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Document Type

Original Article

Abstract

Background: Attachment of the posterior root is necessary for the medial meniscus to function and its tears are common. Arthroscopy must be able to see the medial meniscus' posterior horn to repair it. Even an arthroscopy specialist can damage the articular cartilage in tight knee joints with a tiny medial joint space, increasing the risk of knee osteoarthritis. Pie crusting technique needs multiple punctures to open joints. It raises medial joint structure iatrogenic injury risk. Aim of the Work:The purpose of the research was to look for residual laxity of knee following minimally invasive (Mini-Open) Superficial Medial Collateral Ligament (sMCL) release or any other complications.

Patients and Methods:Thirty individuals with injuries of medial meniscus were identified between March 2022 and December 2022 who had tight knees and the tear's visualization is challenging. These individuals had minimally invasive sMCL release, making meniscal repair or partial meniscectomy safe and easy.

Results: Each participant had post-operative discomfort at the release site (grade I MCL sprain), which went away in 1-2 weeks. By the end of the third month post-operatively the mean Lysholm score rose from 50.03 pre-operatively to 92.47. None of the patients complained of residual medial laxity after the period of the follow-up has over.

Conclusion: Meniscal surgery requires clear visibility of the medial meniscus' posterior horn. The minimally invasive sMCL release is safe and effective for viewing the medial meniscus' posterior horn in tight knees. Prevents medial femoral condyle fractures and iatrogenic chondral damage. The released superficial medial collateral ligament recovers without perceived instability.

Keywords

Mini-open Superficial Medial Collateral Ligament, Arthroscopic Medial Meniscus Surgery, Tight Medial Compartment, Pi crusting

Subject Area

Orthopedics

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