BACKGROUND: Residual laxity remains after ACL reconstruction in @entity1 with combined chronic ACL and medial instability. The question arises whether to correct medial capsular and @entity130 when Grade II and III medial laxity is present. DESCRIPTION OF TECHNIQUE: We developed a mini-invasive medial ligament plasty to repair the medial collateral ligament to correct residual medial valgus and rotatory laxity after ACL reconstruction. @entity1 AND METHODS: We prospectively followed 36 @entity1 with an @entity942 combined with chronic Grade II or III valgus and rotatory medial instability. The mean age was 37 years (range, 15-70 years). For all @entity1 , we obtained preoperative and postoperative @entity3331 and @entity571 Outcome, International Knee Documentation Committee, Lysholm, and Tegner Activity Level Scores. The minimum followup was 2 years (median, 3 years; range, 2-7 years). RESULTS: The mean subjective International Knee Documentation Committee score improved from 36 preoperatively to 94 at the last followup. While all @entity1 had an International Knee Documentation Committee score of Grade C or D preoperatively, no @entity1 did postoperatively. The mean @entity3331 and @entity571 Outcome Score improved from 45 preoperatively to 93 postoperatively. Valgus and external rotatory tests were negative in all @entity1 . The mean Tegner activity level decreased from 7 preinjury to 6 postoperatively, and the mean Lysholm score improved from 40 preoperatively to 93 at last followup. CONCLUSIONS: This simple technique restored medial stability and knee function to normal or nearly normal in all @entity1 . LEVEL OF EVIDENCE: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

Surgical technique: does mini-invasive medial collateral ligament and posterior oblique ligament repair restore knee stability in combined chronic medial and XXXX ?

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENTS'] @entity571 :: ('MESH:D010003', 'Disease') :: ['Osteoarthritis'] @entity130 :: ('MESH:D014947', 'Disease') :: ['ligament injuries'] @entity3331 :: ('MESH:D007718', 'Disease') :: ['Knee Injury'] @entity942 :: ('MESH:D003677', 'Disease') :: ['ACL deficiency']
@entity130 :: (MESH:D014947,Disease) :: ['ACL injuries']
