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. 2016 Jan 31;3(4):215-7.
doi: 10.11138/jts/2015.3.4.215. eCollection 2015 Oct-Dec.

Medial collateral ligament reconstruction during TKA: a new approach and surgical technique

Paolo Adravanti  1 , Francesco Dini  2 , Giuseppe Calafiore  1 , Michele Attilio Rosa  2
Affiliations

Medial collateral ligament reconstruction during TKA: a new approach and surgical technique

Paolo Adravanti et al. Joints. .

Abstract

Medial collateral ligament (MCL) injuries during total knee arthroplasty are rare but severe complications. They can be treated conservatively, by increasing prosthetic constraint, by using a thicker polyethylene insert, or by directly suturing the ligament. A prosthesis is successful to the extent that it ensures long-term knee stability. We describe our surgical approach to the restoration of knee joint stability in MCL deficiency: a reconstructive technique using the semitendinosus tendon.

Keywords: injury; intraoperative; medial collateral ligament; reconstruction; total knee arthroplasty.

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Figures

Fig. 1
Fig. 1
Direction of the femoral tunnel as established using a Kirschner wire.
Fig. 2
Fig. 2
Passage of the graft in the femoral tunnel.
Fig. 3
Fig. 3
Fixation of the graft to the medial femoral cortex with a bioabsorbable screw.
See this image and copyright information in PMC

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