Superficial Medial Collateral Ligament Reattachment During High Tibial Osteotomy: Regulate Tension, Preserve Stability!
High tibial osteotomy (HTO) is a commonly performed surgical procedure. Although it is well-known that the superficial medial collateral ligament (sMCL) should be released during HTO, there is still no agreement on performing its reattachment. Considering the function of the sMCL, after its release...
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Elsevier
2019-11-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628719301380 |
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doaj-685d5d3152204a148224cfc10328d67a2021-06-10T04:56:20ZengElsevierArthroscopy Techniques2212-62872019-11-01811e1339e1343Superficial Medial Collateral Ligament Reattachment During High Tibial Osteotomy: Regulate Tension, Preserve Stability!Konrad Malinowski, M.D., Ph.D.0Aleksandra Sibilska1Adrian Góralczyk, M.D.2Robert F. LaPrade, M.D., Ph.D.3Krzysztof Hermanowicz, M.D., Ph.D.4Artromedical Orthopaedic Clinic, Belchatów, Poland; Address correspondence to Konrad Malinowski, M.D., Ph.D., Artromedical Orthopaedic Clinic, Chrobrego 24, 97-400 Belchatów, PolandClinic of Orthopedics and Pediatric Orthopedics, Medical University of Lodz, Lodz, PolandORTIM Orthopaedic Clinic, Bialystok, PolandTwin Cities Orthopedics, Edina, Minnesota, U.S.A.ORTIM Orthopaedic Clinic, Bialystok, PolandHigh tibial osteotomy (HTO) is a commonly performed surgical procedure. Although it is well-known that the superficial medial collateral ligament (sMCL) should be released during HTO, there is still no agreement on performing its reattachment. Considering the function of the sMCL, after its release during HTO, increased medial joint instability may be expected. We present a technique for sMCL reattachment that prevents medial gapping development and maintains nearly native pressure on the medial compartment of the knee joint by matching the tension on the sMCL to the size of the osteotomy gap. This technique is suitable for any correction angle.http://www.sciencedirect.com/science/article/pii/S2212628719301380 |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Konrad Malinowski, M.D., Ph.D. Aleksandra Sibilska Adrian Góralczyk, M.D. Robert F. LaPrade, M.D., Ph.D. Krzysztof Hermanowicz, M.D., Ph.D. |
| spellingShingle |
Konrad Malinowski, M.D., Ph.D. Aleksandra Sibilska Adrian Góralczyk, M.D. Robert F. LaPrade, M.D., Ph.D. Krzysztof Hermanowicz, M.D., Ph.D. Superficial Medial Collateral Ligament Reattachment During High Tibial Osteotomy: Regulate Tension, Preserve Stability! Arthroscopy Techniques |
| author_facet |
Konrad Malinowski, M.D., Ph.D. Aleksandra Sibilska Adrian Góralczyk, M.D. Robert F. LaPrade, M.D., Ph.D. Krzysztof Hermanowicz, M.D., Ph.D. |
| author_sort |
Konrad Malinowski, M.D., Ph.D. |
| title |
Superficial Medial Collateral Ligament Reattachment During High Tibial Osteotomy: Regulate Tension, Preserve Stability! |
| title_short |
Superficial Medial Collateral Ligament Reattachment During High Tibial Osteotomy: Regulate Tension, Preserve Stability! |
| title_full |
Superficial Medial Collateral Ligament Reattachment During High Tibial Osteotomy: Regulate Tension, Preserve Stability! |
| title_fullStr |
Superficial Medial Collateral Ligament Reattachment During High Tibial Osteotomy: Regulate Tension, Preserve Stability! |
| title_full_unstemmed |
Superficial Medial Collateral Ligament Reattachment During High Tibial Osteotomy: Regulate Tension, Preserve Stability! |
| title_sort |
superficial medial collateral ligament reattachment during high tibial osteotomy: regulate tension, preserve stability! |
| publisher |
Elsevier |
| series |
Arthroscopy Techniques |
| issn |
2212-6287 |
| publishDate |
2019-11-01 |
| description |
High tibial osteotomy (HTO) is a commonly performed surgical procedure. Although it is well-known that the superficial medial collateral ligament (sMCL) should be released during HTO, there is still no agreement on performing its reattachment. Considering the function of the sMCL, after its release during HTO, increased medial joint instability may be expected. We present a technique for sMCL reattachment that prevents medial gapping development and maintains nearly native pressure on the medial compartment of the knee joint by matching the tension on the sMCL to the size of the osteotomy gap. This technique is suitable for any correction angle. |
| url |
http://www.sciencedirect.com/science/article/pii/S2212628719301380 |
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