Management of the Medial Collateral Ligament in the Combined Ligament Injured Knee

Kyle Borque, Mary Jones, Andy Williams

Volume 5 | Issue 1 | Jan – April 2020 | Page 36-42

Author: Kyle Borque [1], Mary Jones [2], Andy Williams [2]

[1] Houston Methodist Hospital, Houston, TX, USA
[2] Fortius Clinic, London, UK

Address of Correspondence
Dr. Kyle Borque,
Houston Methodist Hospital, Houston, TX, USA.


While isolated medial collateral ligament (MCL) injuries can frequently be treated non-operatively, in the setting of a multiple ligament injured knee, operative intervention is frequently required. The MCL’s biomechanical roles (primary restraint to valgus, secondary restraint to internal and external tibial rotation) must be taken into account when addressing the injured MCL. The authors prefer a combination of repair and reconstruction, with the goal of preserving proprioceptive feedback while also restoring mechanical support. The ideal surgical technique depends on the acuity and location of the injury. The goal of this paper is to provide a framework for approaching both operative and nonoperative treatment of MCL injuries in the setting of multiple ligament knee injuries.
Keywords: Medial collateral ligament (MCL), Knee dislocation, Multiple ligament knee injury, MCL repair, MCL reconstruction.


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How to Cite this article: Borque K, Jones M, Williams A | Management of the Medial Collateral Ligament in the Combined Ligament Injured Knee | Asian Journal of Arthroscopy | January-April 2020; 5(1): 36-42.

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