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Primary Repair of the Lateral Collateral Ligament Using Additional Suture Augmentation
Harmen D Vermeijden1, Jelle P van der List1,2, Gregory S DiFelice1
1Orthopaedic Trauma Service, Department of Orthopaedic Surgery, Hospital for Special Surgery, New York-Presbyterian, Weill Medical College of Cornell University, New York, New York, U.S.A.
Arthroscopy Techniques
|September 3, 2020
Summary
Primary repair of lateral collateral ligament (LCL) injuries using suture augmentation allows early mobilization. This technique preserves the native LCL, offering a promising alternative for knee ligament injuries.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Knee ligament injuries
Background:
- Lateral collateral ligament (LCL) injuries often occur with cruciate ligament tears.
- Anatomic reconstruction of the posterolateral corner (PLC) has gained interest.
- Primary LCL repair has historically shown high failure rates.
Purpose of the Study:
- To describe the surgical technique for primary distal LCL repair with suture augmentation.
- To highlight the benefits of preserving native ligaments.
- To introduce a method for early patient mobilization.
Main Methods:
- Primary distal LCL repair technique.
- Suture augmentation for enhanced repair strength.
- Focus on preserving the native LCL structure.
Main Results:
- The described technique allows for primary repair of the LCL.
- Suture augmentation provides protection to the repaired ligament.
- Early mobilization is facilitated by the protective augmentation.
Conclusions:
- Primary distal LCL repair with suture augmentation is a viable surgical option.
- This technique preserves the native ligament, promoting healing.
- It enables earlier patient mobilization compared to traditional methods.
