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- Author: N. Reha Tandogan x
- Sports & Arthroscopy x
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The medial collateral ligament (MCL) and the posterior oblique ligament (POL) are the main static valgus restraints of the knee.
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Most isolated medial injuries can be treated with bracing and early knee motion.
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Combined MCL and ACL (anterior cruciate ligament) injuries can be managed with bracing of the knee followed by a delayed reconstruction of the ACL.
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Residual medial laxity may be addressed at the time of ACL surgery.
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Bony avulsions, incarceration of the distal MCL under the meniscus or over the pes anserinus tendons, open injuries, MCL tears combined with PCL or bi-cruciate injuries should be treated surgically.
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Chronic symptomatic medial instability can be managed with the recently described reconstruction techniques using free tendon grafts located at anatomical insertion sites.
Cite this article: Tandogan NR, Kayaalp A. Surgical treatment of medial knee ligament injuries: Current indications and techniques. EFORT Open Rev 2016;2:27-33. DOI: 10.1302/2058-5241.1.000007.
