Surgical treatment of medial knee ligament injuries: current indications and techniques

Tandoğan, Reha N.; Kayaalp, Asım

doi:10.1302/2058-5241.1.000007

Cited by 26 publications

(24 citation statements)

References 40 publications

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“…Previous authors reported that in the set of a reconstruction the POL should be fixed in full extension 13 ; however, our attempt to reattach the POL in flexion is based on the fact that the present technique is a repair of a isometric structure which doesn't have the same biomechanical repercussions as in a reconstruction (Table 1).…”

Section: Discussionmentioning

confidence: 99%

Posterior Oblique Ligament Repair Concomitant to Anterior Cruciate Ligament Reconstruction

Rayes

Fradin

Ngbilo

et al. 2021

Arthroscopy Techniques

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The associated lesion of the posterior oblique ligament (POL) in the setting of anterior cruciate ligament rupture is quite frequent due to the same rotational mechanism. The diagnosis of POL lesions is challenging, and physical examination is delicate; moreover, they can be easily missed on magnetic resonance imaging. Once recognized, POL lesions must be repaired to restore posteromedial corner kinematics. The aim of this Technical Note is to present a safe and effective method for POL repair in the set of an anterior cruciate ligament reconstruction.

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Section: Discussionmentioning

confidence: 99%

Posterior Oblique Ligament Repair Concomitant to Anterior Cruciate Ligament Reconstruction

Rayes

Fradin

Ngbilo

et al. 2021

Arthroscopy Techniques

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“…An avulsion of the MCL from the distal tibial insertion is 1 such example. 4 , 9 , 10 , 11 , 12 Unfortunately, the majority of literature discussing nonoperative and surgical management of MCL injuries does not distinguish the site of ligamentous injury, making the true incidence and associated treatment outcomes of distal injuries difficult to discern. Nevertheless, there is evidence to suggest that distal tibial MCL injuries do not do well with conservative management.…”

Section: Discussionmentioning

confidence: 99%

“…One of the few surgical indications for an acute repair or reconstruction of an isolated or concomitant MCL injury is an avulsion from the distal tibial insertion ( Fig 1 ). 4 , 9 , 10 , 11 , 12 When the distal insertion is ruptured, the MCL fibers can retract and displace superficial to the pes tendon, becoming a Stener-type lesion. Alternatively, the ligament can retract so much that it becomes incarcerated into the medial joint space.…”

mentioning

confidence: 99%

Distal Knee Medial Collateral Ligament Repair With Suture Augmentation

Trofa

Sonnenfeld

Song

et al. 2018

Arthroscopy Techniques

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The medial collateral ligament (MCL) is the most commonly injured ligament of the knee. Given its extra-articular location, the MCL has great healing capacity such that the mainstay of treatment for most injuries remains conservative management. However, certain injury patterns place patients and athletes at risk of residual valgus laxity, which may require delayed surgical care and prolonged time out from sports. As such, identifying the specific injuries known to place patients at risk for failure with nonoperative management is of paramount importance. Although controversy remains regarding the optimal treatment of grade III MCL injuries, it is generally accepted that MCL ruptures from the distal tibia attachment require operative fixation. This technique article with accompanying video provides a detailed description of a technique for repairing the distal MCL attachment with suture augmentation. There are several advantages associated with an augmented direct repair including early, safe rehabilitation; prevention of valgus instability; and avoiding the comorbidities associated with a larger reconstruction.

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“…Nevertheless, we tried to summarize MSC injuries management (Figure 2, Figure 3) according to the most currently agreed. [3][4][5][6]8,10,11,13,17,24,34,35,[39][40][41][42][43] In any acute injury, the first step is to let the soft tissues rest and provisionally stabilize the knee until it is possible to make a proper diagnosis. Consequently, pain management, application of a hinged knee brace limiting ROM to 0-30º of flexion, touch toe weight-bearing (WB), and avoiding ER of the foot is recommended.…”

Section: Management Of Msc Injuriesmentioning

confidence: 99%

Medial soft-tissue complex of the knee: Current concepts, controversies, and future directions of the forgotten unit

Requicha

Comley

2021

Orthopedic Reviews

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The medial side of the knee is comprised of ligaments, myotendinous and meniscal structures that work as a unit to stabilize the joint. The superficial medial collateral ligament is its core structure. Still, all elements of the medial side have load-sharing relationships, leading to a cascade of events in the scenario of insufficiency of any of them. Understanding the medial soft tissue structures as part of a unit is of utmost importance because the most common ligaments damaged in knee injuries belong to it. Surprisingly, there is a lack of high-level evidence published around the issue, and most studies focus on the superficial medial collateral ligament, overlooking the complexity of these injuries. Acknowledging the consequences for joint biomechanics and treatment outcomes, interest in this area is growing between researchers. Emerging evidence may become a game-changer in the future management of these injuries. Based on a thorough research of published literature, this review provides a current biomechanical concepts and clinical guidance to treat these injuries.Requicha F, Comley A. Medial soft-tissue complex of the knee: Current concepts, controversies, and future directions of the forgotten unit. Orthopedic Reviews. June 2021.

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Surgical treatment of medial knee ligament injuries: current indications and techniques

Cited by 26 publications

References 40 publications

Posterior Oblique Ligament Repair Concomitant to Anterior Cruciate Ligament Reconstruction

Posterior Oblique Ligament Repair Concomitant to Anterior Cruciate Ligament Reconstruction

Distal Knee Medial Collateral Ligament Repair With Suture Augmentation

Medial soft-tissue complex of the knee: Current concepts, controversies, and future directions of the forgotten unit

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