Technique for Treatment of Subchondral Compression Fracture of the Lateral Femoral Condyle Associated With ACL Tear
Excessive knee pivoting that causes a complete anterior cruciate ligament (ACL) tear may result in a subchondral compression fracture on the lateral femoral condyle after impacting the lateral tibial condyle. Because this mechanism is similar to the humeral head that has an impact on the glenoid dur...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-06-01
|
| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628720300505 |
| _version_ | 1819097944398233600 |
|---|---|
| author | Konrad Malinowski, M.D., Ph.D. Marcin Mostowy Adrian Góralczyk, M.D. Robert F. LaPrade, M.D., Ph.D. Krzysztof Hermanowicz, M.D., Ph.D. |
| author_facet | Konrad Malinowski, M.D., Ph.D. Marcin Mostowy Adrian Góralczyk, M.D. Robert F. LaPrade, M.D., Ph.D. Krzysztof Hermanowicz, M.D., Ph.D. |
| author_sort | Konrad Malinowski, M.D., Ph.D. |
| collection | DOAJ |
| description | Excessive knee pivoting that causes a complete anterior cruciate ligament (ACL) tear may result in a subchondral compression fracture on the lateral femoral condyle after impacting the lateral tibial condyle. Because this mechanism is similar to the humeral head that has an impact on the glenoid during an anterior shoulder dislocation, such an osteochondral fracture can be considered equivalent to a “Hill-Sachs lesion of the knee.” Restoring the native anatomy of the lateral femoral condyle articular surface is crucial, because its depression alters knee biomechanics, leading to bony knee instability, potentially greatly elevating the risk of ACL reconstruction failure and meniscal tears. In addition, bony knee instability increases the forces acting on the cartilage, which may impair one's quality of life and lead to the development of osteoarthritis. The fact that many patients with complete ACL tears are relatively young emphasizes the key role of osteoarthritis prevention. The aim of this report is to present a minimally invasive procedure to treat the “Hill-Sachs–like” knee lesion, a tricky enemy of knee stability. |
| first_indexed | 2024-12-22T00:23:08Z |
| format | Article |
| id | doaj.art-8ae4002f350c4096a3e5444857af72c6 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-22T00:23:08Z |
| publishDate | 2020-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-8ae4002f350c4096a3e5444857af72c62022-12-21T18:45:06ZengElsevierArthroscopy Techniques2212-62872020-06-0196e823e828Technique for Treatment of Subchondral Compression Fracture of the Lateral Femoral Condyle Associated With ACL TearKonrad Malinowski, M.D., Ph.D.0Marcin Mostowy1Adrian Góralczyk, M.D.2Robert F. LaPrade, M.D., Ph.D.3Krzysztof Hermanowicz, M.D., Ph.D.4Artromedical Orthopaedic Clinic, Belchatow, Poland; Address correspondence to Konrad Malinowski, M.D., Ph.D., Artromedical Orthopaedic Clinic, Chrobrego 24, 97-400 Belchatow, Poland.Orthopedic and Trauma Department, Veteran's Memorial Teaching Hospital in Lodz, Medical University of Lodz, Lodz, PolandORTIM Orthopaedic Clinic, Bialystok, PolandTwin Cities Orthopedics, Edina, Minnesota, USAORTIM Orthopaedic Clinic, Bialystok, PolandExcessive knee pivoting that causes a complete anterior cruciate ligament (ACL) tear may result in a subchondral compression fracture on the lateral femoral condyle after impacting the lateral tibial condyle. Because this mechanism is similar to the humeral head that has an impact on the glenoid during an anterior shoulder dislocation, such an osteochondral fracture can be considered equivalent to a “Hill-Sachs lesion of the knee.” Restoring the native anatomy of the lateral femoral condyle articular surface is crucial, because its depression alters knee biomechanics, leading to bony knee instability, potentially greatly elevating the risk of ACL reconstruction failure and meniscal tears. In addition, bony knee instability increases the forces acting on the cartilage, which may impair one's quality of life and lead to the development of osteoarthritis. The fact that many patients with complete ACL tears are relatively young emphasizes the key role of osteoarthritis prevention. The aim of this report is to present a minimally invasive procedure to treat the “Hill-Sachs–like” knee lesion, a tricky enemy of knee stability.http://www.sciencedirect.com/science/article/pii/S2212628720300505 |
| spellingShingle | Konrad Malinowski, M.D., Ph.D. Marcin Mostowy Adrian Góralczyk, M.D. Robert F. LaPrade, M.D., Ph.D. Krzysztof Hermanowicz, M.D., Ph.D. Technique for Treatment of Subchondral Compression Fracture of the Lateral Femoral Condyle Associated With ACL Tear Arthroscopy Techniques |
| title | Technique for Treatment of Subchondral Compression Fracture of the Lateral Femoral Condyle Associated With ACL Tear |
| title_full | Technique for Treatment of Subchondral Compression Fracture of the Lateral Femoral Condyle Associated With ACL Tear |
| title_fullStr | Technique for Treatment of Subchondral Compression Fracture of the Lateral Femoral Condyle Associated With ACL Tear |
| title_full_unstemmed | Technique for Treatment of Subchondral Compression Fracture of the Lateral Femoral Condyle Associated With ACL Tear |
| title_short | Technique for Treatment of Subchondral Compression Fracture of the Lateral Femoral Condyle Associated With ACL Tear |
| title_sort | technique for treatment of subchondral compression fracture of the lateral femoral condyle associated with acl tear |
| url | http://www.sciencedirect.com/science/article/pii/S2212628720300505 |
| work_keys_str_mv | AT konradmalinowskimdphd techniquefortreatmentofsubchondralcompressionfractureofthelateralfemoralcondyleassociatedwithacltear AT marcinmostowy techniquefortreatmentofsubchondralcompressionfractureofthelateralfemoralcondyleassociatedwithacltear AT adriangoralczykmd techniquefortreatmentofsubchondralcompressionfractureofthelateralfemoralcondyleassociatedwithacltear AT robertflaprademdphd techniquefortreatmentofsubchondralcompressionfractureofthelateralfemoralcondyleassociatedwithacltear AT krzysztofhermanowiczmdphd techniquefortreatmentofsubchondralcompressionfractureofthelateralfemoralcondyleassociatedwithacltear |