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

作者信息

Li Xinning, Selby Ronald M, Newman Ashley, O'Brien Stephen J

机构信息

Division of Sports Medicine and Shoulder Surgery, Boston University School of Medicine , Boston Medical Center, MA.

Orthopaedic Surgery and Sports Medicine , New Brunswick, NJ.

出版信息

Orthop Rev (Pavia). 2013 Dec 18;5(4):e38. doi: 10.4081/or.2013.e38. eCollection 2013.

DOI:10.4081/or.2013.e38
PMID:24416482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3883079/
Abstract

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.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7094/3883079/e29d2a0c4d44/or-2013-4-e38-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7094/3883079/4376916ec17c/or-2013-4-e38-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7094/3883079/e29d2a0c4d44/or-2013-4-e38-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7094/3883079/4376916ec17c/or-2013-4-e38-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7094/3883079/e29d2a0c4d44/or-2013-4-e38-g002.jpg

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2
Which Fibers of the Medial Collateral Ligament (MCL) Should Be Released in the Pie Crust Technique Applied During Knee Arthroscopy: Superficial MCL or Deep MCL?在膝关节镜检查中应用的“馅饼皮”技术中，内侧副韧带（MCL）的哪些纤维应该被松解：浅层MCL还是深层MCL？
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