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posteromedial portal, one can reach the medial aspect of the PCL attached to the posterior septum and the posterior third of the medial meniscus (the entire ramp area from the corner point to the posterior root) ( 7 ) ( Fig. 1A ). Entering the posterolateral
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Porto Biomechanics Laboratory (LABIOMEP), Faculty of Sports, University of Porto, Porto, Portugal
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Dom Henrique Research Centre, Porto, Portugal
ICVS/3Bs, PT Government Associate Laboratory, Braga/Guimarães, Portugal
School of Medicine, Minho University, Braga, Portugal
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posteromedial compartment may represent a technical challenge during arthroscopy in patients with a tight tibiofemoral joint space ( Fig. 1 ). In fact, the posterior horn of the medial meniscus is one of the most difficult areas for knee arthroscopy to access
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. The distal portal is made on the lateral border of the tendon, around 3-4 cm distal to the thickening of the Achilles in insertional tendinopathy. The proximal portal is made on the medial border of the tendon, around 3-4 cm proximal to the thickening
These authors contributed equally to this work
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These authors contributed equally to this work
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of onset to minimize the risk of developing MRL. 37 A posteromedial portal with the knee being flexed to 90° allows complete reveal of certain types of MRL, its subsequent treatment and prevents damage to surrounding structures. 38 Other
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. To make the posteromedial portal, a needle is introduced behind the posterior border of the medial femoral component, approximately 0.5 to 1 cm above the joint line, taking care not to injure the saphenous nerve. The output of irrigation serum
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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dysesthesia (3 ankles), Achilles tendon tightness (4 ankles), type I CRPS (2 ankles), infection (2 ankles), and posteromedial portal cyst (1 ankles). One case of plantar numbness and one case of sural nerve dysesthesia did not resolve ( 33 ). In a systematic
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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can be visualized by placing the 70° arthroscope through an accessory posteromedial portal. Once the guide pin has been satisfactorily placed, a curette or commercially available pin shield should be placed over the guide pin while tunnel reaming is
Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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cannula and trocar. They are positioned extra-articularly at the level of the posterior talar process and then the trocar is changed and replaced with a 4.0-mm 30° arthroscope The posteromedial portal is made at the same level. After the skin incision
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stability is often not abnormal; however, it can be difficult to test in patients with limited ROM. In stiff elbows, pathological changes of the posteromedial capsule, as well as tissue scarring or even protruding metalwork due to previous surgery, increase
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ligament insufficiency prior to ligament reconstruction. The image corresponds to a posterior viewing portal of a right elbow with a tissue grasper inserted through a posterolateral portal removing a posteromedial loose osteophyte. Post