Mateer Surgery: What You Need To Know

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Mateer surgery, also known as medial plication, is a surgical procedure primarily aimed at addressing knee instability and pain. It involves tightening the medial retinaculum, a band of tissue on the inner side of the knee, to improve patellar tracking and overall knee function. This surgery is typically considered when conservative treatments like physical therapy and bracing have failed to provide adequate relief.

Understanding the Need for Mateer Surgery

The knee joint is a complex structure, and the patella (kneecap) plays a crucial role in its proper function. When the patella doesn't track correctly within the trochlear groove, it can lead to pain, instability, and cartilage damage. Several factors can contribute to patellar maltracking, including:

  • Muscle imbalances: Weakness in the vastus medialis obliquus (VMO), a part of the quadriceps muscle, can lead to lateral patellar tracking.
  • Ligament laxity: Loose or damaged ligaments can cause the knee joint to become unstable.
  • Anatomical abnormalities: Some individuals may have a shallow trochlear groove or other structural issues that predispose them to patellar instability.

Mateer surgery aims to correct these issues by tightening the medial retinaculum, which helps to pull the patella back into its proper alignment. By doing so, it reduces stress on the joint, alleviates pain, and improves overall knee stability.

Who is a Good Candidate for Mateer Surgery?

Not everyone with knee pain or instability is a suitable candidate for Mateer surgery. The ideal candidate typically meets the following criteria:

  • Has persistent knee pain and instability despite conservative treatment.
  • Demonstrates patellar maltracking on physical examination and imaging studies.
  • Has a healthy knee joint with minimal cartilage damage.
  • Is committed to following a post-operative rehabilitation program.

A thorough evaluation by an orthopedic surgeon is necessary to determine if Mateer surgery is the right option. The surgeon will assess the patient's medical history, perform a physical examination, and order imaging studies like X-rays or MRI scans to evaluate the knee joint.

The Mateer Surgery Procedure

Mateer surgery is typically performed as an open procedure, which involves making an incision on the front of the knee. The surgeon will then: — Ludovica Andreoni: Age And Key Facts Revealed

  1. Identify the medial retinaculum: The surgeon will locate the medial retinaculum, the tissue that needs to be tightened.
  2. Plication: The surgeon will then plicate (fold and stitch) the medial retinaculum to tighten it, effectively pulling the patella medially.
  3. Closure: Once the plication is complete, the surgeon will close the incision with sutures.

The surgery usually takes about one to two hours to complete.

Recovery and Rehabilitation

Recovery after Mateer surgery typically involves a period of immobilization followed by a structured rehabilitation program. Patients can expect:

  • Immobilization: The knee will be immobilized in a brace for several weeks to protect the healing tissues.
  • Physical therapy: Physical therapy will begin shortly after surgery to restore range of motion, strength, and function.
  • Weight-bearing: Weight-bearing will be gradually increased as tolerated.

Full recovery can take several months, and it's crucial to follow the surgeon's and physical therapist's instructions carefully to achieve the best possible outcome. — Q-Park Brindley Place: Your Ultimate Parking Guide

Risks and Complications

As with any surgical procedure, Mateer surgery carries some risks and potential complications, including:

  • Infection
  • Bleeding
  • Blood clots
  • Stiffness
  • Nerve damage
  • Overcorrection or undercorrection

It's essential to discuss these risks with your surgeon before undergoing the procedure.

Alternative Treatments

Before considering Mateer surgery, several non-surgical treatments should be explored, including: — Pebbles Resort Malta: Your Ultimate Guide

  • Physical therapy: Strengthening exercises, stretching, and manual therapy can help improve patellar tracking and reduce pain.
  • Bracing: A patellar stabilizing brace can provide support and improve alignment.
  • Medications: Pain relievers and anti-inflammatory medications can help manage pain and inflammation.
  • Injections: Corticosteroid injections can provide temporary pain relief.

Conclusion

Mateer surgery can be an effective treatment option for individuals with patellar instability and persistent knee pain. However, it's crucial to undergo a thorough evaluation by an orthopedic surgeon to determine if you're a suitable candidate. With proper patient selection and a comprehensive rehabilitation program, Mateer surgery can help restore knee stability, reduce pain, and improve overall function.