Comprehensive medial knee four‐arm reconstruction to address complex instability with hamstring autograft
File(s)
Author(s)
Type
Journal Article
Abstract
Medial knee ligament injuries are increasingly recognized as complex, multiplanar lesions, resulting not only in simple medial instability but also anteromedial rotatory instability, anteromedial instability, posteromedial instability, posteromedial rotatory instability, and post-traumatic medial asymmetric hyperextension. The described technique extensively addresses all 6 above-described types of instability. It is based on 4 reconstruction arms with independent fixation. Two arms are created from a pedunculated semitendinosus autograft and 2 arms from a free gracilis autograft. The technique can reconstruct the medial ligamentous complex from the anteromedial aspect (anteromedial capsule/anterior oblique ligament/deep medial collateral ligament), through the superficial medial collateral ligament and posterior oblique ligament, up to the posteromedial capsule, in response to the pathology identified.
Date Issued
2026-08-03
Date Acceptance
2025-11-23
Citation
Arthroscopy Techniques, 2026
ISSN
2212-6287
Publisher
Wiley
Journal / Book Title
Arthroscopy Techniques
Copyright Statement
© 2026 The Author(s). Arthroscopy Techniques published by Wiley Periodicals LLC on behalf of the Arthroscopy Association of North America This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
License URL
Publication Status
Published online
Article Number
e70067
Date Publish Online
2026-08-03