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Medial Collateral Ligament(MCL) is one of the most collateral ligament of the knee joint, is a long rather narrow, well-delineated structure lying superficial to the medial capsule and capsular ligament , originating from the medial femur epicondyle and inserting 7 to 10 cm below the joint line on the posterior half of the medial surface of the tibial metaphysis deep to the pes anserinus tendons.
Biomechanically it’s the primary restraint and provides the principal knee stability to the Valgus stress. Its one of the most important and pivotal ligament of the Knee joint.
Over the recent years, lot many advances are made in the treatment of MCL Tear . The type of treatment offered depends on many factors and no single method is the best! Your Joint specialist who is trained in all modalities can guide you to choose the best possible treatment or you !
Partial and stable tears , MCL swelling and no other co- ligament injuries can be treated conservatively with nsaids and Knee physiotherapy.
Acute MCL injuries, Grade 3 complete MCL tears and concomitant injuries like ACL or meniscal injury requires surgical repair whereby the torn ends are sutured using Fiberwire and the injuries adjacent either to distal femur or proximal tibia are fixed using Suture pull out techniques which are gold standard techniques for the treatment of Acute MCL tears
In Chronic MCL tears , the ends of MCL are retracted and hence cannot be repaired , in such cases MCL Reconstruction is done in which semitendinosus and gracilis are harvested using open stripper , converted to thick ligament and reconstructed in the place of native MCL – its gold standard in the treatment of Chronic MCL Injuries.
Joint Replacement Joint ArthroscopyJoint Preservation SurgerySports InjuriesOrthopedics TraumaIllizarov and Limb Reconstruction Bone nonunion Bone and Joint InfectionsPaediatric Trauma and pediatric deformity correction surgeries
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Knee ligament injuries like ACL, PCL, MCL, and meniscus tears are commonly caused by sports injuries, road traffic accidents, falls from height, degenerative changes, or inflammatory conditions.
Partial and stable tears can often be treated with medicines and physiotherapy. However, complete or unstable tears may require arthroscopic repair or reconstruction for proper stability and long-term joint protection.
Arthroscopic surgery is a minimally invasive procedure performed using small incisions and a camera to repair or reconstruct damaged ligaments or tendons, allowing faster recovery and minimal scarring.
Treatment depends on severity. Mild cases may improve with medicines and physiotherapy, while severe or chronic tears may require arthroscopic repair or advanced procedures like reconstruction or shoulder replacement.
Frozen Shoulder (Adhesive Capsulitis) is a condition where the shoulder joint becomes stiff and painful due to capsule thickening and inflammation. Early stages can be treated with medicines and physiotherapy. In resistant cases, advanced treatments like hydrodilatation or arthroscopic capsule release may be required.