97 - Medial collateral ligament and posteromedial corner repair and reconstruction

Abstract

Injuries to the medial collateral ligament (MCL) of the knee are some of sports medicine’s most commonly diagnosed knee conditions. When conservative management of MCL tears fail or, in severe cases, if valgus gapping is present in full extension, and the posteromedial corner is injured, an anatomic medial knee reconstruction technique is preferred. The procedure comprises both a superficial medial collateral and posterior oblique ligament reconstruction and is composed of two individual grafts and four reconstruction tunnels. This technique provides quality restoration of knee static function, improves overall knee stability, allows for immediate postoperative knee motion during subsequent physical rehabilitation, and reduces the risk of postoperative stiffness complications that are common in other medial knee surgeries. Anatomic medial knee reconstruction has shown significant improvements in the International Knee Documentation Committee (IKDC) scores and restoration of medial knee stability with a low risk of arthrofibrosis.