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First, Do No Harm: Protect the Articular Cartilage When Performing Arthroscopic Knee Surgery!
1University of Minnesota School of Medicine; and Minnesota Bone & Joint Specialists, Ltd., St. Paul, Minnesota, U.S.A..
Summary
Routine knee arthroscopy can damage articular surfaces. This review details a partial medial collateral ligament release technique for accessing the posterior medial compartment in tight knees, minimizing articular damage.
Area of Science:
- Orthopedic Surgery
- Knee Arthroscopy
- Sports Medicine
Background:
- Articular surface damage is a common complication during knee arthroscopy.
- Accessing the posterior medial compartment of the knee can be challenging due to joint tightness.
- Existing techniques may increase the risk of iatrogenic injury.
Purpose of the Study:
- To review the background, literature, and technique for performing a partial medial collateral ligament release.
- To provide a method for safely accessing the posterior medial compartment in tight knees.
- To minimize articular surface damage during arthroscopic knee surgery.
Main Methods:
- Literature review of arthroscopic knee surgery and medial collateral ligament (MCL) release.
- Description of the surgical technique for partial MCL release.
- Discussion of anatomical considerations and potential complications.
Main Results:
- A partial MCL release facilitates improved visualization and access to the posterior medial compartment.
- This technique can be performed safely with careful attention to anatomical landmarks.
- Reduced risk of iatrogenic articular surface injury compared to forceful joint distension.
Conclusions:
- Partial medial collateral ligament release is a valuable technique for enhancing arthroscopic access to the posterior medial knee.
- It offers a solution for managing tight knees during arthroscopy.
- This approach aids in preventing articular surface damage, improving patient outcomes.
