A Technique of Improved Medial Meniscus Visualization by Anterior Cruciate Ligament Graft Placement in Chronic Anterior Cruciate Deficient Knees | Zendy

Christopher J. Vertullo | Zendy; Lahann Wijenayake | Zendy; Jane Grayson | Zendy

Open Access

A Technique of Improved Medial Meniscus Visualization by Anterior Cruciate Ligament Graft Placement in Chronic Anterior Cruciate Deficient Knees

Author(s) -

Christopher J. Vertullo,

Lahann Wijenayake,

Jane Grayson

Publication year - 2016

Publication title -

arthroscopy techniques

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.66

H-Index - 31

ISSN - 2212-6287

DOI - 10.1016/j.eats.2016.01.001

Subject(s) - medicine , anterior cruciate ligament , medial meniscus , meniscus , surgery , anterior cruciate ligament reconstruction , fixation (population genetics) , hamstring , tibia , osteoarthritis , pathology , population , physics , alternative medicine , incidence (geometry) , environmental health , optics

It is customary to perform medial meniscus repair before anterior cruciate ligament (ACL) graft placement when undertaken as a combined procedure. However, in chronic ACL-deficient knees, intraoperative anterior tibiofemoral translation can cause the medial meniscus repair to be more technically challenging. Intraoperative anterior tibiofemoral translation can both reduce the visualization of the medial meniscus and make its reduction unstable. An operative sequence alteration of ACL graft placement and tensioning before medial meniscal repair improves medial meniscus visualization in chronically ACL-deficient knees by using the ACL graft's ability to prevent anterior tibiofemoral translation. The technique sequence is as follows: (a) the medial meniscus is reduced, (b) ACL reconstruction is undertaken using a hamstring graft without final tibia fixation,

The content you want is available to Zendy users.

Already have an account? Click here to sign in.

Having issues? You can contact us here

Accelerating Research