Repair and Reconstruction of the Medical Collateral Ligament

This chapter describes the clinical background for medial knee instability and the indications for surgical treatment of medial collateral ligament (MCL) and posteromedial corner injuries. Historically treatment of acute medial collateral ligament injurie

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123

Lower Extremity Joint Preservation

Mats Brittberg  •  Konrad Slynarski Editors

Lower Extremity Joint Preservation Techniques for Treating the Hip, Knee, and Ankle

Editors Mats Brittberg Kungsbacka Hospital, RHO University of Gothenburg Kungsbacka Hospital, RHO Kungsbacka Sweden

Konrad Slynarski Słynarski Knee Clinic Warsaw Poland

ISBN 978-3-030-57381-2    ISBN 978-3-030-57382-9 (eBook) https://doi.org/10.1007/978-3-030-57382-9 © Springer Nature Switzerland AG 2021 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Foreword

This book is a landmark contribution organized by orthopedic surgeons to put forth the newest technologies and techniques to optimize patient’s skeletal outcomes. This is a landmark era because the orthopedic surgeons long referred to as “carpenters” who crafted mechanical solutions to skeletal problems have transformed into mixed media artists and cell biologists. The carpenters were seen to be cutting down huge limbs or delicately redirecting the ropes and pulleys to help the limbs carry load, swing a tennis racket, or pitch a ball. The carpenters still have their saws and hammers and their power tools for the really big jobs but enter the new age of orthobiologics and of cell-­based therapies which changes the thinking, the approaches, and the successes. Since the days of Aristotle, the ortho-docs have used the special sauce, the marrow, to add value to their reconstructions, so in a small way they were always into cell-based therapies. But now the marrow is used more wisely; the marrow and blood are fractionated and various components segregated from one another to more efficiently make use of one component’s special capabilities while removing inhibitory o