Douglas Mello Pavão

Surgical Technique With the patient in the supine position and under spinal anesthesia, a longitudinal incision is made from the middle central third of the patella to the anterior tibial tuberosity (ATT). After deep layer dissection, the peritendon is incised longitudinally to identify the patellar tendon (Fig 1A). This step is followed by lateral and medial patellar retinaculum opening and visualization of the lesion at the distal insertion of the patellar tendon in the ATT (Fig 1B).

Abstract The key to preventing early knee osteoarthritis is meniscal preservation. The main functions of the meniscus are impact absorption, mechanical load transmission, lubrication, joint stability, and proprioception. Radial lesions that extend to the joint capsule are called complete radial tears. This type of injury compromises 2 of the main meniscal functions, which are impact absorption and load distribution, which is equivalent, from a biomechanical perspective, to a total meniscectomy.

Abstract Physical examination in the presence of a multiligament knee injury can be complex and challenging. Hence, stress radiography is a useful and inexpensive tool that is widely used in the assessment of this type of injury. It guarantees an objective analysis of the magnitude of knee instability, which may reduce the observer's interpretation bias in relation to the physical examination.