Arthroscopy of the Lower Extremity

Phillips, Barry B.; Mihalko, Marc J.

doi:10.1016/b978-0-323-07243-4.00051-7

Cited by 8 publications

(6 citation statements)

References 359 publications

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“…Basic knee arthroscopy includes proper visualization of eight regions one after another. 1 These regions are suprapatellar pouch, lateral gutter, medial gutter, medial compartment, intercondylar notch, lateral compartment, posterior medial compartment, and posterior lateral compartment. Posterior medial compartment visualization may be quite challenging, particularly in tight knees.…”

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confidence: 99%

Objective Measurement of Medial Joint Space Widening with Percutaneous “Pie Crust” Release of Medial Collateral Ligament during Knee Arthroscopy

et al. 2019

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Knee arthroscopy may be called the most commonly and increasingly performed orthopaedic procedure. Posterior medial compartment visualization may be quite challenging. The aim of the present study is to detect objective measurement of medial joint space widening with percutaneous “pie crust” release of medial collateral ligament (MCL) during knee arthroscopy. We used this technique for all knees that require any intervention in the posteromedial compartment and for tight knees in which adequate visualization of the posteromedial compartment cannot be obtained. Eighteen patients (18 knees) were included in this study. Patients were evaluated clinically with the Lysholm and Tegner scores at the final office visit. Joint balance, valgus instability, pain or tenderness on MCL region, and numbness over the medial side of the joint were also noted. Measurements of medial joint space (mm) were obtained at three different times with perioperative C-arm images: normal, controlled valgus force, and after pie crusting. The median follow-up time was 9 (6–12) months. Final follow-up Lysholm (p < 0.05) and Tegner scores (p < 0.05) increased significantly compared with preoperative scores. At the final follow-up, there was no pain or tenderness over MCL and there were no signs of saphenous nerve or vein injury. Medial joint space values in after pie crusting increased significantly (p < 0.05) compared with neutral position measurements and controlled valgus force application (p < 0.05). Controlled release of the MCL in knees provided ∼2.45 times wider visualization place. Furthermore, pie crusting of MCL is a safe and effective technique that provides enough space for visualization and instrumentation in knees. This is a Level IV study.

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confidence: 99%

Objective Measurement of Medial Joint Space Widening with Percutaneous “Pie Crust” Release of Medial Collateral Ligament during Knee Arthroscopy

et al. 2019

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“…Standard Anterolateral and Antero medial portals were used. 4,5,6 Diagnostic arthroscopy 7,4,6 was performed concentrating on suspected focal areas of pathology in synovium. 7,2 Biopsy is obtained from different places like supra patellar pouch, medial and lateral gutters and from patellar margins.…”

Section: Methodsmentioning

confidence: 99%

Selective Synovial Biopsy in Chronic Synovitis Knee – A Study

Raghunandan¹,

B²,

M³

et al. 2015

jebmh

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Arthroscopy assisted selective synovial biopsy was performed in 40 Patients with chronic synovitis of the knee presented to Orthopaedic outpatient department at Government General Hospital, Kurnool. Common histo-morphological patterns observed were non-specific type and tuberculosis. The procedure is safe with no morbidity and possibly helpful in early diagnosis of synovial pathology avoiding the complications of open surgery.

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“…At least 22-cm graft (11 cm as folded) is advised for appropriate ACL reconstruction. 3,4 Harvesting longer graft may allow doubling of the graft with an increased diameter, providing enough length for adequate graft within the femoral tunnel and for the fixation of the graft outside the tibial tunnel. 5 Furthermore, a longer graft can also enable reconstructing the ACL with only semitendinosus as reported by Kyung at al.…”

Section: Introductionmentioning

confidence: 99%