{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:18:10Z","timestamp":1777882690516,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Video Journal of Sports Medicine"],"published-print":{"date-parts":[[2023,11]]},"abstract":"\n Background:<\/jats:title>\n Injury to the medial collateral ligament (MCL) is common. MCL injuries, with impairment of its superficial portion, associated with the deep portion, lead to valgus instability and extrusion of the medial meniscus, resulting in instability and increased pressure in the medial compartment, with consequent damage to the cartilage. We can synthesize this set of structures as the medial meniscocapsular complex. Treating medial, superficial, and deep capsular meniscal complex together aims to restore the normal anatomy, stability, and function of the medial meniscus.<\/jats:p>\n <\/jats:sec>\n \n Indications:<\/jats:title>\n \u2022\u2003Anterior cruciate ligament with MCL grade III or MCL grade II \u2022\u2003MCL grade III or grade II with clinical instability<\/jats:p>\n <\/jats:sec>\n \n Technique Description:<\/jats:title>\n An arthroscopic examination was performed to assess the \u201cfloating meniscus\u201d sign and to confirm a tear of the MCL. The gracilis tendon is harvested in a usual fashion, leaving its distal insertion pedicle fixed to the tibial bone. An incision over the medial epicondyle is made, and a 6-mm drill is used to create a 2.5-cm bone tunnel. The passage of the medial subfascial graft is made toward the medial epicondyle. At this point, its fixation is performed with an interference screw. After fixing the anterior arm, we will return with the free portion of the graft in the most posterior portion and also percutaneously. This posterior arm is biologically fixed, closing the sartorius fascia over the 2 arms of the reconstruction with periosteal stitches.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Reconstruction tests were performed on cadaver models, obtaining a graft tension without compromising the range of motion (ROM) and a good result in their final analysis. We ended up publishing our results in a clinical study, with good functional results in both the Lysholm and Tegner scores, at a follow-up of 2 years.<\/jats:p>\n <\/jats:sec>\n \n Discussion\/Conclusion:<\/jats:title>\n We present an arthroscopic-assisted technique for a medial, percutaneous, aesthetic, and extremely functional approach. A technical limitation of our procedure is the absence of a biomechanical test for the gracilis double reconstruction: a strong point is that we performed some reconstruction tests on cadaver models, obtained good visual results and graft tension without compromising the ROM, and performed a positive clinical study with a minimum follow-up of 2 years. In conclusion, a simple and inexpensive technique that uses known anatomic principles of graft placement, without compromising ROM was performed.<\/jats:p>\n <\/jats:sec>\n \n Patient Consent Disclosure Statement:<\/jats:title>\n The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/26350254231195902","type":"journal-article","created":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T06:00:27Z","timestamp":1699941627000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Weave Technique for Reconstruction of Medial Collateral Ligament and Posterior Oblique Ligament: A Functional Percutaneous Approach Using Gracilis Tendon"],"prefix":"10.1177","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7333-068X","authenticated-orcid":false,"given":"Luis Fernando","family":"Zukanovich Funchal","sequence":"first","affiliation":[{"name":"Hospital Ba\u00eda Sul\u2014Grupo de Cirurgia do Joelho, Florian\u00f3polis, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"Ortiz","sequence":"additional","affiliation":[{"name":"Hospital Ba\u00eda Sul\u2014Grupo de Cirurgia do Joelho, Florian\u00f3polis, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucio S. R.","family":"Ernlund","sequence":"additional","affiliation":[{"name":"Instituto de Joelho e Ombro, Curitiba, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9163-7979","authenticated-orcid":false,"given":"Diego Costa","family":"Astur","sequence":"additional","affiliation":[{"name":"Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mois\u00e9s","family":"Cohen","sequence":"additional","affiliation":[{"name":"Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,11,14]]},"reference":[{"key":"bibr1-26350254231195902","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508324969"},{"key":"bibr2-26350254231195902","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.01.019"},{"key":"bibr3-26350254231195902","first-page":"206","volume":"132","author":"Fetto JF","year":"1978","journal-title":"Clin Orthop Relat Res"},{"key":"bibr4-26350254231195902","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.114"},{"key":"bibr5-26350254231195902","doi-asserted-by":"publisher","DOI":"10.1177\/2325967121990016"},{"key":"bibr6-26350254231195902","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199904000-00013"},{"key":"bibr7-26350254231195902","doi-asserted-by":"publisher","DOI":"10.1097\/01.jsa.0000212305.47323.58"}],"container-title":["Video Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26350254231195902","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26350254231195902","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26350254231195902","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:20:03Z","timestamp":1777598403000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26350254231195902"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1177\/26350254231195902"],"URL":"https:\/\/doi.org\/10.1177\/26350254231195902","relation":{},"ISSN":["2635-0254","2635-0254"],"issn-type":[{"value":"2635-0254","type":"print"},{"value":"2635-0254","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11]]},"article-number":"26350254231195902"}}