Ohliger James, Haus Andrew, Fong Rodney, Lang Sarah, Gilmer Brian B, Wahl Christopher J
Barton Center for Orthopedics and Wellness, South Lake Tahoe, California.
University of Nevada, Reno School of Medicine, Reno, Nevada.
Arthrosc Tech. 2022 Sep 8;11(11):e1903-e1909. doi: 10.1016/j.eats.2022.07.003. eCollection 2022 Nov.
The medial collateral ligament (MCL) is a major contributor to knee joint stability and is the most common ligament involved in knee injuries. When conservative management for high-grade MCL injuries fails, operative treatment is indicated. Various reconstruction techniques are described in the literature. The following report describes a reconstruction technique based on the modified Bosworth. We present a step-by-step technique for using autograft semitendinosus tendon as a double limb to reconstruct the MCL and if necessary, the posterior oblique ligament. The technique is versatile with respect to a spectrum of MCL injury patterns, isometric, incorporates techniques that are common to other knee reconstructions, and uses readily available autograft. It has been used extensively by the senior authors as an adjunct/augmentation to the repair of acute MCL injuries as well as in the reconstruction of chronic MCL laxity. The technique restores stability to rotation and valgus stress while maintaining the distal insertion of the semitendinosus intact.
内侧副韧带（MCL）是膝关节稳定性的主要贡献者，也是膝关节损伤中最常涉及的韧带。当对高级别MCL损伤的保守治疗失败时，需进行手术治疗。文献中描述了各种重建技术。以下报告描述了一种基于改良博斯沃思法的重建技术。我们介绍一种逐步技术，使用自体半腱肌腱作为双束来重建MCL，如有必要，还可重建后斜韧带。该技术对于一系列MCL损伤模式具有通用性，是等长的，纳入了其他膝关节重建中常见的技术，并且使用容易获取的自体移植物。资深作者已广泛将其用作急性MCL损伤修复的辅助/增强手段以及慢性MCL松弛重建的方法。该技术在保持半腱肌远端附着完整的同时，恢复了旋转和外翻应力的稳定性。
