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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...

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Autores principales: Malinowski, Konrad, Sibilska, Aleksandra, Góralczyk, Adrian, LaPrade, Robert F., Hermanowicz, Krzysztof
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
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.
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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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