LaPrade and Wijdicks describe the development and early clinical results of an anatomic medial knee reconstruction using two separate grafts — one for the proximal and distal divisions of the superficial MCL, one for the posterior oblique ligament — in 28 prospectively followed patients with Grade III medial instability.
When you encounter a Grade III medial knee injury with persistent valgus and rotatory instability — especially chronic cases or those combined with cruciate tears — this technique provides an anatomic framework: reconstruct the sMCL (16 cm graft, fixed at 20° flexion) and POL (12 cm graft, fixed in extension) through separate femoral tunnels placed relative to the medial epicondyle and gastrocnemius tubercle, not the adductor tubercle.
Remember that a positive dial test at 30° can reflect medial, not just posterolateral, pathology.
LaPrade and Wijdicks describe the development and early clinical results of an anatomic medial knee reconstruction using two separate grafts — one for the proximal and distal divisions of the superficial MCL, one for the posterior oblique ligament — in 28 prospectively followed patients with Grade III medial instability.
When you encounter a Grade III medial knee injury with persistent valgus and rotatory instability — especially chronic cases or those combined with cruciate tears — this technique provides an anatomic framework: reconstruct the sMCL (16 cm graft, fixed at 20° flexion) and POL (12 cm graft, fixed in extension) through separate femoral tunnels placed relative to the medial epicondyle and gastrocnemius tubercle, not the adductor tubercle.
Remember that a positive dial test at 30° can reflect medial, not just posterolateral, pathology.