Figure 9a.

Technique of posteromedial plication demonstrated in a case with proximal avulsion of the superficial MCL and the posterior oblique ligament. Point A demonstrates the location for suture fixation of the superficial MCL to restore tension. With the knee in 60 degrees of flexion and the hip externally rotated, the posterior oblique ligament is pulled anteriorly and proximally to point B where it is being reattached. (From Hughston, JC. The importance of the posterior oblique ligament in repairs of acute tears of the medial ligaments in knees with and without an associated rupture of the ACL. Results of long-term follow-up. J Bone Joint Surg Am 1994. 76(9):1328-44, permission granted.)

Figure 9b.

The anterior aspect of the posterior oblique ligament is plicated over the superficial MCL in a pants-over-vest fashion. (From Hughston, JC. The importance of the posterior oblique ligament in repairs of acute tears of the medial ligaments in knees with and without an associated rupture of the ACL. Results of long-term follow-up. J Bone Joint Surg Am 1994. 76(9):1328-44, permission granted.)

Figure 9c.

The lax capsular arm of the semimembranosus tendon is plicated over the restored posterior oblique ligament. (From Hughston, JC. The importance of the posterior oblique ligament in repairs of acute tears of the medial ligaments in knees with and without an associated rupture of the ACL. Results of long-term follow- up. J Bone Joint Surg Am 1994. 76(9):1328-44, permission granted.)