Background: In tight knee joints with a narrow medial joint space, there is a risk of iatrogenic articular cartilage injury, even by an arthroscopy specialist which may predispose to osteoarthritis of the knee.Objective: The aim of the study was to detect if there is any residual knee laxity after the Pie- crusting technique or any other complications.Patients and methods: This prospective randomized analytical clinical study included a total of thirty patients with torn posterior horn of the medial meniscus with tight medial compartment of the knee attending at the Department of Orthopedics and Traumatology, Al-Azhar University Hospitals. In this study percutaneous release of the medial collateral ligament was done. Results: All the patients complained post-operative pain over the site of the release (grade I MCL sprain) that has resolved within 1-2 weeks.Conclusion: It could be concluded that in cases with tight knees, the Pie-crusting technique is safe and efficient for visualization of the posterior horn of the medial meniscus. It allows the avoidance of causing iatrogenic chondral damage or fracture of the medial femoral condyle.
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