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Medial collateral ligament reconstruction using autogenous hamstring tendons: technique and results in initial cases
Shinichi Yoshiya1, Ryosuke Kuroda, Kiyonori Mizuno
1Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, Japan.yoshiya@med.kobe-u.ac.jp
The American Journal of Sports Medicine
|July 9, 2005
Summary
This study presents an effective surgical technique for medial collateral ligament (MCL) reconstruction using autogenous tendons. The procedure demonstrated improved stability and range of motion with no major complications in patients with medial instability.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Ligament Reconstruction
Background:
- Medial collateral ligament (MCL) injuries often require surgical intervention.
- Existing surgical methods for MCL repair have yielded inconsistent outcomes.
- Restoring MCL function remains a challenge in knee injury management.
Purpose of the Study:
- To evaluate the efficacy of a novel reconstructive procedure for the medial collateral ligament.
- To assess the functional outcomes of using autogenous semitendinosus and gracilis tendons for MCL repair.
- To compare the results of this technique with conventional MCL reconstruction methods.
Main Methods:
- A case series (Level of evidence, 4) involving 27 patients with symptomatic medial instability.
- Anatomical reconstruction of the superficial MCL's anterior longitudinal bundle using autogenous semitendinosus and gracilis tendons.
- 24 patients were evaluated at a minimum 2-year follow-up (mean 27 months), often with concomitant cruciate ligament repairs.
Main Results:
- Postoperative medial stability and range of motion were graded as normal or near-normal by the International Knee Documentation Committee (IKDC) system.
- No significant postoperative complications were observed in the evaluated patients.
- The surgical technique successfully restored knee function in the majority of cases.
Conclusions:
- The described surgical procedure using autogenous semitendinosus and gracilis tendons is an effective method for MCL reconstruction.
- This technique offers improved functional outcomes for patients suffering from medial knee instability.
- Further studies with longer follow-up periods are warranted to confirm long-term efficacy.