Primary Repair of the Medial Collateral Ligament With Internal Bracing

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Presentation transcript:

Primary Repair of the Medial Collateral Ligament With Internal Bracing Jelle P. van der List, M.D., Gregory S. DiFelice, M.D.  Arthroscopy Techniques  Volume 6, Issue 4, Pages e933-e937 (August 2017) DOI: 10.1016/j.eats.2017.03.003 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Coronal T2-weighted image of the right knee showing a femoral tear of the medial collateral ligament (arrow). (B) View on the medial side of a right knee in 90° of flexion. The proximal stump of the medial collateral ligament (asterisk) and the distal avulsed ligament (arrow) can be seen. At the bottom right corner, the PassPort cannula (Arthrex) (hash sign) can be seen from the arthroscopic primary anterior cruciate ligament repair. Arthroscopy Techniques 2017 6, e933-e937DOI: (10.1016/j.eats.2017.03.003) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 (A) View on the medial side of a left knee in 90° of flexion. The medial collateral ligament is now repaired (asterisk) with a suture anchor and repair stitches (remaining repair stitches [hash sign] need to be cut short), and the FiberTape internal brace (arrow) can be used to reinforce the repair. (B) View on the medial side of a right knee in 70° of flexion. The clamp is channeled from the distal wound to the proximal wound, and the tip of the clamp (arrow) is visible. The FiberTape (asterisk) is grabbed with the clamp and channeled distally. Arthroscopy Techniques 2017 6, e933-e937DOI: (10.1016/j.eats.2017.03.003) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 (A) View on the medial side of a right knee in 20° to 30° of flexion. The FiberTape internal brace is now channeled under the skin bridge, and a suture anchor (arrow) is used to fix the FiberTape on the anteromedial side of the tibia. The PassPort cannula (hash sign) of the primary anterior cruciate ligament repair can be seen. (B) View on the medial side of a right knee in full extension. The suture anchor is partially deployed in the tibia after the FiberTape has been tensioned (arrow), and the knee is now ranged through its range of motion to assess any overconstraint of the knee. The PassPort cannula (hash sign) of the primary anterior cruciate ligament repair can be seen. Arthroscopy Techniques 2017 6, e933-e937DOI: (10.1016/j.eats.2017.03.003) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions