Anatomical Repair With Achilles Tendon Allograft Augmentation for Distal Medial Collateral Ligament Ruptures
Several conditions may require medial collateral ligament (MCL) surgery, especially when high physical demands are required. Thus, we described a technique for anatomical repair of distal MCL rupture using a distal anchor and MCL augmentation through Achilles tendon allograft with proximal bone bloc...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724003748 |
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| author | Roberto Yáñez, Ph.D., M.D. Anthony Saravia, M.D. Hector Zamorano, M.D. Gaston Caracciolo, M.D. Cristobal Yañez-Rojo, M.D. Alejandro Neira, M.Sc. Carlos De la Fuente, Ph.D. |
| author_facet | Roberto Yáñez, Ph.D., M.D. Anthony Saravia, M.D. Hector Zamorano, M.D. Gaston Caracciolo, M.D. Cristobal Yañez-Rojo, M.D. Alejandro Neira, M.Sc. Carlos De la Fuente, Ph.D. |
| author_sort | Roberto Yáñez, Ph.D., M.D. |
| collection | DOAJ |
| description | Several conditions may require medial collateral ligament (MCL) surgery, especially when high physical demands are required. Thus, we described a technique for anatomical repair of distal MCL rupture using a distal anchor and MCL augmentation through Achilles tendon allograft with proximal bone block and interference screw. This procedure fixes an anchor distally at the tibia. Then, the ligament endings are sutured using a continuous simple-type technique. Subsequently, a low-radiated Achilles tendon allograft is attached proximally and fixed through an interference screw. Finally, the allograft is sutured using a continuous simple-type technique. Our anatomical MCL repair and augmentation allows a reinforced anatomical technique to control the valgus instability caused by MCL distal ruptures, considering the MCL axial traction and posterior oblique ligament fiber orientations. |
| format | Article |
| id | doaj-art-e54e95f6d367440b9d6740d0715f66eb |
| institution | Kabale University |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-e54e95f6d367440b9d6740d0715f66eb2025-08-20T03:44:10ZengElsevierArthroscopy Techniques2212-62872025-03-0114310323410.1016/j.eats.2024.103234Anatomical Repair With Achilles Tendon Allograft Augmentation for Distal Medial Collateral Ligament RupturesRoberto Yáñez, Ph.D., M.D.0Anthony Saravia, M.D.1Hector Zamorano, M.D.2Gaston Caracciolo, M.D.3Cristobal Yañez-Rojo, M.D.4Alejandro Neira, M.Sc.5Carlos De la Fuente, Ph.D.6Knee Service, Orthopedic Surgery Department, MEDS Clinic, Santiago, ChileKnee Service, Orthopedic Surgery Department, MEDS Clinic, Santiago, ChileKnee Service, Orthopedic Surgery Department, MEDS Clinic, Santiago, ChileKnee Service, Orthopedic Surgery Department, MEDS Clinic, Santiago, ChileKnee Service, Orthopedic Surgery Department, MEDS Clinic, Santiago, ChileEscuela de Kinesiología, Facultad de Medicina y Ciencias de la Salud, Universidad Mayor, Santiago, ChileExercise and Rehabilitation Sciences Institute, Postgraduate, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, Chile; Address correspondence to Carlos De la Fuente, Ph.D., Exercise and Rehabilitation Sciences Institute, Postgraduate, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago 7591538, Chile.Several conditions may require medial collateral ligament (MCL) surgery, especially when high physical demands are required. Thus, we described a technique for anatomical repair of distal MCL rupture using a distal anchor and MCL augmentation through Achilles tendon allograft with proximal bone block and interference screw. This procedure fixes an anchor distally at the tibia. Then, the ligament endings are sutured using a continuous simple-type technique. Subsequently, a low-radiated Achilles tendon allograft is attached proximally and fixed through an interference screw. Finally, the allograft is sutured using a continuous simple-type technique. Our anatomical MCL repair and augmentation allows a reinforced anatomical technique to control the valgus instability caused by MCL distal ruptures, considering the MCL axial traction and posterior oblique ligament fiber orientations.http://www.sciencedirect.com/science/article/pii/S2212628724003748 |
| spellingShingle | Roberto Yáñez, Ph.D., M.D. Anthony Saravia, M.D. Hector Zamorano, M.D. Gaston Caracciolo, M.D. Cristobal Yañez-Rojo, M.D. Alejandro Neira, M.Sc. Carlos De la Fuente, Ph.D. Anatomical Repair With Achilles Tendon Allograft Augmentation for Distal Medial Collateral Ligament Ruptures Arthroscopy Techniques |
| title | Anatomical Repair With Achilles Tendon Allograft Augmentation for Distal Medial Collateral Ligament Ruptures |
| title_full | Anatomical Repair With Achilles Tendon Allograft Augmentation for Distal Medial Collateral Ligament Ruptures |
| title_fullStr | Anatomical Repair With Achilles Tendon Allograft Augmentation for Distal Medial Collateral Ligament Ruptures |
| title_full_unstemmed | Anatomical Repair With Achilles Tendon Allograft Augmentation for Distal Medial Collateral Ligament Ruptures |
| title_short | Anatomical Repair With Achilles Tendon Allograft Augmentation for Distal Medial Collateral Ligament Ruptures |
| title_sort | anatomical repair with achilles tendon allograft augmentation for distal medial collateral ligament ruptures |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724003748 |
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