Medial Collateral Ligament Reconstruction With Anteromedial Reinforcement for Medial and Anteromedial Rotatory Instability of the Knee
Even though structures of the medial side of the knee have a high potential to heal without surgery, in some circumstances injuries of this region may lead to development of chronic medial and anteromedial rotatory instability (AMRI). In those circumstances, surgery should be performed. Current-day...
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2019-08-01
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628719300660 |
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doaj-516411df40cd4ee5952b0fec3710f7c62021-06-10T04:56:05ZengElsevierArthroscopy Techniques2212-62872019-08-0188e807e814Medial Collateral Ligament Reconstruction With Anteromedial Reinforcement for Medial and Anteromedial Rotatory Instability of the KneeKonrad Malinowski, M.D., Ph.D.0Krzysztof Hermanowicz, M.D., Ph.D.1Adrian Góralczyk, M.D.2Robert F. LaPrade, M.D., Ph.D.3Artromedical Orthopaedic Clinic, Belchatow, Poland; Address correspondence to Konrad Malinowski, M.D., Ph.D., Artromedical Orthopaedic Clinic, Chrobrego 24, 97-400 Belchatow, Poland.ORTIM Orthopaedic Clinic, Bialystok, PolandORTIM Orthopaedic Clinic, Bialystok, PolandTwin Cities Orthopedics, Edina, Minnesota, U.S.A.Even though structures of the medial side of the knee have a high potential to heal without surgery, in some circumstances injuries of this region may lead to development of chronic medial and anteromedial rotatory instability (AMRI). In those circumstances, surgery should be performed. Current-day surgical techniques are focused on recreating the function of the main stabilizers of the medial side of the knee, which are the medial collateral ligament and the posterior oblique ligament, but they omit the role of the anteromedial capsule. Nonetheless, they are able to restore at most “near-native” biomechanics of the joint, are highly invasive, and require advanced skills in posteromedial knee surgery. Maybe we should take a look at chronic medial instability and AMRI from the other side? We present a minimally invasive reconstruction of the superficial medial collateral ligament with anteromedial reinforcement for the AMRI component. Level of evidence: 1 (knee) and 2 (collateral ligaments).http://www.sciencedirect.com/science/article/pii/S2212628719300660 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Konrad Malinowski, M.D., Ph.D. Krzysztof Hermanowicz, M.D., Ph.D. Adrian Góralczyk, M.D. Robert F. LaPrade, M.D., Ph.D. |
spellingShingle |
Konrad Malinowski, M.D., Ph.D. Krzysztof Hermanowicz, M.D., Ph.D. Adrian Góralczyk, M.D. Robert F. LaPrade, M.D., Ph.D. Medial Collateral Ligament Reconstruction With Anteromedial Reinforcement for Medial and Anteromedial Rotatory Instability of the Knee Arthroscopy Techniques |
author_facet |
Konrad Malinowski, M.D., Ph.D. Krzysztof Hermanowicz, M.D., Ph.D. Adrian Góralczyk, M.D. Robert F. LaPrade, M.D., Ph.D. |
author_sort |
Konrad Malinowski, M.D., Ph.D. |
title |
Medial Collateral Ligament Reconstruction With Anteromedial Reinforcement for Medial and Anteromedial Rotatory Instability of the Knee |
title_short |
Medial Collateral Ligament Reconstruction With Anteromedial Reinforcement for Medial and Anteromedial Rotatory Instability of the Knee |
title_full |
Medial Collateral Ligament Reconstruction With Anteromedial Reinforcement for Medial and Anteromedial Rotatory Instability of the Knee |
title_fullStr |
Medial Collateral Ligament Reconstruction With Anteromedial Reinforcement for Medial and Anteromedial Rotatory Instability of the Knee |
title_full_unstemmed |
Medial Collateral Ligament Reconstruction With Anteromedial Reinforcement for Medial and Anteromedial Rotatory Instability of the Knee |
title_sort |
medial collateral ligament reconstruction with anteromedial reinforcement for medial and anteromedial rotatory instability of the knee |
publisher |
Elsevier |
series |
Arthroscopy Techniques |
issn |
2212-6287 |
publishDate |
2019-08-01 |
description |
Even though structures of the medial side of the knee have a high potential to heal without surgery, in some circumstances injuries of this region may lead to development of chronic medial and anteromedial rotatory instability (AMRI). In those circumstances, surgery should be performed. Current-day surgical techniques are focused on recreating the function of the main stabilizers of the medial side of the knee, which are the medial collateral ligament and the posterior oblique ligament, but they omit the role of the anteromedial capsule. Nonetheless, they are able to restore at most “near-native” biomechanics of the joint, are highly invasive, and require advanced skills in posteromedial knee surgery. Maybe we should take a look at chronic medial instability and AMRI from the other side? We present a minimally invasive reconstruction of the superficial medial collateral ligament with anteromedial reinforcement for the AMRI component. Level of evidence: 1 (knee) and 2 (collateral ligaments). |
url |
http://www.sciencedirect.com/science/article/pii/S2212628719300660 |
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