Triple-Bundle Medial Collateral Ligament Reconstruction: The Medial Arrow Technique

Medial knee injuries are common and sometimes overlooked in cases of anterior cruciate ligament injuries. Persistent anteromedial rotatory instability can lead to chronic pain and later anterior cruciate ligament reconstruction failure. Moreover, in cases with multiligamentous knee injuries, there may be combined anteromedial and posteromedial rotatory instabilities. In this Technical Note, a triple-bundle reconstruction of the superficial medial collateral ligament, the deep medial collateral ligament, and the posterior oblique ligament is described to address these instabilities.