A "Short Isometric Construct" Reconstruction Technique for the Medial Collateral Ligament of the Knee.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 36879857.
- Also identified by DOI 10.1016/j.eats.2022.10.005 and PMC identifier 9984723.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Recently there has been increased focus on the medial collateral ligament (MCL) and the role the medial ligament complex plays in preventing valgus and external rotation, especially in the setting of a combined ligament injury. Multiple surgical techniques purport to reproduce "normal anatomy"; however, only one technique addresses the deep MCL fibers and the prevention of external rotation. Thus we describe the "short isometric construct" MCL reconstruction which is stiffer than the anatomic reconstructions. The "short isometric construct" technique resists valgus throughout range of motion whereas its obliquity resists tibial external rotation, helping to reduce the risk of anterior cruciate ligament graft re-rupture.
Anatomy
- knee