Meniscal Root Repair With Mini-Open Medial Collateral Ligament Release

Area of Science:

• Orthopedic Surgery
• Knee Arthroscopy
• Meniscal Repair

Background:

• Meniscal root repair is increasingly performed due to its importance in knee joint preservation.
• Challenges exist in visualizing the posterior horn of the medial meniscus, especially in tight medial compartments.
• Current visualization methods risk iatrogenic chondral injury during meniscal tear repair.

Purpose of the Study:

• To describe a novel mini-open release technique for enhanced visualization during posterior medial meniscus repair.
• To detail a method that facilitates improved surgical access and instrument manipulation.
• To present a technique that aims to minimize iatrogenic chondral damage.

Main Methods:

• A mini-open release of the distal medial collateral ligament was performed.
• This approach allowed for increased joint distension and improved access to the posterior horn of the medial meniscus.
• The released medial collateral ligament was repaired following the meniscal repair procedure.

Main Results:

• The described technique provides superior visualization of the posterior medial meniscus.
• It facilitates easier instrument handling for accurate meniscal root repair.
• The method allows for effective repair of both the meniscus and the medial collateral ligament.

Conclusions:

• Mini-open release of the distal medial collateral ligament is an effective technique for improving visualization during posterior medial meniscus repair.
• This approach enhances surgical access and reduces the risk of iatrogenic chondral injuries.
• It offers a viable solution for challenging meniscal root repair cases.