Australian orthopaedic surgeons' knowledge and practice of medial collateral ligament release in knee arthroscopy

Andersen, Kathlyn; Mitchell, David; Spencer, Luke

doi:10.1111/ans.18001

Cited by 1 publication

(3 citation statements)

References 9 publications

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“…The saphenous nerve and vein are critical anatomical structures in the medial aspect of the knee, and their relationship to the MCL is crucial to understand ( 18 ). The saphenous vein is a superficial vein that courses along the medial aspect of the lower limb, including the knee region.…”

Section: Discussionmentioning

confidence: 99%

“…During procedures involving the MCL or the knee’s medial aspect, surgeons should avoid damaging or compressing the saphenous nerve, as it can lead to sensory deficits or discomfort in the lower leg. It is essential to know the precise location of the saphenous vein and nerve to minimize the risk of injury and ensure the success and safety of surgical procedures involving the knee’s MCL ( 18 ).…”

Section: Discussionmentioning

confidence: 99%

“…Complications such as MCL over-release, pain and damage to surrounding structures caused by percutaneous MCL pie-crusting were addressed in several studies ( 18 - 21 ). Patients usually describe mild medial compartment pain during the first 2 weeks postoperatively.…”

Section: Discussionmentioning

confidence: 99%

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The pie-crust surgical technique for medial collateral ligament release: enhancing visualization of the medial compartment in knee arthroscopy

Bosco,

Giustra,

Ghirri

et al. 2024

Ann Joint

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This study presents a comprehensive surgical technique for performing a ‘pie-crust’ release of the medial collateral ligament (MCL) to enhance visualization of the medial compartment during arthroscopic knee procedures. The primary objective of this research is to improve the precision of diagnosis and treatment for injuries specifically affecting the posterior horn and posterior root of the medial meniscus. Arthroscopic knee procedures have become increasingly common in orthopedic surgery, offering the advantage of minimally invasive techniques for treating a wide range of knee conditions. However, accessing and visualizing the posterior structures within the medial compartment can be challenging. To overcome this limitation, the surgical technique presented in this study offers a systematic approach that includes patient positioning, precise identification of anatomical landmarks, and a detailed, step-by-step procedural description. The process begins with meticulous marking of anatomical landmarks to provide reference points. Precisely identifying the location for the MCL release is of utmost importance. This involves making needle punctures with guidance from arthroscopic visualization and applying valgus strain to the knee as necessary. One of the key advantages of this described surgical technique is its focus on safety and efficacy. Surgeons can work more confidently and precisely by reducing the risk of iatrogenic cartilage damage and facilitating access to the posterior structures within the medial compartment. Clinical outcomes from this approach have demonstrated consistently favorable results, leading to improved patient recovery and reduced complications. Furthermore, it is noteworthy that the postoperative use of a brace is not mandatory, adding to the appeal of this technique for both patients and surgeons. This surgical technique’s enhanced visualization and optimized treatment outcomes make it a valuable tool in the arsenal of orthopedic surgeons specializing in knee arthroscopy. In conclusion, this study’s surgical technique has the potential to significantly improve the diagnosis and treatment of patients with meniscal injuries in the medial compartment, ultimately leading to better clinical outcomes and patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%