Saturday, 20 February 2021

Should meniscal root lesions add a different grading to SCHENK MILKI GRADING

RTA  leading  to ACL, PCL LCL,PLRI - Anterior root lateral meniscus  with posterior dislocation of meniscus  and radial tear medial meniscus. Did one stage MLKI recon and meniscus repair. one stage reconstruction started with anterior root reduction and repair with radial medal meniscal tear repair followed by acl pcl  reconstruction and Lateral Recon as per Kim's technique. Has stable painless knee at 1 year with loss of last 10 degrees flexion and loss of hyperextension which was present on his normal knee.  The patellar fracture was treated conservative and flexion X-rays showed no displacement. The root avulsion and radial tear adds a dimension to tge results. Believe meniscal healing is also better but stiffness may be higher.

Should we add meniscal injuries to the Schenck classification to help stratify the results.








 

1 year postop X-rays



 

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