Concomitant reconstruction of the medial collateral and posterior oblique ligaments for medial instability of the knee.
J Bone Joint Surg Br
; 90(10): 1323-7, 2008 Oct.
Article
in En
| MEDLINE
| ID: mdl-18827242
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.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Range of Motion, Articular
/
Medial Collateral Ligament, Knee
/
Collateral Ligaments
/
Joint Instability
Type of study:
Observational_studies
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Bone Joint Surg Br
Year:
2008
Document type:
Article