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Alli Gokeler University of Groningen, University Medical Center Groningen, Center for Human Movement Science, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands

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Bart Dingenen Rehabilitation Research Institute, Biomedical Research Institute, Faculty of Medicine and Life Sciences, UHasselt, Diepenbeek, Belgium

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Caroline Mouton Département de l’Appareil Locomoteur, Centre Hospitalier de Luxembourg – Clinique d’Eich, 76, rue d’Eich, L-1460 Luxembourg, Luxembourg

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Romain Seil Département de l’Appareil Locomoteur, Centre Hospitalier de Luxembourg – Clinique d’Eich, 76, rue d’Eich, L-1460 Luxembourg, Luxembourg and Sports Medicine Research Laboratory, Luxembourg Institute of Health, 76, rue d’Eich, L-1460 Luxembourg, Luxembourg

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Marx RG Jones EC Angel M Wickiewicz TL Warren RF . Beliefs and attitudes of members of the American Academy of Orthopaedic Surgeons regarding the treatment of anterior cruciate ligament injury . Arthroscopy 2003

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Yusuf Omar Qalib Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China
These authors contributed equally to this work

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Yicun Tang Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China
These authors contributed equally to this work

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Dawei Wang Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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Baizhou Xing Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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Xingming Xu Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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Huading Lu Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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SH . Analysis of risk factors for ramp lesions associated with anterior cruciate ligament injury . Am J Sports Med 2020 ; 48 : 1673 – 1681 . 22. Balazs GC Greditzer HG IV Wang D et al. Ramp lesions of

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N. Reha Tandogan Çankaya Orthopedics, Ankara, Turkey

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Asim Kayaalp Çankaya Orthopedics, Ankara, Turkey

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  • The medial collateral ligament (MCL) and the posterior oblique ligament (POL) are the main static valgus restraints of the knee.

  • Most isolated medial injuries can be treated with bracing and early knee motion.

  • Combined MCL and ACL (anterior cruciate ligament) injuries can be managed with bracing of the knee followed by a delayed reconstruction of the ACL.

  • Residual medial laxity may be addressed at the time of ACL surgery.

  • 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.

  • 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.

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Joanna Baawa-Ameyaw Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Ricci Plastow Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Fahima Aarah Begum Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Babar Kayani Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Hyder Jeddy Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Fares Haddad Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Sports Med 2016 ; 44 : 1502 – 1507 . 2. Gans I Retzky JS Jones LC Tanaka MJ . Epidemiology of recurrent anterior cruciate ligament injuries in national collegiate athletic association sports: the Injury

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Emanuele Diquattro Ortopedia-Traumatologia e Chirurgia Protesica e dei Reimpianti d'anca e di Ginocchio, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Sonja Jahnke Center of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Medical School Brandenburg, Germany

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Francesco Traina Ortopedia-Traumatologia e Chirurgia Protesica e dei Reimpianti d'anca e di Ginocchio, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Francesco Perdisa Department of Orthopaedics, Villa Erbosa Hospital, Bologna, Italy

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Roland Becker Center of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Medical School Brandenburg, Germany

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Sebastian Kopf Center of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Medical School Brandenburg, Germany

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ZJ Ni QK & Feng Z . Lateral meniscus posterior root lesion influences anterior tibial subluxation of the lateral compartment in extension after anterior cruciate ligament injury . American Journal of Sports Medicine 2020 48 838 – 846 . ( https

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Nikolaos K. Paschos University of California, Davis, USA

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Stephen M. Howell University of California, Davis, USA

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commercial party related directly or indirectly to the subject of this article. References 1 Griffin LY , Agel J , Albohm MJ , et al. . Noncontact anterior cruciate ligament injuries: risk factors and prevention

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Mattia Alessio-Mazzola IRCCS Ospedale San Raffaele, Unità Clinica di Ortopedia e Traumatologia, Via Olgettina, Milan, Italy

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Giacomo Placella Università Vita-Salute San Raffaele, Via Olgettina, Milan, Italy

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Luigi Zagra Hip Department, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

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Orlando Leone Università Vita-Salute San Raffaele, Via Olgettina, Milan, Italy

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Natasha Di Fabio Università Vita-Salute San Raffaele, Via Olgettina, Milan, Italy

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Desiree Moharamzadeh IRCCS Ospedale San Raffaele, Unità Clinica di Ortopedia e Traumatologia, Via Olgettina, Milan, Italy

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Vincenzo Salini Università Vita-Salute San Raffaele, Via Olgettina, Milan, Italy

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-acute anterior cruciate ligament injury (ACL SNNAP): a pragmatic randomised controlled trial . Lancet 2022 400 605 – 615 . ( https://doi.org/10.1016/S0140-6736(2201424-6 ) 6. Grassi A Pizza N Al-Zu'bi BBH Fabbro GD Lucidi GA & Zaffagnini S

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Ignacio Rodriguez Universidad Austral de Chile, Valdivia, Chile

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Matías Sepúlveda Universidad Austral de Chile, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland
Hospital Base de Valdivia, Valdivia, Chile

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Estefanía Birrer Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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María Jesús Tuca Clinica Alemana, Santiago, Chile
Universidad del Desarrollo, Santiago, Chile
Hospital Clínico Mutual de Seguridad, Santiago, Chile

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associated with this type of fracture, including meniscal injury, anterior cruciate ligament injury, patellar or quadriceps tendon avulsion and compartment syndrome (reports from 3–4%); 14 – 16 these incidences were described in the literature prior to

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Francisco Figueroa Knee Unit, Hospital Dr Sotero del Rio, Chile; Knee Unit, Clinica Alemana-Universidad del Desarrollo, Chile

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David Figueroa Knee Unit, Clinica Alemana-Universidad del Desarrollo, Chile

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João Espregueira-Mendes Clínica do Dragão, Espregueira-Mendes Sports Centre - FIFA Medical Centre of Excellence, Portugal; Dom Henrique Research Centre, Portugal; 3B’s Research Group – Biomaterials, Biodegradables and Biomimetics, University of Minho, Portugal; ICVS/3B’s–PT Government Associate Laboratory, Portugal; Orthopaedics Department of Minho University, Portugal

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Sports Med 2006 ; 34 : 1933 - 40 . 11. Samuelsson K Andersson D Karlsson J . Treatment of anterior cruciate ligament injuries with special reference to graft type and surgical technique: an assessment of randomized

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Gherardo Pagliazzi Department of Paediatric Orthopaedics, University of Basel Children’s Hospital, Basel, Switzerland
Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Enrico De Pieri Laboratory for Movement Analysis, University of Basel Children’s Hospital, Basel, Switzerland
Department of Biomedical Engineering, University of Basel, Basel, Switzerland

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Michèle Kläusler Department of Paediatric Orthopaedics, University of Basel Children’s Hospital, Basel, Switzerland

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Morgan Sangeux Laboratory for Movement Analysis, University of Basel Children’s Hospital, Basel, Switzerland
Murdoch Children’s Research Institute, Melbourne, Victoria, Australia
The University of Melbourne, Melbourne School of Engineering, Melbourne, Victoria, Australia

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Elke Viehweger Department of Paediatric Orthopaedics, University of Basel Children’s Hospital, Basel, Switzerland
Laboratory for Movement Analysis, University of Basel Children’s Hospital, Basel, Switzerland
Department of Biomedical Engineering, University of Basel, Basel, Switzerland

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://doi.org/10.1249/01.MSS.0000089346.85744.D9 ) 89 Krosshaug T Nakamae A Boden BP Engebretsen L Smith G Slauterbeck JR Hewett TE Bahr R . Mechanisms of anterior cruciate ligament injury in basketball: video analysis of 39 cases . American

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