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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2020, Number 2

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Acta Ortop Mex 2020; 34 (2)

Reconstruction of medial collateral ligament: Description of a new augmentation technique with allograft and interference biocomposite screws

Parroquín-Maldonado JA, Mas-Celis F, Cruz-Miranda A
Full text How to cite this article 10.35366/95328

DOI

DOI: 10.35366/95328
URL: https://dx.doi.org/10.35366/95328

Language: Spanish
References: 8
Page: 129-133
PDF size: 316.82 Kb.


Key words:

Medial instability, medial collateral ligament, anatomical reconstruction, stress x-rays, knee, allografts.

ABSTRACT

Introduction: Medial Collateral Ligament (LCM) instability is associated with multi-ligamentary lesions. There are several procedures for the reconstruction of MCL, we present a percutaneous technique of augmentation. Our goal is to describe a new technique of reconstruction of the LCM by grafting and fixing with biocomposite screws. Material and methods: We present the technique in a total of 21 consecutive patients with MCL injury operated in the period of December 2011 to October 2014. Reconstruction of MCL was performed with long, tibial or long hallux tendon allografts in 18 patients and only one patient was used autograft. Eighteen of the 20 patients had associated lesions: 5 with medial meniscus injury, 8 with anterior cruciate ligament injury, (ACL), 8 with condral injury and 1 with lateral meniscus injury. Conclusion: The surgical technique presented is simple to perform, without damage to other structures and with a strong fixation.


REFERENCES

  1. Omar M, Petri M, Dratzidis A, Nehmer SE, Hurschler C, Krettek C, et al. Biomechanical comparison of fixation techniques for medial collateral ligament anatomical augmented repair. Knee Surg Sport Traumatol Arthrosc. 2016; 24(12): 3982-7.

  2. Liu X, Feng H, Zhang H, Hong L, Song WX, Zhang J, Wei SJ. Surgical treatment of subacute and chronic valgus instability in multiligament-injured knees with superficial medial collateral ligament reconstruction using Achilles allografts: a quantitative analysis with a minimum 2-year follow-up. Am J Sports Med. 2013; 41: 1044-50.

  3. Marx RG, Hetsroni I. Surgical technique: medial collateral ligament reconstruction using Achilles allograft for combined knee ligament injury. Clin Orthop Relat Res. 2012; 470: 798-805.

  4. LaPrade RF, Engebretsen AH, Ly TV, Johansen S, Wentorf FA, Engebretsen L. The anatomy of the medial part of the knee. J Bone Joint Surg Am. 2007; 89: 2000-10.

  5. Griffith CJ, LaPrade RF, Johansen S, Armitage B, Wijdicks C, Engebretsen L. Medial knee injury. Part 1. Static function of the individual components of the main medial knee structures. Am J Sports Med. 2009; 37: 1762-70.

  6. Jensen, et al. Journal of biomedical materials research part B. Appl Biomater. 2009; 90B: 171-81.

  7. Suchenski M, McCarthy MB, Chowaniec D, Hansen D, McKinnon W, Apostolakos J, et al. Material properties and composition of soft-tissue fixation. Arthroscopy. 2010; 26(6): 821-35.

  8. Zhang H, Bai X, Sun Y, Han X. Tibial inlay reconstruction of the medial collateral ligament using Achilles tendon allograft for the treatment of medial instability of the knee. Knee Surg Sports Traumatol Arthrosc. 2014; 22: 279-84.




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Acta Ortop Mex. 2020 Mar-Abr;34