Before the invention of the internal brace, MCL (Medial Collateral Ligament) repair or reconstruction required a large incision on the medial side of the knee. This approach increased morbidity, heightened the risk of postoperative knee stiffness, and delayed recovery. The advent of the internal brace has revolutionized this procedure. Now, MCL repair can be performed using percutaneous keyhole incisions, with the repair protected by a FiberTape internal brace. This innovation allows for immediate knee mobilization post-surgery, reducing pain, intraoperative blood loss, postoperative stiffness, and significantly speeding up patient recovery.

The internal brace technique for the MCL is also utilized during anterior cruciate ligament (ACL) reconstruction. This dual procedure minimizes the risk of ACL surgery failure by reducing the stress on the newly reconstructed ACL, especially if the MCL is lax or torn. Additionally, the internal brace for the MCL is employed during knee replacement surgery when the MCL is found to be lax.

A double bundle internal brace can also be used, which supports not only the superficial fibers of the MCL but also the posterior oblique fibers. This provides enhanced stability and allows for immediate mobilization post-surgery.