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Types of posteromedial portal

*High posteromedial portal* - placed three fingerwidth proximal to joint line useful for pcl reconstruction

*Standard posteromedial portal* - placed 1-2 fingerwidth proximal to joint line - useful for arthroscopic synovectomy

*Low posteromedial portal* - placed at the level of joint line - useful for repairing posterior horn of medial meniscus and ramp lesions

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Fluid extravasation

If the capsular incision is too large while the subcutaneous and skin incisions are too small, irrigation fluid will dissect into the subcutaneous tissue. This expands the subcutaneous layer and shift

Distally placed arthroscopic portal

If the arthroscopic portal is placed too far distally there is chance to damage the anterior portion of lateral meniscus. This is possible in case of a low-riding patella, if the surgeon uses the pate

Meniscal root tears

These are radial tears with in 1cm of the meniscal attachment or avulsion of meniscal root from the site of attachment. Medial meniscal root tears causes chondral damage. Lateral meniscus root tears


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