TY - JOUR
T1 - The Principles of Knee Joint Preservation
AU - Kraeutler, Matthew J.
AU - McCulloch, Patrick C.
AU - Vidal, Armando F.
N1 - Funding Information:
The authors report the following potential conflicts of interest or sources of funding: P.C.M. reports consultant for Arthrex and research support from Smith & Nephew, outside the submitted work. A.F.V. reports royalties from Stryker and research support from Arthrex, outside the submitted work. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
Publisher Copyright:
© 2023 Arthroscopy Association of North America
PY - 2023/12
Y1 - 2023/12
N2 - The 3 primary factors involved with preservation of the knee joint include joint alignment, meniscal status, and ligament stability (in particular that of the anterior cruciate ligament [ACL]). These factors are interdependent and result in knee joint homeostasis when all factors are stable. When a deficiency exists in one of the factors, it will affect the others. For example, the ACL and posterior horn of the medial meniscus both act as restraints to anterior tibial translation. Thus, medial meniscal deficiency increases the risk for failure of ACL reconstruction, and chronic ACL insufficiency increases the risk for medial meniscus tears. Furthermore, all 3 of the factors of joint preservation have an impact on the articular cartilage status of the knee joint. Studies have shown that cartilage-preservation procedures do not result in optimal outcomes if there is joint malalignment, meniscal deficiency, or ligament deficiency. When evaluating patients with knee cartilage pathology, surgeons should be aware of the various factors involved in knee joint preservation and, if surgery is indicated, all factors should be addressed in order to support a successful result.
AB - The 3 primary factors involved with preservation of the knee joint include joint alignment, meniscal status, and ligament stability (in particular that of the anterior cruciate ligament [ACL]). These factors are interdependent and result in knee joint homeostasis when all factors are stable. When a deficiency exists in one of the factors, it will affect the others. For example, the ACL and posterior horn of the medial meniscus both act as restraints to anterior tibial translation. Thus, medial meniscal deficiency increases the risk for failure of ACL reconstruction, and chronic ACL insufficiency increases the risk for medial meniscus tears. Furthermore, all 3 of the factors of joint preservation have an impact on the articular cartilage status of the knee joint. Studies have shown that cartilage-preservation procedures do not result in optimal outcomes if there is joint malalignment, meniscal deficiency, or ligament deficiency. When evaluating patients with knee cartilage pathology, surgeons should be aware of the various factors involved in knee joint preservation and, if surgery is indicated, all factors should be addressed in order to support a successful result.
KW - Humans
KW - Knee Joint/surgery
KW - Anterior Cruciate Ligament/surgery
KW - Anterior Cruciate Ligament Injuries/surgery
KW - Tibia/surgery
KW - Knee Injuries/surgery
KW - Joint Instability/etiology
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M3 - Article
C2 - 37616413
AN - SCOPUS:85177223640
SN - 0749-8063
VL - 39
SP - 2405
EP - 2407
JO - Arthroscopy - Journal of Arthroscopic and Related Surgery
JF - Arthroscopy - Journal of Arthroscopic and Related Surgery
IS - 12
ER -