This is the editor's interpretation of the above paper published in the orthopaedic literature in 2004 - our attempt to make relevant medical articles accessible to lay readers. If you want to read the original it is easy to ask your librarian to obtain a reprint for you from any medical library [or click here for open access].
- the suprapatellar pouch
- medial and lateral gutters
- anterior interval
- lateral and medial retinaculum
- intercondylar notch
- posterior capsule
There are good illustrations of the anatomical areas involved. They describe how they surgically explore each of these areas and cut the tissues free. Surgery is performed under epidural anaesthesia, and they leave an indwelling epidural catheter in to provide further pain relief after surgery and which also allows earlier rehab in the immediate period after surgery. Once the epidural is in effect, the authors attempt to distend the joint cavity ('capsular distension') with 120 to 180 mls of saline fluid - this both helps to open up the joint to facilitate surgery, but also gives an idea of how tight the scarring is.