The Mirror Anterolateral Ligament: A Simple Technique to Reconstruct the Deep Medial Collateral Ligament Using the Gracilis Associated With a Four-Strand Semitendinosus for Anterior Cruciate Ligament Reconstruction

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2022 Sep 5

PMID 36061457

Authors

Jeremy Daxhelet

Nicolas Bouguennec

Nicolas Graveleau

Affiliations

Soon will be listed here.

Abstract

We present a surgical technique to reconstruct the deep portion of the medial collateral ligament (MCL) when associated with an injury of the anterior cruciate ligament (ACL). Patients could benefit from this procedure in cases of ACL reconstruction and persistent laxity at 20° of flexion of the MCL without any laxity in extension. This surgery uses the gracilis to reconstruct the deep portion of the MCL in the same manner described for the anterolateral ligament on the other side of the knee. The procedure is performed percutaneously, graft and tunnels are independent from the ACL, a screw is used on the femoral side, and a cortical device is used on the tibial side.

Citing Articles

A Comparative Biomechanical Study of Alternative Medial Collateral Ligament Reconstruction Techniques.

Shatrov J, Bonacic Bartolin P, Holthof S, Ball S, Williams A, Amis A Am J Sports Med. 2024; 52(6):1505-1513.

PMID: 38551132 PMC: 11064462. DOI: 10.1177/03635465241235858.

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