Superficial and Deep Medial Collateral Ligament Reconstruction for Chronic Medial Instability of the Knee

There are several surgical techniques for medial collateral ligament reconstruction, including anatomic or nonanatomic medial knee reconstruction. Although the medial collateral ligament consists of the superficial medial collateral ligament (sMCL) and deep medial collateral ligament (dMCL), surgica...

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Main Authors: Man Soo Kim, M.D., In Jun Koh, M.D., Ph.D., Yong In, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628719300222
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author Man Soo Kim, M.D.
In Jun Koh, M.D., Ph.D.
Yong In, M.D., Ph.D.
author_facet Man Soo Kim, M.D.
In Jun Koh, M.D., Ph.D.
Yong In, M.D., Ph.D.
author_sort Man Soo Kim, M.D.
collection DOAJ
description There are several surgical techniques for medial collateral ligament reconstruction, including anatomic or nonanatomic medial knee reconstruction. Although the medial collateral ligament consists of the superficial medial collateral ligament (sMCL) and deep medial collateral ligament (dMCL), surgical procedures have only been described for reconstruction of the sMCL alone or reconstruction of the sMCL and posterior oblique ligament. The dMCL assists the knee in rotational stability, primarily in extension, moving into early flexion. We describe sMCL and dMCL reconstruction with semitendinosus and gracilis autografts using adjustable-length loop suspensory fixation devices for tibial fixation. By use of our technique, it is possible to provide good stability and satisfactory results for medial instability of the knee.
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spelling doaj.art-c53842c5f0e742fb8c558dc7844ebe452022-12-21T19:23:49ZengElsevierArthroscopy Techniques2212-62872019-06-0186e549e554Superficial and Deep Medial Collateral Ligament Reconstruction for Chronic Medial Instability of the KneeMan Soo Kim, M.D.0In Jun Koh, M.D., Ph.D.1Yong In, M.D., Ph.D.2Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of KoreaDepartment of Orthopaedic Surgery, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of KoreaDepartment of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea; Address correspondence to Yong In, M.D., Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-Daero, Seocho-Gu, Seoul 06591, Republic of Korea.There are several surgical techniques for medial collateral ligament reconstruction, including anatomic or nonanatomic medial knee reconstruction. Although the medial collateral ligament consists of the superficial medial collateral ligament (sMCL) and deep medial collateral ligament (dMCL), surgical procedures have only been described for reconstruction of the sMCL alone or reconstruction of the sMCL and posterior oblique ligament. The dMCL assists the knee in rotational stability, primarily in extension, moving into early flexion. We describe sMCL and dMCL reconstruction with semitendinosus and gracilis autografts using adjustable-length loop suspensory fixation devices for tibial fixation. By use of our technique, it is possible to provide good stability and satisfactory results for medial instability of the knee.http://www.sciencedirect.com/science/article/pii/S2212628719300222
spellingShingle Man Soo Kim, M.D.
In Jun Koh, M.D., Ph.D.
Yong In, M.D., Ph.D.
Superficial and Deep Medial Collateral Ligament Reconstruction for Chronic Medial Instability of the Knee
Arthroscopy Techniques
title Superficial and Deep Medial Collateral Ligament Reconstruction for Chronic Medial Instability of the Knee
title_full Superficial and Deep Medial Collateral Ligament Reconstruction for Chronic Medial Instability of the Knee
title_fullStr Superficial and Deep Medial Collateral Ligament Reconstruction for Chronic Medial Instability of the Knee
title_full_unstemmed Superficial and Deep Medial Collateral Ligament Reconstruction for Chronic Medial Instability of the Knee
title_short Superficial and Deep Medial Collateral Ligament Reconstruction for Chronic Medial Instability of the Knee
title_sort superficial and deep medial collateral ligament reconstruction for chronic medial instability of the knee
url http://www.sciencedirect.com/science/article/pii/S2212628719300222
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