Minimal Invasive Acute Medial Collateral Ligament Stabilization with Partial Anterior Cruciate Ligament Deficiency Preliminary Results of 16-Patients Case Series and Review of the Literature

Medial collateral ligament (MCL) can be frequently damaged with ACL injuries, especially during external rotation, slight flexion and valgus loading of the knee. Inpatients combined ACL (partially ruptured) and MCL injuries, percutaneous MCL reefing by using PDS suture material, shrinkage with radiofrequency and regularization of the ACL was performed. The aim of this study was to describe the functional and clinical results of the 16-patients with combined partial ACL rupture and MCL injury who were treated by percutaneous MCL reefing. The functional level was evaluated using hop test, IKDC, Lysholm, Tenger, KOSADLS scores. Hamstring and Quadriceps isokinetic muscle strength were collected at 60 -/sc and 180 -/sec velocities. There were no differences in muscle strength, hop test between the affected and unaffected sides. Scores for the functional level were near the high score. Likert scale for satisfaction of the treatment was 5. Acute reinforcement of MCL in association to regularization of ACL is safe and reliable, reduce stress on the repaired ligaments and provide us more stable and strength knees.