ArticleThe American journal of sports medicine2024
A Flat Reconstruction of the Medial Collateral Ligament and Anteromedial Structures Restores Native Knee Kinematics: A Biomechanical Robotic Investigation.
Article in The American journal of sports medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Single-strand superficial medial collateral ligament reconstruction with a peroneus longus split graft provides reliable control of anteromedial rotatory instability combined with anterior cruciate ligament reconstruction: A 2-year clinical cohort study.Journal of experimental orthopaedics · 2026Article
- Several flat tendon graft types are viable options for flat superficial medial collateral ligament reconstructions-A biomechanical analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- The meniscofemoral ligaments do not contribute to restriction of posterior tibial translation: A robotic biomechanical analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- A scoping review and guide for in vitro healthy human knee joint laxity.Frontiers in bioengineering and biotechnology · 2026Review
- A flat posterior cruciate ligament reconstruction restores native knee kinematics, comparable to a double-bundle reconstruction-A biomechanical robotic investigation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Which tibial implantation site for the deep medial collateral ligament should be chosen to control anteromedial rotatory instability of the knee?Journal of experimental orthopaedics · 2025Article
- Reconstruction of the Medial Collateral Ligament and the Posterior Oblique Ligament With a Flat Tibialis Allograft: the "Trifid Flat Reconstruction".Arthroscopy techniques · 2025Article
- Triple-Bundle Medial Collateral Ligament Reconstruction: The Medial Arrow Technique.Arthroscopy techniques · 2025Article
- Clinical Effect of Posterior Obliqueligament Repair in Anterior Cruciate Ligament Reconstruction Combined With Medial Collateral Ligament Repair: A Retrospective Comparative Study.Journal of cellular and molecular medicine · 2025Article
- Stress radiography of medial knee instability provides a reliable correlation with the severity of injury and medial joint space opening-A robotic biomechanical cadaveric study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Meniscal forces and knee kinematics are affected by tibial slope modifying high tibial osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- The central fibre areas in the tibial footprint of the posterior cruciate ligament show the highest contribution to restriction of a posterior drawer force-A biomechanical robotic investigation.Journal of experimental orthopaedics · 2025Article
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Authors and funding
8 authors.
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Abstract
backgroundInjuries of the superficial medial collateral ligament (sMCL) and anteromedial structures of the knee result in excess valgus rotation and external tibial rotation (ER) as well as tibial translation. PURPOSE: To evaluate a flat reconstruction of the sMCL and anteromedial structures in restoring knee kinematics in the combined MCL- and anteromedial-deficient knee. STUDY
designControlled laboratory study.
methodsEight cadaveric knee specimens were tested in a 6 degrees of freedom robotic test setup. Force-controlled clinical laxity tests were performed with 200 N of axial compression in 0°, 30°, 60°, and 90° of flexion: 8 N·m valgus torque, 5 N·m ER torque, 89 N anterior tibial translation (ATT) force, and an anteromedial drawer test consisting of 89 N ATT force under 5 N·m ER torque. After determining the native knee kinematics, we transected the sMCL, followed by the deep medial collateral ligament (dMCL). Subsequently, a flat reconstruction of the sMCL with anteromedial limb, mimicking the function of the anteromedial corner, was performed. Mixed linear models were used for statistical analysis (
resultsCutting of the sMCL led to statistically significant increases in laxity regarding valgus rotation, ER, and anteromedial translation in all tested flexion angles (
conclusionInsufficiency of the sMCL and dMCL led to excess valgus rotation, ER, ATT, and anteromedial tibial translation. A combined flat reconstruction of the sMCL and the anteromedial aspect restored this excess laxity to values not significantly different from those of the native knee. CLINICAL RELEVANCE: The presented reconstruction might lead to favorable results for patients with MCL and anteromedial injuries with an anteromedial rotatory knee instability.
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