Modified Anatomical Reconstruction of the Medial Collateral Ligament With Tibial Sling Bone Tunnels and Double-Bundle Semitendinosus Tendon

Modified Anatomical Reconstruction of the Medial Collateral Ligament With Tibial Sling Bone Tunnels and Double-Bundle Semitendinosus Tendon

This article describes a modification of an surgical technique for the anatomical reconstruction of the superficial medial collateral ligament (MCL) of the knee using a semitendinosus tendon graft in a minimally invasive approach. The MCL often is the site of severe injuries, which can result in lon...

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Main Authors: Sergio Marinho de Gusmão Canuto, M.D., José Leonardo Rocha de Faria, M.D., M.Sc., Ph.D., Igor Farias de Araújo, M.D., Pedro Enio Feitosa Bezerra, M.D., João Henrique da Silva Araújo, M.D., Diego Ariel de Lima, M.D., Ph.D., Diego Escudeiro de Oliveira, M.D., M.Sc., Bernardo Garcia Barroso, M.D., Arthur Macedo de Gusmão Canuto, M.S., Pedro Baches Jorge, M.D., Ph.D., Vitor Barion Castro de Pádua, M.D., Ph.D., Camilo Partezani Helito, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S221262872500194X
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Summary:This article describes a modification of an surgical technique for the anatomical reconstruction of the superficial medial collateral ligament (MCL) of the knee using a semitendinosus tendon graft in a minimally invasive approach. The MCL often is the site of severe injuries, which can result in long-term complications such as instability. The detailed surgical technique begins with an examination under anesthesia and diagnostic arthroscopy for accurate injury assessment. The semitendinosus tendon is used as a graft and fixed in the tibial communicating tunnels, with interference screw fixation only on the femur, restoring the integrity of the MCL. The postoperative protocol involves a careful rehabilitation process, including weight-bearing restriction and gradual return to sports activities. This technique offers advantages such as increased graft strength and lower surgical morbidity, making it a viable option for patients with anteromedial instabilities and grade III MCL injuries, especially when there are concomitant anterior cruciate ligament injuries. The anatomical reconstruction of the MCL with a double bundle and semitendinosus tendon graft is a promising technique that continues to be refined and studied in the quest for improved long-term outcomes in knee stability.
ISSN:2212-6287

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