PT  - JOURNAL ARTICLE
AU  - Túlio Campos
AU  - Marcelo Perucci
AU  - Paulo Gomes
AU  - Vincenzo Giordano
TI  - Combined reconstruction of medial collateral ligament and posterior cruciate ligament using one femoral tunnel: a technical note and case report applicable to limited-resource settings
AID  - 10.1136/bcr-2022-252877
DP  - 2023 Mar 01
TA  - BMJ Case Reports
PG  - e252877
VI  - 16
IP  - 3
4099  - http://casereports.bmj.com/content/16/3/e252877.short
4100  - http://casereports.bmj.com/content/16/3/e252877.full
SO  - BMJ Case Reports2023 Mar 01; 16
AB  - Knee dislocations are severe injuries difficult to treat. Specially in low-resources scenarios, reconstruction of multiple ligaments can be challenging. We describe a technical note that can be reconstruct multi ligaments using ipsilateral hamstrings autograft. A posteromedial knee incision is made to visualise the medial corner of the knee and to reconstruct medial collateral ligament (MCL) and posterior cruciate ligament (PCL) with semitendinosus and gracilis tendon graft, using one femoral tunnel from the anatomic femoral insertion of the MCL to the anatomic femoral insertion of the PCL. After 1-year follow-up, the patient returned to his previous function with a Lysholm score of 86. This technique can reconstruct more than one ligament anatomically with limited graft resource.