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Various techniques have been described, ranging from isolated superficial MCL reconstructions to complex combined medial reconstructions. Despite the evolution of surgical approaches, residual valgus and rotational laxity persist in a significant number of patients following MCL reconstruction, especially at higher degrees of flexion. Part of these failures is attributed to suboptimal graft isometry, limited control of external tibial rotation, and insufficient graft tensioning during fixation. We describe a surgical technique for superficial and deep MCL reconstruction using a single\u2010limb allograft construct with an adjustable\u2010loop femoral button and dual tibial fixation through suture anchors.<\/jats:p>","DOI":"10.1002\/atn2.70078","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T04:16:38Z","timestamp":1781583398000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mini\u2010Open Short Superficial and Deep Medial Collateral Ligament Reconstruction of the Knee With Adjustable System"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5063-5133","authenticated-orcid":false,"given":"Pablo","family":"Gelber","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital de la Santa Creu i Sant Pau, Universitat Autonoma de Barcelona  Barcelona Spain"},{"name":"Knee Signature \u2013 Regenera Clinic  Barcelona Spain"},{"name":"Institut de Recerca Sant Pau (IR SANT PAU)  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4770-1109","authenticated-orcid":false,"given":"Eduard","family":"Ram\u00edrez\u2010Bermejo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital de la Santa Creu i Sant Pau, Universitat Autonoma de Barcelona  Barcelona Spain"},{"name":"Institut de Recerca Sant Pau (IR SANT PAU)  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5196-3013","authenticated-orcid":false,"given":"Gonzalo","family":"Caviasso","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital Sirio Liban\u00e9s  Buenos Aires 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