Fig 1.

Multiligament reconstruction performed in a left knee, with the patient in a supine position and the limb secured in a leg holder (Mizuho OSI). To avoid liquid extravasation due to the arthroscopic part of the procedure, which can jeopardize the correct identification of the medial structures landmarks, this technique starts with the medial collateral ligament (MCL) identification. The skin incision is performed with the knee in approximately 45° of flexion, proximally between the adductor tubercle and the patella, and extended 8 cm distally from the joint line to the medial part of the tibia to perform the MCL augmentation. Blunt dissection is performed over the sartorius fascia and the injured structures are evaluated.