As mentioned in one of my previous blogs, the medial
meniscus is made up of three parts; anterior horn, posterior horn, and
peripheral border. The most part that is subjected to be torn is the anterior horn. Current anatomical research reported that there is a
relationship between the medial meniscus anterior root tears and the anterior
cruciate ligament position.
The anterior horn was recently found to be highly subjected to detachment from its normal point of insertion during anterior cruciate ligament reconstruction surgery-the surgery to relink the anterior cruciate ligament back to its position after tears-.
The anterior horn was recently found to be highly subjected to detachment from its normal point of insertion during anterior cruciate ligament reconstruction surgery-the surgery to relink the anterior cruciate ligament back to its position after tears-.
Why doctors can't do it accurately?
Doctors and researchers don’t really have a baseline data for the exact locations of the insertion points of the structures of the knee that they can use to detrain the insertion point. When doctors try to reconstruct the anterior cruciate ligament after tears they don’t usually reinsert it back to its exact insertion point. The exact point of insertion is also not always clear by just looking at the site of injury. Added to that, the two knees of one person don’t always have the exact insertion points, which makes using the other knee as a baseline for the insertion point almost useless.
Doctors and researchers don’t really have a baseline data for the exact locations of the insertion points of the structures of the knee that they can use to detrain the insertion point. When doctors try to reconstruct the anterior cruciate ligament after tears they don’t usually reinsert it back to its exact insertion point. The exact point of insertion is also not always clear by just looking at the site of injury. Added to that, the two knees of one person don’t always have the exact insertion points, which makes using the other knee as a baseline for the insertion point almost useless.
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| Anterior Cruciate ligament |
What is the result if the reconstruction was not accurately done?
Scientists believe that, if the anterior cruciate ligament wasn’t inserted back to the exact point of insertion a bad consequence is more likely going to happen. The tension will increase on the anterior horn of the medial meniscus, which in turn will increase the chances of tears of the anterior horn of the medial meniscus.
Scientists believe that, if the anterior cruciate ligament wasn’t inserted back to the exact point of insertion a bad consequence is more likely going to happen. The tension will increase on the anterior horn of the medial meniscus, which in turn will increase the chances of tears of the anterior horn of the medial meniscus.
The tension is equally distributed among knee structures and any change of the location of any structure will increase the tension on at least one structure and decrease the tension on at least one other structure, which in turn lead to injuries many problems to the knee.
What should happen?
Researchers should do more research to collect data about the exact points of insertions in all the knee structures. This will help doctors to be more precise when doing reconstruction surgeries to knee structures.
Researchers should do more research to collect data about the exact points of insertions in all the knee structures. This will help doctors to be more precise when doing reconstruction surgeries to knee structures.
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