Abstract
The medical collateral ligament (MCL) is the most commonly injured knee ligament and has a large capacity for healing. The majority of isolated MCL injuries may be treated conservatively due to its capacity to heal. However, acute MCL disruptions associated with multiligamentous knee injuries, distal avulsions and chronic MCL attenuation may benefit from surgical intervention to prevent valgus instability. Several treatment strategies have been proposed to include primary repair, primary repair with autograft/allograft/internal bracing augmentation and reconstruction with autograft/allograft/internal bracing. In this surgical technique article, we present the technique of acute MCL repair with degradable, flexible internal bracing. With this technique, early rehabilitation is safe because of the internal bracing.
Highlights
Healing of ligamentous injuries is dependent on ligament location, intrinsic factors surgical factors and rehabilitation [1]
In this article we describe the surgical technique of medical collateral ligament (MCL) reconstruction with a degradable, flexible internal brace
In should be noted that despite this case being performed in a patient with multiligamentous knee injury to include anterior cruciate ligament, posterior cruciate ligament and medial collateral ligament, this same technique can be performed for isolated MCL tears
Summary
Healing of ligamentous injuries is dependent on ligament location, intrinsic factors surgical factors and rehabilitation [1]. In this article we describe the surgical technique of MCL reconstruction with a degradable, flexible internal brace. We describe the reconstruction of a complete MCL tear utilizing Flexband (Artelon Marietta, GA) which is a poly (urethane urea) material.
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