Combined Anterior Cruciate Ligament and Medial Collateral Ligament Reconstruction Shows High Rates of Return to Activity and Low Rates of Recurrent Valgus Instability: An Updated Systematic Review

Wright, Margaret L.; Coladonato, Carlo; Ciccotti, Michael G.; Tjoumakaris, Fotios P.; Freedman, Kevin B.

doi:10.1016/j.asmr.2023.03.006

Cited by 13 publications

(3 citation statements)

References 24 publications

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“…Debate of the treatment algorithm for proximal vs. distal MCL tears persists. In Nakamara et al's prospective cohort study of grade III MCL/ACL tears, 11/12 patients with femoral-sided MCL injuries regained medial stability after 6 weeks of nonoperative bracing, suggesting that tears at the femoral insertion are more likely to regain valgus stability when treated nonoperatively 32,48 . However, Holuba et al's review of early operative treatment revealed that proximal MCL tears were the most common type managed surgically across 8 studies 46 .…”

Section: Evolution Of the Treatment Algorithmmentioning

confidence: 99%

“…However, newer anatomic reconstruction techniques have mitigated some of these concerns. Dong et al directly compared MCL anatomic ligament repair (ALR) and triangular ligament reconstruction (TLR) and demonstrated that patients outcomes significantly improved postoperatively in both groups, but TLR offered significantly better rotary stability after the 34-month follow-up 48,55 . The authors also reported that 87.5% patients in the ALR group and 90% in the TLR group returned to their normal or near-normal level of sports 55 .…”

Section: Surgical Techniquementioning

confidence: 99%

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Lack of Consensus on the Management of Medial Collateral Ligament Tears in the Setting of Concomitant Anterior Cruciate Ligament Injury

Blaber,

DeFoor,

Aman

et al. 2024

JBJS Reviews

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» There is no clear agreement on the optimal timing or superior type of fixation for medial collateral ligament (MCL) tears in the setting of anterior cruciate ligament (ACL) injury.» Anatomic healing of medial knee structures is critical to maintain native knee kinematics, supported by biomechanical studies that demonstrate increased graft laxity and residual valgus rotational instability after ACL reconstruction (ACLR) alone in the setting of concomitant ACL/MCL injury.» Historically, most surgeons have favored treating acute combined ACL/MCL tears conservatively with MCL rehabilitation, followed by stress radiographs at 6 weeks after injury to assess for persistent valgus laxity before performing delayed ACLR to allow for full knee range of motion, and reduce the risk of postoperative stiffness and arthrofibrosis.» However, with the advancement of early mobilization and aggressive physical therapy protocols, acute surgical management of MCL tears in the setting of ACL injury can have benefits of avoiding residual laxity and further intra-articular damage, as well as earlier return to sport.» Residual valgus laxity from incomplete MCL healing at the time of ACLR should be addressed surgically, as this can lead to an increased risk of ACLR graft failure.» The treatment of combined ACL/MCL injuries requires an individualized approach, including athlete-specific factors such as level and position of play, timing of injury related to in-season play, contact vs. noncontact sport, and anticipated longevity, as well as consideration of the tear pattern, acuity of injury, tissue quality, and surgeon familiarity with the available techniques.

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Section: Evolution Of the Treatment Algorithmmentioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 99%

Lack of Consensus on the Management of Medial Collateral Ligament Tears in the Setting of Concomitant Anterior Cruciate Ligament Injury

Blaber,

DeFoor,

Aman

et al. 2024

JBJS Reviews

View full text Add to dashboard Cite

show abstract

“…Therefore, a step-by-step approach is often used to integrate the various components into the final architecture of the device [7]. Multi-component devices must have sufficient mechanical strength and electrical properties, and each element must be designed for high loads during operation [8]. Indeed, the interactions must be flexible to ensure continuous movement of the electrons, and the piezoelectric material of the active sensors must be able to measure stimuli in certain parts of the body and convert them into signals.…”

Section: Introductionmentioning

confidence: 99%

Evaluation and Monitoring System for Exercise Rehabilitation Based on Combined Chinese and Western Medicine Technology

Shang

2024

EAI Endorsed Trans Perv Health Tech

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INTRODUCTION: Developing exercise rehabilitation assessment and monitoring systems is essential in rehabilitation medicine. Introduces a sports rehabilitation assessment and monitoring system based on combining Chinese and Western medicine technology, aiming to integrate traditional Chinese and Western medicine theory and modern Western medicine technology to provide more comprehensive and personalized rehabilitation services. Through the systematic integration of technologies, the author is committed to building an efficient and precise rehabilitation system to provide patients with more scientific and practical rehabilitation programs. OBJECTIVE: The research system employs various sensor technologies, including motion capture devices, biosensors, and pulse recognition technology, by combining Chinese and Western medicine. The motion capture device enables real-time monitoring of the patient's movement trajectory, joint mobility, and other physiological indicators; the biosensor collects the patient's physiological data, such as heart rate and blood pressure. Meanwhile, Chinese and Western medicine pulse recognition technology was introduced to obtain pulse information specific to Chinese and Western medicine to provide more comprehensive data support for rehabilitation assessment. Integrating these technologies, a multi-level and multi-dimensional rehabilitation assessment system was established. METHODS: This study aims to improve the accuracy and personalization of the rehabilitation assessment and to tailor a rehabilitation plan more in line with the patient's actual situation. Through the combination of Chinese and Western medicine techniques, it aims to break the single perspective of traditional rehabilitation assessment and make the rehabilitation plan closer to the physiological characteristics and pathological state of the patients as well as the needs of the combination of Chinese and Western medicine in the identification and treatment. RESULTS: The system has achieved remarkable results in practical application. The accurate monitoring of the motion capture device provides a more comprehensive understanding of the patient's motor status and accurately analyzes the rehabilitation progress. At the same time, the data collection of biosensors provides doctors with more detailed physiological information, enabling them to formulate rehabilitation plans more comprehensively. The introduction of combined Chinese and Western medicine pulse recognition technology adds a unique auxiliary diagnostic tool of collaborative Chinese and Western medicine to the rehabilitation assessment and improves the personalized level of the rehabilitation plan. CONCLUSION: The sports rehabilitation assessment and monitoring system combining Chinese and Western medicine technology brings new ideas and methods for developing rehabilitation medicine. By fully utilizing the advantages of modern technology and traditional medical knowledge, a comprehensive and in-depth rehabilitation assessment system was constructed to provide patients with more scientific and caring rehabilitation services. Future research will optimize the system's performance and promote the broad application of integrated Chinese and Western medicine technology in rehabilitation.

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Combined AMRI and ALRI of the Knee in Elite Kabaddi Players: A Prospective Cohort Study of 26 Players

Arora,

Sharma,

Shukla

et al. 2024

JOIO

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Combined Anterior Cruciate Ligament and Medial Collateral Ligament Reconstruction Shows High Rates of Return to Activity and Low Rates of Recurrent Valgus Instability: An Updated Systematic Review

Cited by 13 publications

References 24 publications

Lack of Consensus on the Management of Medial Collateral Ligament Tears in the Setting of Concomitant Anterior Cruciate Ligament Injury

Lack of Consensus on the Management of Medial Collateral Ligament Tears in the Setting of Concomitant Anterior Cruciate Ligament Injury

Evaluation and Monitoring System for Exercise Rehabilitation Based on Combined Chinese and Western Medicine Technology

Combined AMRI and ALRI of the Knee in Elite Kabaddi Players: A Prospective Cohort Study of 26 Players

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