Semimembranosus Tendon Advancement for the Anteromedial Knee Rotatory Instability Treatment

Abstract

Injury to the medial compartment of the knee is the most common ligament injury to this joint. The medial approach must consider the presence of associated anteromedial instability. Untreated injury of these instabilities can result in failure of the other reconstructed ligaments. As treatment is usually associated with other ligaments, it is relevant that the technique could save grafts and synthetic material. This article aims to describe a technique for the treatment of anteromedial instabilities through semimembranosus tendon tenodesis in a more anterior and distal position, promoting the tensioning of the posteromedial structures.

Reverse Ramp Lesion Repair in Patients With Meniscotibial Ligament Avulsion Injury: The Hidden AMRI

“…Ramos et al. 23 used suture anchors to repair MTL injuries among patients with injury to the posteromedial corner, using an open approach as well. Recently, suture anchor fixation was arthroscopically demonstrated for an unstable ramp lesion repair concomitant to ACLR, with stable attachment on second-look arthroscopy at 12 to 24 months after surgery.…”

Medial Collateral Ligament Reconstruction: A Gracilis Tenodesis for Anteromedial Knee Instability

“…Kittl et al 26 showed that a single point-to-point reconstruction could not imitate the complex behavior of the native MCL, and that small changes in the femoral MCL graft attachment position significantly effect graft length change patterns. Hence, further studies are needed to investigate biomechanical and clinical results of various MCL reconstructions techniques 23,[28][29][30][31][32][33] in anteromedial instability. Advantages and disadvantages and pearls and pitfalls of the present technique are listed in Tables 2 and 3, respectively.…”