scholarly journals Open Anatomic Reconstruction of the Medial Collateral Ligament and Posteromedial Corner

2015 ◽  
Vol 4 (6) ◽  
pp. e885-e890 ◽  
Author(s):  
Matthew R. Prince ◽  
Andrew J. Blackman ◽  
Alexander H. King ◽  
Michael J. Stuart ◽  
Bruce A. Levy
Keyword(s):  
Medial Collateral Ligament ◽  
Anatomic Reconstruction ◽  
Collateral Ligament ◽  
Posteromedial Corner

Superficial Medial Collateral Ligament Anatomic Augmented Repair Versus Anatomic Reconstruction

2013 ◽  
Vol 41 (12) ◽  
pp. 2858-2866 ◽  
Author(s):  
Coen A. Wijdicks ◽  
Max P. Michalski ◽  
Matthew T. Rasmussen ◽  
Mary T. Goldsmith ◽  
Nicholas I. Kennedy ◽  
...  
Keyword(s):  
Medial Collateral Ligament ◽  
Anatomic Reconstruction ◽  
Collateral Ligament ◽  
Superficial Medial Collateral Ligament

scholarly journals Needle assisted arthroscopic clysis of the medial collateral ligament of the knee: a simple technique to improve exposure in arthroscopic knee surgery

2013 ◽  
Vol 5 (4) ◽  
pp. 38 ◽  
Author(s):  
Xinning Li ◽  
Ronald M. Selby ◽  
Ashley Newman ◽  
Stephen J. O'Brien
Keyword(s):  
Medial Collateral Ligament ◽  
Tibial Plateau ◽  
Medial Meniscus ◽  
Knee Arthroscopy ◽  
Medial Compartment ◽  
Spinal Needle ◽  
Collateral Ligament ◽  
Valgus Stress ◽  
Posteromedial Corner ◽  
Arthroscopic Knee

During knee arthroscopy, narrowness and tightness maybe encountered in the medial compartment that does not allow sufficient visualization or instrumentation. When this occurs, our team has found it helpful to perform a percutaneous clysis of the deep portion of the medial collateral ligament with a spinal needle. With the knee positioned in 10° to 20° of flexion and a valgus stress is applied. A spinal needle (18 Gauge) is passed percutaneously through the medial collateral ligament between the tibial plateau and undersurface of the medial meniscus. Several passes are made with the spinal needle with the bevel of the needle angled to selectively divide the fibers while keeping the medial collateral ligament under tension. Then with controlled valgus force, the medial compartment will progressively open allowing improved visualization to the posteromedial corner of the knee. This increase in space gives an enhanced visual field and further allows more room for arthroscopic instrumentation.

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