10/29/2025
๐ฆต Isolated MCL Injury โ Anatomic Reconstruction
The medial collateral ligament (MCL) is the most commonly injured ligament of the knee โ involved in up to 40 % of all ligamentous knee injuries (1, 2).
Most heal with non-operative management, but persistent valgus laxity or instability after rehab may require surgical reconstruction (3, 4).
๐ Non-operative vs. Surgical Care
โข Grade IโII: bracing + rehab โ recovery in 2โ6 weeks (3).
โข High-grade (Grade III): structured therapy and bracing for 6โ8 weeks (3).
โข When laxity remains, reconstruction restores the superficial + deep MCL fibers at their native insertions for valgus & rotational stability (4).
๐ฉ Modern Reconstruction Technique
Anatomic reconstruction using soft anchors (Arthrex FiberTakยฎ) fixes the graft at native femoral / tibial sites (5).
This approach reproduces both superficial and deep MCL layers while minimizing hardware irritation (4, 5).
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Why It Matters
Chronic medial โloosenessโ can cause instability and medial joint overload.
Anatomic reconstruction restores stability, function, and confidence for return to sport or high-demand activity (1, 4).
Fellowship-Trained Sports Medicine Surgeon
Board certified in Orthopedic & Sports Medicine