Functional treatment of the medial collateral ligaments (grades I and
II) gives the best results. Both, experimental results and clinical ex
perience thus far, show that such treatment leads to a short period of
morbidity and always gives a good functional result. Any minimal resi
dual instability can be successfully compensated for. Functional treat
ment is only possible if the cruciate ligaments are intact. Severe rup
tures (grade III) can also be treated with functional therapy, but wit
h certain qualifications (not in the presence of axial deviation, cruc
iate instability or previous meniscectomy). Isolated lesions of the la
teral collateral ligaments are very rare; severe combined ruptures of
the capsule and ligaments are treated surgically.