Short- to mid-term outcomes of anatomic MCL reconstruction with Achilles tendon allograft after multiligament knee injury

Barrett, Ian J.; Krych, Aaron J.; Pareek, Ayoosh; Johnson, Nicholas R.; Dahm, Diane L.; Stuart, Michael J.; Levy, Bruce A.

doi:10.1007/s00167-018-4843-4

Cited by 23 publications

(21 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Consensus is lacking, however, on treatment of KDIIIM injuries. Good results have been reported with both non-operative and operative treatments of medial side injuries and bicruciate ligament reconstruction in the acute phase [ 3 , 7 , 22 , 34 , 38 ]. There is a risk of residual valgus laxity with conservative treatment of distal MCL avulsion injury [ 42 ] or in the presence of an MCL Stener-like lesion [ 5 , 40 ], and operative treatment is recommended for a grade-III distal tear or tibial avulsion of the MCL [ 2 , 25 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

Treatment of medial-sided injuries in patients with early bicruciate ligament reconstruction for knee dislocation

Jokela

Mäkinen

Koivikko

et al. 2020

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Purpose In knee dislocation with bicruciate ligament and medial side injury (KDIIIM), treatment method of medial side injuries is controversial. The purpose of this study was to evaluate the outcomes of non-operative treatment of proximal and midsubstance and operative treatment of distal avulsion medial collateral ligament (MCL) ruptures in patients with early bicruciate reconstruction. Methods One-hundred and forty-seven patients with a knee dislocation and bicruciate ligament injury (KDII-KDV) were identified. Sixty-two patients had KDIIIM injury. Of these, 24 patients were excluded and 13 were lost to follow-up. With a minimum of 2 years of follow-up, IKDC2000 (subjective and objective), Lysholm and Tegner scores and stress radiographs were recorded. Results Twenty-five patients were available for follow-up: 18 had a proximal or midsubstance grade-III MCL rupture (proximal MCL group) and 7 had a distal MCL avulsion (distal MCL group). In the proximal MCL and distal MCL groups, respectively, median IKDC2000 subjective scores were 80 (range 57-99) and 62 (range 39-87), and median Lysholm scores were 88 (range 57-99) and 75 (range 40-100). The median medial opening (side-to-side difference) was 2.4 mm (range 0.1-9.2) in the proximal MCL group and 2.5 mm (range 0.2-4.8) in the distal MCL group. Conclusion We found acceptable recorded outcomes in patients who underwent non-operative treatment of proximal and midsubstance grade-III MCL rupture and operative treatment of distal MCL avulsion with early bicruciate ligament reconstruction. Level of evidence Level IV

show abstract

Section: Introductionmentioning

confidence: 99%

Treatment of medial-sided injuries in patients with early bicruciate ligament reconstruction for knee dislocation

Jokela

Mäkinen

Koivikko

et al. 2020

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

show abstract

“…Several studies have reported satisfactory outcomes after reconstruction of the MCL in MLKI. 32,49,50 LaPrade and Wijdicks 36 reported on 28 patients who underwent anatomic PMC reconstruction of the MCL and POL with concurrent cruciate or bicruciate ligament reconstruction. Patients had clinical improvement in their mean subjective IKDC scores from 44 to 76 postoperatively and all 28 patients had resolution of side-toside instability at 2 years follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…The authors observed that knee dislocation grades were significantly correlated with postoperative outcome measures. 50 One of the main concerns in treating MLKI with medialsided injuries is the development of postoperative arthrofibrosis and joint stiffness, especially when treated in the acute phase. 23,24 Stannard et al reported on outcomes after surgical treatment of medial-sided injuries in multiligament injuries.…”

Section: Discussionmentioning

confidence: 99%

“…Several techniques for treatment of medial structures in the setting of MLKI have been reported 18,24,29,[34][35][36] ; however, no study has compared the different techniques. DeLong and Waterman performed a meta-analysis that included 14 level IV retrospective case series reporting clinical outcomes after MCL/PMC reconstructions.…”

Section: Surgical Techniques For Medial-sided Injuriesmentioning

confidence: 99%

See 1 more Smart Citation

Medial-Sided Injuries in the Multiple Ligament Knee Injury

et al. 2020

View full text Add to dashboard Cite

Multiligament knee injuries (MLKI) are complex and challenging to treat. The posteromedial corner (PMC) structures are commonly torn in MLKI. A thorough and systematic evaluation is imperative to avoid a missed diagnosis and for planning treatment. With several structures injured, the treatment method (operative vs. nonoperative, repair vs. reconstruction), availability of allografts, timing of surgery, and rehabilitation are some of the factors that have to be considered in the decision-making. Persistent valgus instability because of untreated or not healed medial collateral ligament (MCL) tears will increase graft forces on the cruciate ligament grafts, thus increasing the risk of reconstruction graft failure. In recent years, there has been a growing body of literature on the anatomy and biomechanics of the medial structures that has aided in the development of biomechanically and clinically validated anatomic PMC reconstructions. Despite good healing potential of the MCL, in MLKI, surgical treatment is recommended for grade III PMC injuries to aid early rehabilitation and reduce the risk of surgical failure. Several studies have reported satisfactory outcomes after surgical treatment of MLKI involving the medial side. Early functional rehabilitation is imperative to reduce the risk of arthrofibrosis.

show abstract

“…Traditionally a higher age at time of injury is considered as worse prognostic factor, albeit data is lacking for patients with multi-ligament injured knees. Most studies on multi-ligament injured knees did not investigate the influence of age on clinical outcomes (3)(4)(5)(6)(7)(8)(9)(10)(11)(12). Hence, it was the purpose of this study to perform a single-centre retrospective study and compare the long-term outcomes of younger and older patients.…”

mentioning

confidence: 99%

Multi-ligament injures of the knee: does the age matter? A long-term retrospective study

Zimmermann

Moser

Hirschmann

2019

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

Short- to mid-term outcomes of anatomic MCL reconstruction with Achilles tendon allograft after multiligament knee injury

Abstract: Type IV.

Cited by 23 publications

References 29 publications

Treatment of medial-sided injuries in patients with early bicruciate ligament reconstruction for knee dislocation

Treatment of medial-sided injuries in patients with early bicruciate ligament reconstruction for knee dislocation

Medial-Sided Injuries in the Multiple Ligament Knee Injury

Multi-ligament injures of the knee: does the age matter? A long-term retrospective study

Contact Info

Product

Resources

About