Rechter Griffin R, Barrera Lindsay, Daniel Adam V, Hevesi Mario, Krych Aaron J, Tagliero Adam, Levy Bruce A
Department of Orthopaedic Surgery, Orlando Health Jewett Orthopedic Institute, Orlando, Florida, U.S.A.
Department of Orthopaedic Surgery and Sports Medicine, Mayo Clinic, Rochester, Minnesota, U.S.A.
Arthrosc Tech. 2025 Apr 12;14(6):103525. doi: 10.1016/j.eats.2025.103525. eCollection 2025 Jun.
The ability of the knee to resist valgus stress is largely a result of the integrity of the superficial medial collateral ligament (MCL) and neighboring supporting structures (i.e., deep MCL, semimembranosus, and posterior oblique ligament). The MCL is known to have a robust healing capacity; consequently, the decision to proceed with operative versus nonoperative management of even grade III MCL tears is controversial. When it comes to operative management of these injuries, the decision to proceed with repair or reconstruction is nuanced because the chronicity and location of the MCL tear (i.e., proximal, midsubstance, or distal) largely determine which technique is appropriate. In distal MCL avulsions, including the so-called Stener lesion, with good tissue quality, direct MCL repair has shown excellent mid-term outcomes. Consequently, there is a growing need to understand different techniques to address MCL incompetence. In this article, we present a method for primary MCL repair using a washer post-suture post construct.
膝关节抵抗外翻应力的能力很大程度上取决于浅层内侧副韧带（MCL）及相邻支持结构（即深层MCL、半膜肌和后斜韧带）的完整性。已知MCL具有强大的愈合能力；因此，对于Ⅲ级MCL损伤采取手术治疗还是非手术治疗存在争议。在对这些损伤进行手术治疗时，决定进行修复还是重建需要仔细斟酌，因为MCL损伤的慢性程度和位置（即近端、中间段或远端）在很大程度上决定了哪种技术是合适的。在远端MCL撕脱伤中，包括所谓的斯滕纳损伤，若组织质量良好，直接进行MCL修复已显示出良好的中期效果。因此，越来越需要了解治疗MCL功能不全的不同技术。在本文中，我们介绍一种使用垫圈缝线后固定结构进行MCL一期修复的方法。
