Moran Thomas E, Demers Alex, Awowale John T, Werner Brian C, Miller Mark D
University of Virginia Department of Orthopaedic Surgery, Charlottesville, Virginia, U.S.A.
Arthrosc Tech. 2020 Feb 25;9(3):e393-e397. doi: 10.1016/j.eats.2019.11.008. eCollection 2020 Mar.
The outside-in, percutaneous release of the medial collateral ligament (MCL) is a technique used to increase the medial tibiofemoral joint space during arthroscopy to facilitate the use of instrumentation and improve visualization without causing iatrogenic cartilage damage. A recent systematic review of the literature has shown this technique to be efficacious and safe, with no evidence of associated short- or long-term complications. This technique has been used for this indication by the senior author without requiring any deviation from our institution's standard protocol for knee arthroscopy. In an attempt to standardize this technique's utilization and allow for further evaluation in the literature, the senior author's method for this percutaneous, outside-in approach of "pie crusting" the MCL is described.
内侧副韧带（MCL）的经皮由外向内松解术是一种在关节镜检查期间用于增加胫股内侧关节间隙的技术，以便于使用器械并改善视野，同时不会造成医源性软骨损伤。最近一项对文献的系统评价表明，该技术有效且安全，没有相关短期或长期并发症的证据。资深作者一直将该技术用于此适应症，且未偏离我们机构膝关节镜检查的标准方案。为了规范该技术的应用并使其在文献中得到进一步评估，现将资深作者采用的这种经皮由外向内“压碎”MCL的方法进行描述。
