Accessibility Tools
September 2022

Congratulations to Dr. Gilmer and his research team for their recent publication in Arthroscopy Techniques. Modified Bosworth Technique for Medial Collateral Ligament Reconstruction of the Knee Using Semitendinosus Tendon Autograft

The medial collateral ligament (MCL) is a major contributor to knee joint stability and is the most common ligament involved in knee injuries. When conservative management for high-grade MCL injuries fails, operative treatment is indicated. Various reconstruction techniques are described in the literature. The following report describes a reconstruction technique based on the modified Bosworth. We present a step-by-step technique for using autograft semitendinosus tendon as a double limb to reconstruct the MCL and if necessary, the posterior oblique ligament. The technique is versatile with respect to a spectrum of MCL injury patterns, isometric, incorporates techniques that are common to other knee reconstructions, and uses readily available autograft. It has been used extensively by the senior authors as an adjunct/augmentation to the repair of acute MCL injuries as well as in the reconstruction of chronic MCL laxity. The technique restores stability to rotation and valgus stress while maintaining the distal insertion of the semitendinosus intact.

  • The American Board of Orthopaedic Surgery Logo
  • American Academy of Orthopaedic Surgeons Logo
  • Arthoscopy Association of North America Logo
  • American Orthopaedic Society for Sports Medicine Logo
  • Mammoth Orthopedic Institute Logo
  • Swift Institute Logo