title: A novel technique for combined medial collateral ligament and posterior oblique ligament reconstruction: technical note.
abstract: OBJECTIVE
  In the last year, we have performed a new technique for combined medial collateral ligament (MCL) and posterior oblique ligament (POL) reconstruction in chronic setting of anterior cruciate ligament and MCL complex deficiency. Autogenous semitendinosus tendon with the tibial attachment preserved has been used for the medial/posteromedial compartment reconstruction. We describe the operative technique.
  
  
  METHODS
  Between January and December 2014, 12 consecutive patients with multiligamentous injuries underwent concomitant MCL/POL using a novel technique. The usefulness of the novel technique is the semitendinosus sling on the semimembranosus tendon and the POL fixation with the knee in full extension.
  
  
  RESULTS
  An ideal anteroposterior and rotational stability avoiding the medial compartment over constraint was achieved, in the immediate after surgery, due to the sequence of the bundle fixations and to the semitendinosus sling below the semimembranosus tendon.
  
  
  CONCLUSIONS
  This technique is easily reproducible and useful and restores the medial stability immediately after surgery.
authors.affiliation: Ospedale Sacro Cuore Don Calabria, Via Don Angelo Sempreboni, 2-8, 37024, Negrar, VR, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Madonna
authors.affiliation: University of Perugia, Piazza Università, 1, 06100, Perugia, PG, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Screpis
authors.affiliation: Ospedale Sacro Cuore Don Calabria, Via Don Angelo Sempreboni, 2-8, 37024, Negrar, VR, Italy. Vincenzo.condello@sacrocuore.it.
authors.forename: V
authors.initials: V
authors.lastname: Condello
authors.affiliation: University of Trieste, Piazzale Europa, 1, 34128, Trieste, TS, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Piovan
authors.affiliation: Ospedale Sacro Cuore Don Calabria, Via Don Angelo Sempreboni, 2-8, 37024, Negrar, VR, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Russo
authors.affiliation: Department of Computer Science, University of Verona, Via dell'Artigliere 8, 37129, Verona, VR, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Guerriero
authors.affiliation: Ospedale Sacro Cuore Don Calabria, Via Don Angelo Sempreboni, 2-8, 37024, Negrar, VR, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Zorzi
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000601:surgery; D007718:Knee Injuries / Q000601:surgery; D008297:Male; D017888:Medial Collateral Ligament, Knee / Q000293:injuries / Q000601:surgery*; D008875:Middle Aged; D019637:Orthopedic Procedures; D016119:Posterior Cruciate Ligament / Q000293:injuries / Q000601:surgery*; D013536:Suture Techniques; D055815:Young Adult
keywords: Medial collateral ligament; Multiligamentous knee injury; Posterior oblique ligaments; Posteromedial corner; Semitendinosus sling