title: [Percutaneous perforation of the posteromedial capsuloligamentous structures to avoid cartilaginous damage due to arthroscopic intervention at the medial meniscal posterior horn in narrow joints].
abstract: OBJECTIVE
  Irreversible cartilaginous damage to the femur and tibia due to resection and suture instruments in arthroscopic surgery at the posterior horn of the medial meniscus in narrow knee joints or in the presence of contracted medial capsuloligamentous structures.
  
  
  METHODS
  Enlargement of the medial joint space by repeated percutaneous perforation of the posteromedial capsuloligamentous structures under consistently applied valgus stress.
  
  
  METHODS
  With the knee joint almost in full extension and with simultaneous, uniformly applied valgus stress, repeated percutaneous perforation of the posteromedial capsuloligamentous structures with a sharp-tipped cannula until perceptible enlargement of the medial joint compartment is achieved. POSTOPERATIVE MANAGEMENT AND RESULT: Uneventful healing of the posteromedial capsuloligamentous structures without the need for any special postoperative treatments.
authors.affiliation: Zentrum für Orthopädische Chirurgie, Sporttraumatologie, International Neuroscience Institute, Rudolf-Pichlmayr-Strasse 4, D-30625 Hannover, Germany. office@bosch-ini-hannover.de
authors.forename: Ulrich
authors.initials: U
authors.lastname: Bosch
mesh_terms: D020679:Arthroscopes; D001182:Arthroscopy / Q000379:methods*; D002358:Cartilage, Articular / Q000293:injuries* / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D017746:Joint Capsule / Q000601:surgery*; D007718:Knee Injuries / Q000517:prevention & control* / Q000601:surgery; D017888:Medial Collateral Ligament, Knee / Q000601:surgery*; D008592:Menisci, Tibial / Q000601:surgery*; D013525:Surgical Instruments; D000070600:Tibial Meniscus Injuries