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Medial collateral ligament release during knee arthroscopy

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Resumo:■ Complete access to the posterior medial compartment of the knee may represent a technical challenge during arthroscopy in patients with a tight tibiofemoral joint space. ■ Medial collateral release reduces direct iatrogenic cartilage damage in the medial compartment of the knee through manipulation with instruments. ■ We recommend performing medial collateral release in surgeries that access the posteromedial compartment (e.g. partial meniscectomy for ruptures of the posterior horn of medial meniscus or posterior root repairs) when the patient has a tight tibiofemoral joint space. ■ There are two main techniques to perform medial collateral release: inside-out and outside-in. Regardless of the technique used’ releasing medial ligament structures is a safe and effective method to be used in the diagnosis and treatment of injuries to the medial compartment.
Autores principais:da Silva Campos, Vicente Carlos
Outros Autores:Pinto, Francisco Guerra; Constantino, Diogo; Andrade, Renato; Espregueira-Mendes, João
Assunto:knee arthroscopy Medial Collateral Ligament pie-crusting Surgery Orthopedics and Sports Medicine
Ano:2021
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Universidade Nova de Lisboa
Idioma:inglês
Origem:Repositório Institucional da UNL
Descrição
Resumo:■ Complete access to the posterior medial compartment of the knee may represent a technical challenge during arthroscopy in patients with a tight tibiofemoral joint space. ■ Medial collateral release reduces direct iatrogenic cartilage damage in the medial compartment of the knee through manipulation with instruments. ■ We recommend performing medial collateral release in surgeries that access the posteromedial compartment (e.g. partial meniscectomy for ruptures of the posterior horn of medial meniscus or posterior root repairs) when the patient has a tight tibiofemoral joint space. ■ There are two main techniques to perform medial collateral release: inside-out and outside-in. Regardless of the technique used’ releasing medial ligament structures is a safe and effective method to be used in the diagnosis and treatment of injuries to the medial compartment.

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