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  1. Home
  3. Distal Medial Collateral Ligament Repair With Suture Augmentation.
  1. Home
  3. Distal Medial Collateral Ligament Repair With Suture Augmentation.

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Distal Medial Collateral Ligament Repair With Suture Augmentation.

Nathan Sherman1, Chilan Leite1, Omar Protzuk1

  • 1Department of Orthopaedic Surgery, Boston, Mass General Brigham, Boston, Massachusetts, USA.

Video Journal of Sports Medicine
|February 13, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

This study demonstrates arthroscopic distal medial collateral ligament (MCL) repair with suture augmentation for severe knee injuries. The technique shows promising results for restoring stability and function in athletes.

Keywords:
medial collateral ligamentmedial collateral ligament repairmeniscal repairsuture augmentationtechnique

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Knee Ligament Injuries

Background:

  • Distal medial collateral ligament (MCL) injuries are less common and heal poorly compared to proximal injuries.
  • Surgical intervention is indicated for complete distal MCL tears with instability and associated injuries.

Purpose of the Study:

  • To demonstrate the surgical technique for distal MCL repair with suture augmentation.
  • To highlight the management of concomitant medial meniscocapsular junction tears.

Main Methods:

  • Arthroscopic repair of a medial meniscocapsular junction tear using all-inside sutures.
  • Distal MCL repair utilizing knotless, all-suture anchors and fiber tape augmentation.
  • Graft fixation to the tibia with the knee in neutral rotation, 30° flexion, and varus stress.

Main Results:

  • The patient achieved full range of motion and stability at 3 months postoperatively.
  • Demonstrated >95% thigh muscle strength at 6 months compared to the contralateral limb.
  • Returned to sports without limitations at 6 months postoperatively.

Conclusions:

  • Arthroscopic distal MCL repair with suture augmentation is a viable surgical option for complete tears with instability and meniscal injuries.
  • This technique is replicable and effective in restoring knee function and stability.