Medial meniscus ramp tears: State of the art.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Maria Jesus Tuca reports a relationship with International Society of Arthroscopy Knee Surgery and Orthopaedic Sports Medicine that includes board membership. Maria Jesus Tuca reports a relationship with Arthrex Inc. that includes consulting or advisory. Robert F. LaPrade reports a relationship with Ossur Americas that includes consulting or advisory. Robert F. LaPrade reports a relationship with Smith and Nephew Inc that includes consulting or advisory. Robert F. LaPrade reports a relationship with Linvatec Europe that includes consulting or advisory. Robert F. LaPrade reports a relationship with Responsive Arthroscopy that includes consulting or advisory. Robert F. LaPrade reports a relationship with Ossur Americas Inc that includes funding grants. Robert F. LaPrade reports a relationship with Smith and Nephew Inc that includes funding grants. Robert F. LaPrade reports a relationship with Arthroscopy Association of North America that includes funding grants. Robert F. LaPrade reports a relationship with American Orthopaedic Society for Sports Medicine that includes funding grants. Sachin Tapasvi reports a relationship with Smith and Nephew Inc that includes consulting or advisory. Sachin Tapasvi reports a relationship with Newclip Technics that includes consulting or advisory. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Luke V. Tollefson has nothing to disclose. 3. Z Orthop Unfall. 2022 Apr;160(2):226-227. doi: 10.1055/a-1749-6615. Epub 2022 Mar 30. Anterolateral Extraarticular Stabilisation of the Knee: Modified Lemaire Procedure. [Article in English] Giebel GM(1), Ahmad SS(1), Stöckle U(1), Konrads C(2). Author information: (1)Center for Musculoskeletal Surgery, Charité Universitätsmedizin Berlin, Berlin, Germany. (2)Department of Orthopaedic Surgery, University of Tübingen, Tübingen, Germany. The anterolateral aspect of the knee is prone to laxity or symptomatic instability, if the anterior cruciate ligament (ACL) is torn. It is necessary to address this issue in patients with general joint hyperlaxity, overextension of the knee, massive anterolateral instability, or re-tear of the ACL with chronic instability. In these cases, and in addition to a preoperative bony workup and revision ACL reconstruction, anterolateral stabilisation should be considered to avoid persistent anterolateral rotation instability and failure of the ACL reconstruction.To stabilise the anterolateral corner of the knee, the modified Lemaire procedure as presented and illustrated here is a straight forward surgical technique that can be performed right after standard ACL reconstruction surgery, if indicated. It is independent from the graft choice for the ACL reconstruction, and the surgical setting in the operating room remains unchanged. Publisher: Bei Ruptur des vorderen Kreuzbands (VKB) droht zusätzlich zu einer anterioren Kniegelennkinstabilität eine anterolaterale Rotationsinstabilität der anterolateralen Kniegelenkecke. Dies sollte zusätzlich zur VKB-Ruptur adressiert werden bei Patienten mit genereller Gelenkhyperlaxizität, Überstreckbarkeit des Kniegelenks, massiver anterolateraler Instabilität oder bei erneutem Riss der VKB-Plastik mit chronischer Instabilität. In diesen Fällen sollte zusätzlich zur präoperativ erforderlichen knöchernen Analyse und Revisions-VKB-Ersatzplastik eine anterolaterale extraaartikuläre Stabilisierung erwogen werden. Damit kann man einer persistierenden anterolateralen Rotationsinstabilität und einem erneuten Versagen der VKB-Ersatzplastik vorbeugen.Zur Stabilisierung der anterolateralen Kniegelenkecke ist die hier dargestellte modifizierte Lemaire Technik ein geeignetes Verfahren, das einfach und schnell erlernt werden kann. Sofern indiziert, kann diese Prozedur direkt im Anschluss and die VKB-Ersatzplastik erfolgen. Die beschriebene und illustrierte Technik ist unabhängig vom für die VKB-Ersatzplastik verwendeten Gewebe und das Setting im Operationssaal bleibt unverändert. Thieme. All rights reserved. DOI: 10.1055/a-1749-6615