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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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221262872500194X |
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| author | 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. |
| author_facet | 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. |
| author_sort | Sergio Marinho de Gusmão Canuto, M.D. |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-e37e33cf3f6e4085ade0d0a882d2b19e |
| institution | Kabale University |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-e37e33cf3f6e4085ade0d0a882d2b19e2025-08-20T04:00:27ZengElsevierArthroscopy Techniques2212-62872025-07-0114710362510.1016/j.eats.2025.103625Modified Anatomical Reconstruction of the Medial Collateral Ligament With Tibial Sling Bone Tunnels and Double-Bundle Semitendinosus TendonSergio Marinho de Gusmão Canuto, M.D.0José Leonardo Rocha de Faria, M.D., M.Sc., Ph.D.1Igor Farias de Araújo, M.D.2Pedro Enio Feitosa Bezerra, M.D.3João Henrique da Silva Araújo, M.D.4Diego Ariel de Lima, M.D., Ph.D.5Diego Escudeiro de Oliveira, M.D., M.Sc.6Bernardo Garcia Barroso, M.D.7Arthur Macedo de Gusmão Canuto, M.S.8Pedro Baches Jorge, M.D., Ph.D.9Vitor Barion Castro de Pádua, M.D., Ph.D.10Camilo Partezani Helito, M.D., Ph.D.11Ortoclínica, Orthopaedics Hospital, Maceió, AL – BrazilKnee Surgery Center, National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ – Brazil; Research Division - National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ – Brazil; National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ – Brazil; Address correspondence to José Leonardo Rocha de Faria; National Institute of Traumatology and Orthopedics (INTO), Av. Brasil, 500, São Cristovão, Rio de Janeiro, RJ – Brazil.Knee Surgery Center, National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ – BrazilNational Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ – BrazilNational Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ – BrazilFederal Rural University of Semiarid – Mossoró, RN – BrazilSports Medicine department of Santa Casa of São Paulo – São Paulo, SP – BrazilInstitute of Orthopaedic and Traumatology of Vitoria Apart Hospital, Serra, ES – BrazilSuperior Study Center of Maceio (CESMAC) – Maceio, AL – BrazilSports Medicine department of Santa Casa of São Paulo – São Paulo, SP – BrazilDepartment of Orthopaedics and Traumatology Federal University of São Paulo, Paulist School of Medicine, São Paulo, SP – BrazilUniversity of São Paulo – USP, São Paulo, SP – BrazilThis 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.http://www.sciencedirect.com/science/article/pii/S221262872500194X |
| spellingShingle | 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. Modified Anatomical Reconstruction of the Medial Collateral Ligament With Tibial Sling Bone Tunnels and Double-Bundle Semitendinosus Tendon Arthroscopy Techniques |
| title | Modified Anatomical Reconstruction of the Medial Collateral Ligament With Tibial Sling Bone Tunnels and Double-Bundle Semitendinosus Tendon |
| title_full | Modified Anatomical Reconstruction of the Medial Collateral Ligament With Tibial Sling Bone Tunnels and Double-Bundle Semitendinosus Tendon |
| title_fullStr | Modified Anatomical Reconstruction of the Medial Collateral Ligament With Tibial Sling Bone Tunnels and Double-Bundle Semitendinosus Tendon |
| title_full_unstemmed | Modified Anatomical Reconstruction of the Medial Collateral Ligament With Tibial Sling Bone Tunnels and Double-Bundle Semitendinosus Tendon |
| title_short | Modified Anatomical Reconstruction of the Medial Collateral Ligament With Tibial Sling Bone Tunnels and Double-Bundle Semitendinosus Tendon |
| title_sort | modified anatomical reconstruction of the medial collateral ligament with tibial sling bone tunnels and double bundle semitendinosus tendon |
| url | http://www.sciencedirect.com/science/article/pii/S221262872500194X |
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