Evidence map›Paper›PMID 42237287›Full record

ArticleBMC surgery2026

Femoral insertion osteotomy of the lateral collateral ligament for expanding lateral knee space in meniscus repair.

Chengjian Wu, Xiujun Chen, Zhengru Wu, Zhi Chen, Wenlong Yan, Chengjie Lian, Hua Zhang

Abstract read
In one paragraph

Article in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Chengjian Wu *Department of Orthopaedics, Sports Injury Division, Fujian Medical University Union Hospital, Fuzhou, 350001, China.
Xiujun Chen *Department of Orthopaedics, Sports Injury Division, Fujian Medical University Union Hospital, Fuzhou, 350001, China.
Zhengru WuDepartment of Orthopaedics, Sports Injury Division, Fujian Medical University Union Hospital, Fuzhou, 350001, China.
Zhi ChenDepartment of Orthopaedics, Sports Injury Division, Fujian Medical University Union Hospital, Fuzhou, 350001, China.
Wenlong YanDepartment of Orthopedics, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Chengjie LianDepartment of Orthopaedics, Sports Injury Division, Fujian Medical University Union Hospital, Fuzhou, 350001, China.
Hua ZhangDepartment of Orthopaedics, Sports Injury Division, Fujian Medical University Union Hospital, Fuzhou, 350001, China. zhanghua@fjmu.edu.cn.

Funding

Research project of Fujian Medical University Union Hospital 2024XH034Research project of Fujian Medical University Union Hospital No. 2024XH032
6 · The paper itself

Abstract

objectiveTo evaluate the technical feasibility, short-term safety, and clinical outcomes of an incomplete osteotomy at the femoral insertion of the lateral collateral ligament (LCL) for expanding a tight lateral compartment during arthroscopic lateral meniscus repair.

methodsA single-institution retrospective case series was conducted in patients with lateral meniscus tears and a tight lateral compartment who underwent LCL femoral insertion osteotomy between January 2020 and December 2022. Osteotomy was performed only when standard exposure maneuvers, including the figure-four position, portal adjustment, and gentle varus stress, failed to provide safe visualization and instrument access. The primary outcome was technical success, defined as adequate arthroscopic exposure and completion of the planned meniscal repair. Secondary outcomes included Lysholm score, International Knee Documentation Committee (IKDC) score, Visual Analog Scale (VAS) score for knee pain, osteotomy healing on computed tomography (CT), meniscal healing on magnetic resonance imaging (MRI), and complications.

resultsTwenty-five knees were included and followed for 12 months. Adequate exposure of the lateral meniscus and completion of meniscal repair were achieved in all cases. At 12 months, Lysholm, IKDC, and VAS scores improved significantly compared with preoperative values (all P < 0.001). CT at 3 months showed satisfactory osteotomy healing without displacement in all patients. MRI at 12 months demonstrated meniscal healing in 19 patients (76%); the 6 patients who did not meet MRI healing criteria were asymptomatic and did not require reoperation during follow-up. No infection, neurovascular complication, clinically apparent varus instability, loss of reduction, or serious complication was observed.

conclusionIn selected patients with lateral meniscus tears and a tight lateral compartment, arthroscopic repair combined with incomplete osteotomy of the LCL femoral insertion may facilitate exposure and meniscal repair with satisfactory short-term functional recovery. Because this retrospective case series lacked a control group and objective quantification of joint-space widening, the findings should be confirmed in prospective comparative studies with longer follow-up.

Indexed as

ArthroscopyCollateral LigamentsFemurOsteotomyTibial Meniscus InjuriesAdultFeasibility StudiesFemaleHumansMaleMenisci, TibialMiddle AgedRetrospective StudiesArthroscopyLateral meniscus tearOsteotomyTight Lateral knee joint space

Identifiers

PMID42237287
PMCPMC13449458

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.