notchplasty

notchplasty

(nŏch′plăs-tē)
A surgical procedure to enlarge the intercondylar notch and space available for an anterior cruciate ligament graft during knee reconstruction. The lateral wall of the notch, which is the medial portion of the lateral femoral condyle, may be removed by various means.
References in periodicals archive ?
Secondary arthrofibrosis is caused by immobilization and infection [3, 4] or poor surgical technique, causing graft friction due to positioning of the tibial fixation tunnel too anteriorly [5], inadequate notchplasty or too large size of the graft [6, 7].
Gasparini, "Effects of notchplasty on anterior cruciate ligament reconstruction: a systematic review," Joints, vol.
Caption: Figure 4 Femoral notch after notchplasty. Note the complete absence of the ACL, and the hypoplastic remnant of the PCL.
She underwent a notchplasty and a transtibial single-bundle ACL reconstruction with anterior tibialis tendon allograft.
In chronic cases, notchplasty may be applied in order to enlarge the narrowed intercondylar notch [8, 27, 28].
The femoral and tibial tunnels are then created under arthroscopic guidance and a notchplasty is performed if necessary.
--intraoperative [8, 18]: improper graft choice, graft harvest errors, inadequate notchplasty, improper tunnel placement, femoral tunnel blowout, dropped graft, graft laceration, graft-construct mismatch, screw-tunnel divergence, improper tensioning, inadequate graft fixation;
The prevention of this phenomenon as first delineated by Jackson and expanded by others includes attention to tunnel positioning and notchplasty to avoid impingement, debridement of the tibial tunnel before the graft is advanced, and removal of osteocartilagenous fragments.
Often a notchplasty of the inferior and posterior aspects of the corresponding condyle must be performed to reach the posterior horn.