الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The posterior root attachment of the medial meniscus is critical for preserving important functions of the meniscus. (18) Arthroscopic resection of symptomatic and irreparable posterior root meniscal tears is commonly performed with successful clinical outcomes and low rates of complications. (19) In tight knee joints with a narrow medial joint space, there is a risk of iatrogenic cartilage damage, even by an arthroscopy specialist. Even superficial cartilaginous lesions due to hits or scratches caused by instruments and affecting the cartilage of the posterior femoral condyle and the tibial plateau do not heal with normal hyaline cartilage. They may predispose to osteoarthritis of the knee joint, especially if extensive partial meniscectomy is performed simultaneously. (17)
The aim of this work was to study the results of using the modified ”pie-crusting” technique for better visualization of the posterior horn of the medial meniscus.
Between June 2011 till May 2012, 20 patients were admitted to the department of Orthopaedics and Traumatology with torn posterior horn of the medial meniscus. They had tight knees with difficult visualization of the posterior compartment with a mean age 30.30 years (20-41). Sixteen patients (80%) were males, while four (20%) were females. A considerable intraoperative chondral damage was expected on attempting to reach posterior horn of the medial meniscus or to perform partial meniscectomy. In all patients an isolated partial meniscectomy was performed with adequate visualization of the posterior horn of the medial meniscus and successfully avoiding iatrogenic chondral injury. The duration of follow-up was 3 months. All patients were assessed both clinically and radiologically. The procedure was considered successful when there were: 3 to 5 mm increase in medial compartment space, evident meniscosynovial junction and the ability to handle and probe meniscal root to perform good meniscectomy without causing iatrogenic chondral injury or medial instability.