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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6926300/ https://www.ncbi.nlm.nih.gov/pubmed/31890505 http://dx.doi.org/10.1016/j.eats.2019.07.002 |
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author | Malinowski, Konrad Sibilska, Aleksandra Góralczyk, Adrian LaPrade, Robert F. Hermanowicz, Krzysztof |
author_facet | Malinowski, Konrad Sibilska, Aleksandra Góralczyk, Adrian LaPrade, Robert F. Hermanowicz, Krzysztof |
author_sort | Malinowski, Konrad |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-6926300 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-69263002019-12-30 Superficial Medial Collateral Ligament Reattachment During High Tibial Osteotomy: Regulate Tension, Preserve Stability! Malinowski, Konrad Sibilska, Aleksandra Góralczyk, Adrian LaPrade, Robert F. Hermanowicz, Krzysztof Arthrosc Tech Technical Note 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. Elsevier 2019-10-11 /pmc/articles/PMC6926300/ /pubmed/31890505 http://dx.doi.org/10.1016/j.eats.2019.07.002 Text en © 2019 by the Arthroscopy Association of North America. Published by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Technical Note Malinowski, Konrad Sibilska, Aleksandra Góralczyk, Adrian LaPrade, Robert F. Hermanowicz, Krzysztof Superficial Medial Collateral Ligament Reattachment During High Tibial Osteotomy: Regulate Tension, Preserve Stability! |
title | 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_short | 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! |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6926300/ https://www.ncbi.nlm.nih.gov/pubmed/31890505 http://dx.doi.org/10.1016/j.eats.2019.07.002 |
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