A, Common tear pattern, medial compartment, superficial or medial collateral ligament torn distally near its tibial attachment with oblique tear in midmedial and posteromedial capsular ligament. B, Repair of midmedial and posteromedial deep ligament with interrupted approximating sutures; nonabsorbable tensioning sutures inserted to relieve tension on suture line. C, Superficial medial collateral ligament fixed to tibial metaphysis. D, If tear in superficial medial collateral ligament is near or just below joint line, it is repaired with interrupted sutures, with tensioning suture bridging tear to relieve tension along suture line. SEE TECHNIQUE 45.4.