Double-Bundle Femoral-Based Reconstruction of the Deep and Superficial Medial Collateral Ligament for Anteromedial Rotatory Instability: The MAVERIK Technique

A technique to reconstruct both the superficial and the deep medial collateral ligaments to restore the valgus and the anteromedial knee stability is described. The semitendinosus tendon, with its tibial attachment preserved, is used as a graft to reproduce a double-bundle isometric V-shaped construct, with a single femoral tunnel and anchor-based attachments on the tibia. This technique can be performed isolated or combined with anterior and/or posterior cruciate ligament reconstruction.