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Concomitant reconstruction of the medial collateral and posterior oblique ligaments for medial instability of the knee.

Authors
Kim, SJ; Lee, DH; Kim, TE; Choi, NH
Citation
The Journal of bone and joint surgery. British volume, 90(10):1323-1327, 2008
Journal Title
The Journal of bone and joint surgery. British volume
ISSN
0301-620X
Abstract
We present the operative technique and clinical results of concomitant reconstruction of the medial collateral ligament (MCL) and the posterior oblique ligament for medial instability of the knee using autogenous semitendinosus tendon with preservation of the tibial attachment. The semitendinosus tendon graft between the screw on the medial epicondyle and the tibial attachment of the graft was overlapped by the MCL, while the graft between the screw and the insertion of the direct head of the semimembranosus tendon was overlapped by the central arm of the posterior oblique ligament. Assessment was by stress radiograph and the Lysholm knee scoring scale. After a mean follow-up of 52.6 months (25 to 92), the medial joint opening of the knee was within 2 mm in 22 of 24 patients. The mean Lysholm score was 91.9 (80 to 100). Concomitant reconstruction of the MCL and posterior oblique ligament using autogenous semitendinosus tendon provides a good solution to medial instability.
MeSH terms
Accidents, TrafficAdolescentAdultAthletic Injuries/surgeryBiomechanicsCollateral Ligaments/physiopathologyCollateral Ligaments/surgery*FemaleHumansJoint Instability/physiopathologyJoint Instability/surgery*Knee Joint/surgeryMaleMedial Collateral Ligament, Knee/injuriesMedial Collateral Ligament, Knee/physiologyMedial Collateral Ligament, Knee/surgery*Middle AgedOrthopedic Procedures/methodsRange of Motion, Articular/physiology*Retrospective StudiesTreatment Outcome
DOI
10.1302/0301-620X.90B10.20781
PMID
18827242
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Orthopedic Surgery
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