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<p>Ruptures of the anterior cruciate ligament are often associated with concomitant injuries to the medial capsule-ligamentous complex. An anteromedial rotational instability may result, leading to increased anterior translation of the medial tibial plateau. Biomechanical studies have shown that the sMCL and dMCL, in particular, play a significant role in the anteromedial rotational instability. In such cases, isolated treatment of the central pillar seems insufficient. Therefore, additional stabilization of the medial capsule-ligamentous complex should be considered to prevent, among other things, early graft failure.In the present case, anteromedial rotational instability was treated with a minimally invasive single-strand reconstruction of the sMCL. The patient showed a satisfactory outcome both in the knee scores and clinical examination at the one-year follow-up.</p>

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Rekonstruktion des sMCL zur operativen Behandlung der anteromedialen Instabilität des Kniegelenks

  • 期刊论文

  • 发表日期：

    2025年1月16日

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  • Philipp Weber,
  • Michael Wagner

摘要

Ruptures of the anterior cruciate ligament are often associated with concomitant injuries to the medial capsule-ligamentous complex. An anteromedial rotational instability may result, leading to increased anterior translation of the medial tibial plateau. Biomechanical studies have shown that the sMCL and dMCL, in particular, play a significant role in the anteromedial rotational instability. In such cases, isolated treatment of the central pillar seems insufficient. Therefore, additional stabilization of the medial capsule-ligamentous complex should be considered to prevent, among other things, early graft failure.In the present case, anteromedial rotational instability was treated with a minimally invasive single-strand reconstruction of the sMCL. The patient showed a satisfactory outcome both in the knee scores and clinical examination at the one-year follow-up.