Abstract
Partial meniscectomies are the most commonly performed arthroscopic knee procedures, however, are complicated by the presence of a tear in the posterior medial compartment (PMC) in tandem with a “tight knee”. This inhibits adequate spacing for instrumentation access, increasing the chances of causing iatrogenic cartilage damage which can progress to early onset osteoarthritis. We present a unique method for increasing the joint space, in such cases, and avoiding cartilage damage, by performing a femoral end medial collateral ligament release and reattachment (MCLR). Patient outcomes were evaluated in two parts. The first part compared the fourteen patients who underwent a MCLR pre- and post-operatively via the Lysholm and Tegner score, VAS pain scale and knee flexion angle. Finally, the MCLR patients were compared via 1:1 propensity score-matching to patients who underwent a valgus maneuver only for a PMC tear. The patients receiving an MCLR showed a statistically significant improvement (p<0.001) within each of the pre- and post-operative measured variables. When compared with 1:1 propensity score matched and unmatched patients, no statistically significant difference was seen between the Lysholm, Tegner and Flexion angle while VAS pain scale did show a difference. For patients requiring a PMM with a “tight knee”, performing an MCLR provides a clinical and functional improvement in symptoms and showed no statistically significant difference when compared with valgus maneuver only patients. Therefore, it is an effective procedure for increasing the joint space in a patient with a tight knee that requires a partial medial meniscectomy (PMM).
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.