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Clinical Perspectives on Surgical Management of Knee Injuries
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Clinical Perspectives on Surgical Management of Knee Injuries

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 25 October 2025 | Viewed by 3197

Special Issue Editor

Prof. Dr. Min Jung

E-Mail Website
Guest Editor
Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
Interests: ligament reconstruction; meniscus repair; cartilage regeneration; high tibial osteotomy; knee stabilit

Special Issue Information

Dear Colleagues,

Knee injuries, including osteoarthritis, meniscal tears, ligament damage, and cartilage degeneration, present significant challenges in orthopedic care. These conditions impact millions of patients worldwide, leading to pain, reduced mobility, and decreased quality of life. Surgical management remains a cornerstone in addressing these issues, with ongoing advancements in techniques and technologies enhancing outcomes. This Special Issue will focus on the latest clinical perspectives and innovations in surgical treatments for knee injuries. We invite submissions that explore cutting-edge approaches and comprehensive evaluations of patient outcomes. Your contributions will provide valuable insights into optimizing surgical care and advancing the field of knee surgery.

Prof. Dr. Min Jung
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • osteoarthritis
  • meniscal repair
  • ligament reconstruction
  • cartilage restoration
  • knee surgery

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Published Papers (3 papers)

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Research

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9 pages, 1023 KiB  
Article
Risk of Iatrogenic Peroneal Nerve Injury in Inside-Out Lateral Meniscal Repairs Using Differently Curved Repair Devices and Surgical Portals
by Wachiraphan Parinyakhup, Tanarat Boonriong, Prapakorn Klabklay, Korakot Maliwankul, Hafizz Sanitsakul and Chaiwat Chuaychoosakoon
J. Clin. Med. 2025, 14(6), 2007; https://doi.org/10.3390/jcm14062007 - 16 Mar 2025
Viewed by 423
Abstract
Background: Inside-out meniscal repair is a widely adopted treatment for lateral meniscal injuries. A significant complication associated with this procedure is iatrogenic peroneal nerve (PN) injury, reported in approximately 9% of cases. The risk varies depending on the choice of surgical portals, curvature [...] Read more.
Background: Inside-out meniscal repair is a widely adopted treatment for lateral meniscal injuries. A significant complication associated with this procedure is iatrogenic peroneal nerve (PN) injury, reported in approximately 9% of cases. The risk varies depending on the choice of surgical portals, curvature of repair devices, and anatomical landmarks. This study aimed to assess the risk of PN injury and define safe zones for inside-out lateral meniscal repair using different device curvatures and portal combinations. Methods: Axial MRI scans of knees positioned in the figure-of-four posture, with joint fluid distension and varus force applied, were analyzed in 29 adult patients. Transparent overlays representing the operative routes of the anterior-, middle-, and posterior-curved needles were superimposed on the MRI scans. Simulations of repair procedures were performed using the anteromedial, accessory anteromedial, anterolateral, and accessory anterolateral portals, targeting the medial and lateral borders of the popliteus tendon (PT). Instances where the needle path intersected or contacted the PN were recorded to delineate risk zones. Results: Repairs targeting the medial PT border with anterior-curved devices via the anteromedial or accessory anteromedial portals were identified as safe. At the lateral PT border, all device curvatures and portals were considered safe, except for middle- and posterior-curved devices used through the accessory anteromedial portal, which posed a risk of PN injury. Conclusions: The risk of iatrogenic PN injury in inside-out lateral meniscal repair depends on the curvature of the repair device and portal used. Adhering to the identified safe zones can substantially reduce this risk. Full article
(This article belongs to the Special Issue Clinical Perspectives on Surgical Management of Knee Injuries)
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15 pages, 1650 KiB  
Article
Effect of Graft Choice for ACL Reconstruction on Clinical Outcomes in Combined ACL and MCL Injuries: Comparison Between Bone-Patellar Tendon-Bone and Hamstring Autografts
by Kwangho Chung, Hyeongwon Ham, Sung-Hwan Kim and Young-Jin Seo
J. Clin. Med. 2024, 13(21), 6316; https://doi.org/10.3390/jcm13216316 - 22 Oct 2024
Cited by 1 | Viewed by 1604
Abstract
Background/Objectives: The optimal graft, particularly in combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries, remains controversial. We evaluated the influence of graft choice between bone-patellar tendon-bone (BPTB) and hamstring autografts on clinical outcomes in combined ACL and MCL injuries. Methods: [...] Read more.
Background/Objectives: The optimal graft, particularly in combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries, remains controversial. We evaluated the influence of graft choice between bone-patellar tendon-bone (BPTB) and hamstring autografts on clinical outcomes in combined ACL and MCL injuries. Methods: This retrospective analysis included patients with concurrent ACL and MCL injuries who underwent single-bundle ACL reconstruction with BPTB (group B) or hamstring (group H) grafts, between 2010 and 2019, with a ≥2-year follow-up. Patients were classified based on the MCL injury grade (I, II, or III). Clinical outcomes were assessed through knee stability evaluations using valgus stress radiographs and the KT-2000 arthrometer, patient-reported outcomes using the International Knee Documentation Committee (IKDC) subjective score and Lysholm score, and radiologic outcomes using the IKDC radiographic grade. Results: The study included 169 patients (group B, 92; group H, 77). No significant between-group differences in knee stability or functional outcomes were found after follow-up. Within the same MCL injury grade, particularly in high-grade MCL injuries, BPTB grafts resulted in significantly better medial stability (side-to-side difference in medial joint opening on valgus stress radiographs: grade II, p = 0.006; grade III, p = 0.039) and functional outcomes (IKDC subjective score: grade II, p = 0.045; grade III, p = 0.038) than hamstring grafts. In the hamstring group, higher-grade MCL injuries were associated with worse outcomes (Lysholm knee score, p = 0.009; IKDC subjective score, p = 0.015). Conclusions: Graft choice in ACL reconstruction with concomitant MCL injuries may affect clinical outcomes, particularly in high-grade MCL injuries. Although both graft types performed similarly overall, BPTB grafts provided superior medial stability and functional results in higher-grade MCL injuries. However, caution is needed when interpreting these results due to limitations such as the small sample size and the lack of randomization in graft selection. Full article
(This article belongs to the Special Issue Clinical Perspectives on Surgical Management of Knee Injuries)
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Review

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26 pages, 10784 KiB  
Review
Exploring the Posterolateral Corner of the Knee Joint: A Detailed Review of Recent Literature
by Assala Abu-Mukh, Seungyup Lee, Hye Chang Rhim and Ki-Mo Jang
J. Clin. Med. 2025, 14(5), 1549; https://doi.org/10.3390/jcm14051549 - 25 Feb 2025
Viewed by 710
Abstract
One of the least understood and most elaborate and neglected knee stabilizers is the posterolateral corner (PLC) complex. PLC injury is associated with a high risk of re-injury, early athletic career termination, instability, progressive osteoarthritis, and a high risk of artificial knee replacement. [...] Read more.
One of the least understood and most elaborate and neglected knee stabilizers is the posterolateral corner (PLC) complex. PLC injury is associated with a high risk of re-injury, early athletic career termination, instability, progressive osteoarthritis, and a high risk of artificial knee replacement. The growing focus on the PLC, along with various recent anatomical and biomechanical studies, has provided further insights into the anatomy and function of posterolateral structures in knee stabilization and kinematics. The PLC should be considered as a functional unit, not only an anatomical unit. A low suspicion threshold should be maintained when considering PLC injuries, and thorough history evaluation, clinical examination, and adequate imaging should be conducted to reduce the chances of neglected PLC injuries. Various PLC repair and reconstruction techniques, ranging from non-anatomical to anatomical, have been introduced, with treatments increasingly favoring minimal incisions and arthroscopic procedures. Recent studies on the PCL have reported an increasing number of satisfactory clinical outcomes. This study aimed to provide a deeper understanding, as well as review the current and most feasible treatments for PLC injuries. Full article
(This article belongs to the Special Issue Clinical Perspectives on Surgical Management of Knee Injuries)
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