Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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Avcilar Hospital, Istanbul, Turkey
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Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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replacement and finally patellar tendon ruptures associated with multi-ligament injuries of the knee. Early surgical repair with or without augmentation in the first few weeks following injury is advisable in acute injuries as delayed treatment results in
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menisci in the knee homeostasis. It also demonstrated the repairability of the meniscus thanks to the peripheral vascularity which allows a healing process. 2 New diagnostic tools, first MRI and then arthroscopy, gave us a better understanding of
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reduce the risk of patella tendon avulsion from its insertion. This will also allow a satisfactory repair during closure of the arthrotomy. If the knee is stiff preoperatively and access is difficult, it is our routine practice to consider a tibial crest
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observing all areas of the knee joint, especially the posterior compartments ( 1 ). This is of more importance in the repair of posterior meniscus lesions ( 2 ). In addition, the use of anterior portals limits the surgeon in using the arthroscope to treat
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that affect diarthroses, characterized through stress manifested at a cellular level and degradation of the extracellular matrix (ECM), promoted by injuries at both micro and macro level which activate a pathological repair response from the immune
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medial imbrication procedures ( 10 ). Nonanatomical techniques of plication or primary repair of medial structures do not restore normal biomechanics and may increase patellofemoral joint reaction forces ( 11 ); these have fallen out of favor and have
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performance ( 2 , 4 , 5 ). In the last century, the treatment of symptomatic patients has remarkably evolved. Repair techniques such as bone marrow stimulation, debridement, abrasion, and subchondral drilling have been gradually replaced by microfractures
Institut du mouvement et de l’appareil locomoteur, Marseille, France
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lower limb malalignment can threaten the success of these procedures with consequent failures ( 6 , 7 , 8 ). Hence, knee osteotomy is becoming more popular as an additional procedure with cartilage repair surgeries in cases of malalignment to improve
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ACL revision surgeries ( 31 ). Posterolateral root tears in patients with torn ACL increase AP and rotational laxity compared to isolated torn ACL ( 32 , 33 ). Repair of the posterolateral root resulted in good PROMs and high healing rates (90
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waiting to repair the fracture. Immobilisation of the knee and cryotherapy are the most commonly-used methods to diminish the inflammatory response. 1 Knee immobilisation can be achieved by splinting or by external fixation. The use of a staged