Reconstruction of the Tibial Collateral Ligament With Bone Tunnels and Double Strand of the Semitendinosus Tendon

Abstract

Different surgical techniques for the reconstruction of the medial collateral ligament (MCL) have been developed. Despite advances in the understanding and improvement of the reconstruction techniques for MCL, there is still no consensus as to the gold-standard procedure, mainly due to the fact that clinical evidence regarding the results of these procedures is lacking. Studies have shown that the reconstruction of MCL based on its anatomical insertions has led to less biomechanical variation and to good functional results. We describe a surgical technique of anatomical reconstruction with a double band of the superficial MCL through a minimally invasive approach using semitendinosus autograft. This technique has the advantage of restoring valgus and rotational stability of the knee with low surgical morbidity.