is a hallux metatarsophalangeal joint (MTPJ) injury seen in sports like football and soccer where the foot experiences axial load while fixed to the ground with the great toe hyperextended at the MTPJ. Depending on severity, turf toe can be quite devastating in athletes and can require operative intervention. Here, we describe an arthroscopic approach to MTPJ to allow direct visualization and evacuation of joint hematoma as well as the utilization of all suture knotless suture anchors to eliminate knots and reduce suture burden, reduce soft tissue irritation, and accelerate recovery after surgery. We report our technique for arthroscopic assisted, capsular reconstruction of the great toe MTPJ with all knotless suture anchors and suture tape augmentation.