Abstract:
BACKGROUND:The medial collateral ligament (MCL) is the main static stabilizer of the medial knee. The surgical treatment was recommended in cases with serious medial collateral ligament insufficiency combined with multi-ligament injuries and chronic symptomatic medial instability. Several surgical techniques have been described for the MCL reconstruction, while potential problems including donor site morbidity, complicated procedure, and high risk of femoral tunnel collision were reported. In order to minimize such potential limitations, we describe a new medial reconstruction technique for MCL injury using bone-patellar tendon-bone (BPTB) allograft. METHODS:A longitudinal incision at the medial knee was made. The centers of femoral and tibial attachments were gained through repeated isometricity test. Then, the bone grooves were made around the femoral and tibial centers. The appropriate BPTB allograft was selected, and both ends were trimmed. The prepared bone blocks were embedded into the grooves and fixed with cancellous screws. The programmed rehabilitation exercises were performed after the operation. RESULTS:A strong graft and bone-to-bone healing on both femoral and tibial attachment sites were obtained, and femoral tunnel collision during multi-ligament reconstruction was avoided. Satisfactory valgus and rotatory stability were gained. CONCLUSIONS:This novel MCL reconstruction technique using BPTB allograft can be safely performed, and the clinical outcome was favorable with satisfactory valgus and rotatory stability. More cases and additional follow-up results are needed to verify the overall effect of this technique.
journal_name
J Orthop Surg Resjournal_title
Journal of orthopaedic surgery and researchauthors
Zheng X,Li T,Wang J,Dong J,Gao Sdoi
10.1186/s13018-016-0416-8subject
Has Abstractpub_date
2016-07-22 00:00:00pages
85issue
1issn
1749-799Xpii
10.1186/s13018-016-0416-8journal_volume
11pub_type
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/1749-799X-9-14
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章,meta分析
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journal_title:Journal of orthopaedic surgery and research
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/s13018-015-0229-1
更新日期:2015-05-30 00:00:00
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
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更新日期:2018-02-12 00:00:00
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章,评审
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pub_type: 杂志文章,随机对照试验
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更新日期:2012-02-15 00:00:00
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/s13018-019-1399-z
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更新日期:2018-11-07 00:00:00
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journal_title:Journal of orthopaedic surgery and research
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更新日期:2019-05-09 00:00:00
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章,已发布勘误
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更新日期:2020-04-30 00:00:00
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更新日期:2020-01-15 00:00:00
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
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更新日期:2016-04-19 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Journal of orthopaedic surgery and research
pub_type: 杂志文章
doi:10.1186/1749-799X-6-11
更新日期:2011-02-21 00:00:00
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pub_type: 杂志文章,随机对照试验
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