Concomitant reconstruction of the medial collateral and posterior oblique ligaments for medial instability of the knee
We present the operative technique and clinical results of concomitant reconstruction of the medial collateral ligament (MCL) and the posterior oblique ligament for medial instability of the knee using autogenous semitendinosus tendon with preservation of the tibial attachment. The semitendinosus te...
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| Veröffentlicht in: | Journal of bone and joint surgery. British volume 2008-10, Vol.90 (10), p.1323-1327 |
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| container_title | Journal of bone and joint surgery. British volume |
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| creator | KIM, S.-J LEE, D.-H KIM, T.-E CHOI, N.-H |
| description | We present the operative technique and clinical results of concomitant reconstruction of the medial collateral ligament (MCL) and the posterior oblique ligament for medial instability of the knee using autogenous semitendinosus tendon with preservation of the tibial attachment. The semitendinosus tendon graft between the screw on the medial epicondyle and the tibial attachment of the graft was overlapped by the MCL, while the graft between the screw and the insertion of the direct head of the semimembranosus tendon was overlapped by the central arm of the posterior oblique ligament. Assessment was by stress radiograph and the Lysholm knee scoring scale. After a mean follow-up of 52.6 months (25 to 92), the medial joint opening of the knee was within 2 mm in 22 of 24 patients. The mean Lysholm score was 91.9 (80 to 100). Concomitant reconstruction of the MCL and posterior oblique ligament using autogenous semitendinosus tendon provides a good solution to medial instability. |
| doi_str_mv | 10.1302/0301-620x.90b10.20781 |
| format | Article |
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The semitendinosus tendon graft between the screw on the medial epicondyle and the tibial attachment of the graft was overlapped by the MCL, while the graft between the screw and the insertion of the direct head of the semimembranosus tendon was overlapped by the central arm of the posterior oblique ligament. Assessment was by stress radiograph and the Lysholm knee scoring scale. After a mean follow-up of 52.6 months (25 to 92), the medial joint opening of the knee was within 2 mm in 22 of 24 patients. The mean Lysholm score was 91.9 (80 to 100). Concomitant reconstruction of the MCL and posterior oblique ligament using autogenous semitendinosus tendon provides a good solution to medial instability.</description><edition>British volume</edition><identifier>ISSN: 0301-620X</identifier><identifier>ISSN: 2049-4394</identifier><identifier>EISSN: 2044-5377</identifier><identifier>EISSN: 2049-4408</identifier><identifier>DOI: 10.1302/0301-620x.90b10.20781</identifier><identifier>PMID: 18827242</identifier><identifier>CODEN: JBSUAK</identifier><language>eng</language><publisher>London: British Editorial Society of Bone and Joint Surgery</publisher><subject>Accidents, Traffic ; Adolescent ; Adult ; Athletic Injuries - surgery ; Biological and medical sciences ; Biomechanical Phenomena ; Collateral Ligaments - physiopathology ; Collateral Ligaments - surgery ; Diseases of the osteoarticular system ; Female ; Humans ; Joint Instability - physiopathology ; Joint Instability - surgery ; Knee Joint - surgery ; Male ; Medial Collateral Ligament, Knee - injuries ; Medial Collateral Ligament, Knee - physiology ; Medial Collateral Ligament, Knee - surgery ; Medical sciences ; Middle Aged ; Orthopedic Procedures - methods ; Orthopedic surgery ; Range of Motion, Articular - physiology ; Retrospective Studies ; Surgery (general aspects). 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British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>We present the operative technique and clinical results of concomitant reconstruction of the medial collateral ligament (MCL) and the posterior oblique ligament for medial instability of the knee using autogenous semitendinosus tendon with preservation of the tibial attachment. The semitendinosus tendon graft between the screw on the medial epicondyle and the tibial attachment of the graft was overlapped by the MCL, while the graft between the screw and the insertion of the direct head of the semimembranosus tendon was overlapped by the central arm of the posterior oblique ligament. Assessment was by stress radiograph and the Lysholm knee scoring scale. After a mean follow-up of 52.6 months (25 to 92), the medial joint opening of the knee was within 2 mm in 22 of 24 patients. The mean Lysholm score was 91.9 (80 to 100). Concomitant reconstruction of the MCL and posterior oblique ligament using autogenous semitendinosus tendon provides a good solution to medial instability.</description><subject>Accidents, Traffic</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Athletic Injuries - surgery</subject><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Collateral Ligaments - physiopathology</subject><subject>Collateral Ligaments - surgery</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Joint Instability - physiopathology</subject><subject>Joint Instability - surgery</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Medial Collateral Ligament, Knee - injuries</subject><subject>Medial Collateral Ligament, Knee - physiology</subject><subject>Medial Collateral Ligament, Knee - surgery</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic Procedures - methods</subject><subject>Orthopedic surgery</subject><subject>Range of Motion, Articular - physiology</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><issn>0301-620X</issn><issn>2049-4394</issn><issn>2044-5377</issn><issn>2049-4408</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1rFTEYhYNY7LX6E5RBqLupb74nS73UDyi4UXAXMplEU2eSa5IR--_NtVMFN10lOTzn8L45CD3DcIEpkFdAAfeCwK8LBWMTCcgBP0A7Aoz1nEr5EO3umC-n6HEp1wDAOKeP0CkeBiIJIzv0c5-iTUuoJtYuO5tiqXm1NaTYJd_Vb65b3BTM3Nk0z6a63K4mTt0hlfYIKXdpnMOP1XVz-GoWF2vpfFM3V2h5ZgxzqDd3ed-jc0_QiTdzcU-38wx9fnv5af--v_r47sP-9VVvmeS4p5aNTkovHXEMPJeUUVAck0l45yeBRyEnb8ExIwZDLR6UGglMZGKTUVTQM_TyNveQU5uxVL2EYl3bJLq0Fi2UIERgfi-IFZeEE9XAF_-B12nNsS2hCVESBBa0QfwWsjmVkp3XhxwWk280Bn2sTx-r0cdqtII3TfxTX_M938LXsX3gP9fWVwPON8AUa2afTbSh_OVaCldSEvobVkSkLA</recordid><startdate>200810</startdate><enddate>200810</enddate><creator>KIM, S.-J</creator><creator>LEE, D.-H</creator><creator>KIM, T.-E</creator><creator>CHOI, N.-H</creator><general>British Editorial Society of Bone and Joint Surgery</general><general>British Editorial Society of Bone & Joint Surgery</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>200810</creationdate><title>Concomitant reconstruction of the medial collateral and posterior oblique ligaments for medial instability of the knee</title><author>KIM, S.-J ; LEE, D.-H ; KIM, T.-E ; CHOI, N.-H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4751-3c4be77f7e2e40f5734309512d6fefd61b67dfc0e4a68a3c1899b20d2d4da9363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Accidents, Traffic</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Athletic Injuries - surgery</topic><topic>Biological and medical sciences</topic><topic>Biomechanical Phenomena</topic><topic>Collateral Ligaments - physiopathology</topic><topic>Collateral Ligaments - surgery</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Humans</topic><topic>Joint Instability - physiopathology</topic><topic>Joint Instability - surgery</topic><topic>Knee Joint - surgery</topic><topic>Male</topic><topic>Medial Collateral Ligament, Knee - injuries</topic><topic>Medial Collateral Ligament, Knee - physiology</topic><topic>Medial Collateral Ligament, Knee - surgery</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic Procedures - methods</topic><topic>Orthopedic surgery</topic><topic>Range of Motion, Articular - physiology</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KIM, S.-J</creatorcontrib><creatorcontrib>LEE, D.-H</creatorcontrib><creatorcontrib>KIM, T.-E</creatorcontrib><creatorcontrib>CHOI, N.-H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KIM, S.-J</au><au>LEE, D.-H</au><au>KIM, T.-E</au><au>CHOI, N.-H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Concomitant reconstruction of the medial collateral and posterior oblique ligaments for medial instability of the knee</atitle><jtitle>Journal of bone and joint surgery. British volume</jtitle><addtitle>J Bone Joint Surg Br</addtitle><date>2008-10</date><risdate>2008</risdate><volume>90</volume><issue>10</issue><spage>1323</spage><epage>1327</epage><pages>1323-1327</pages><issn>0301-620X</issn><issn>2049-4394</issn><eissn>2044-5377</eissn><eissn>2049-4408</eissn><coden>JBSUAK</coden><abstract>We present the operative technique and clinical results of concomitant reconstruction of the medial collateral ligament (MCL) and the posterior oblique ligament for medial instability of the knee using autogenous semitendinosus tendon with preservation of the tibial attachment. The semitendinosus tendon graft between the screw on the medial epicondyle and the tibial attachment of the graft was overlapped by the MCL, while the graft between the screw and the insertion of the direct head of the semimembranosus tendon was overlapped by the central arm of the posterior oblique ligament. Assessment was by stress radiograph and the Lysholm knee scoring scale. After a mean follow-up of 52.6 months (25 to 92), the medial joint opening of the knee was within 2 mm in 22 of 24 patients. The mean Lysholm score was 91.9 (80 to 100). Concomitant reconstruction of the MCL and posterior oblique ligament using autogenous semitendinosus tendon provides a good solution to medial instability.</abstract><cop>London</cop><pub>British Editorial Society of Bone and Joint Surgery</pub><pmid>18827242</pmid><doi>10.1302/0301-620x.90b10.20781</doi><tpages>5</tpages><edition>British volume</edition><oa>free_for_read</oa></addata></record> |
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| subjects | Accidents, Traffic Adolescent Adult Athletic Injuries - surgery Biological and medical sciences Biomechanical Phenomena Collateral Ligaments - physiopathology Collateral Ligaments - surgery Diseases of the osteoarticular system Female Humans Joint Instability - physiopathology Joint Instability - surgery Knee Joint - surgery Male Medial Collateral Ligament, Knee - injuries Medial Collateral Ligament, Knee - physiology Medial Collateral Ligament, Knee - surgery Medical sciences Middle Aged Orthopedic Procedures - methods Orthopedic surgery Range of Motion, Articular - physiology Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome |
| title | Concomitant reconstruction of the medial collateral and posterior oblique ligaments for medial instability of the knee |
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