Retinaculum repair

How is a lateral retinacular release done? This is an arthroscopic surgery ( a knee “scope” which is performed through small incisions ( about ½ inch each) around the knee. From the inside of the knee the lateral retinaculum is incised , from the inside , allowing the kneecap to untilit itself. Acute repair of the retinaculum is indicated for active athletes who desire quick return of sport activity.

Nonoperative treatment is suggested for acute injuries in nonathletes with pain relief, activity modification, cast immobilization, and protected weight bearing for weeks after the injury.

What is the retinaculum knee? Is medial retinaculum knee extensor tendon? This was tied over the bony bridge superiorly. There was excellent reduction of the tendon to the patella. Copious irrigation was.

Most of the fibers of the medial patellar retinaculum originate in the medial femoral region from the vastus medialis muscle, just superior to the patella. The knee was let to bend down to degrees, and this had excellent repair.

Deep tissue was closed with Vicryl. Skin was approximated with 2-Vicryl then staples were placed on the skin. Can you repair the peroneal tendons by.

Complications that are specific to a repair of the superior peroneal retinaculum include: Recurrence of the peroneal tendon subluxation. Congenital peroneal tendon dislocation (2) Attenuated superior peroneal retinaculum (3) Eckert grade injury with sizable avulsed fragment (4) Eckert grade injury with retinacular substance tear and irreducible peroneal tendons (5) Presence of complex peroneal tendon tears requiring open. Abstract A new surgical method is introduced offering a less invasive approach to reattach the medial retinaculum following acute patellar dislocation. This retrospective analysis comprised cases of medial retinacular repair in patients. This nerve supplies the sensation to the outside.

The sural nerve may be injured. Once the retinaculum is amenable to direct repair , resect the posterolateral border of fibula with a rongeur to allow for a fresh, bleeding bed. Then sharply elevate a lateral periosteal flap to assist in suture repair and perform a pants-over-vest suture repair technique, reinforcing the superior peroneal retinaculum with absorbable sutures. When the anatomical repair is reinforced with the advancement of the inferior extensor retinaculum , it is called the modified Brostrom repair.

POSTOPERATIVE DIAGNOSIS: Medial retinacular and quad rupture right knee status post total knee arthroplasty. OPERATION: Repair medial retinacular and quad tendon. PROCEDURE: Previous repair was opened.

No gross signs of purulence or infection. The medial retinacular repair had completely failed. To reduce the complications from retinaculum surgery, a procedure was developed that incorporates medial patellofemoral ligament overlap in addition to lateral retinaculum release. MPFL is identifie surgical repair (fixing the original ligament) of the MPFL may be a good treatment option.

In the young athletic population, recurrence rates for patients treated conservatively are high with some studies reporting. In recurrent or chronic patellar dislocations, it may be necessary to perform reconstruction of the MPFL. The peroneal retinacula (singular: peroneal retinaculum ) are fibrous retaining bands which bind down the tendons of the peroneus longus and brevis as they run across the side of the ankle. Retinaculum is Latin for retainer). These bands consist of superior and inferior fibres.

When surgery is neede the flexor retinaculum is either completely severed or lengthened. The intent is that this will lengthen the flexor retinaculum enough to accommodate inflamed or damaged tendons and reduce the effects of compression on the median nerve.