AI Article Synopsis
- Injuries to the medial stabilizing structures of the knee are common and usually heal well with conservative treatment, although some may develop ongoing instability.
- In certain cases, persistent valgus laxity can lead to complications, necessitating surgical intervention to restore knee stability.
- This study proposes a new surgical technique that minimizes risks and maintains proper graft tension, focusing on the anatomical positioning of the graft between the medial collateral ligament and the posterior oblique ligament.
Article Abstract
Injuries to stabilizing elements on the medial side of the knee are one of the most common knee ailments. Because of the good healing capacity of these structures, acute injuries are typically treated conservatively. However, valgus laxity near full extension can persist in some patients. This laxity may be the source of instability due to medial joint space opening, which then requires surgical treatment. Various procedures have been described that aim to reproduce the anatomy of the medial collateral ligament (MCL) and the posterior oblique ligament (POL), which work together to stabilize the medial aspect of the knee. However, these are complex open surgical procedures, technically demanding to achieve the favorable isometry, which prevent joint contracture or recurrence of laxity. The purpose of this study was to describe a short construct that minimizes the risk of secondary loss of tension and complies with the principle of favorable anisometry. The graft is positioned in the joint opening axis, between the deep bundle of the MCL and the POL.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074095 | PMC |
| http://dx.doi.org/10.1016/j.eats.2018.03.014 | DOI Listing |
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