Medium-Term (5-Year) Comparison of the Functional Outcomes of Combined Anterior Cruciate Ligament and Posterolateral Corner Reconstruction Compared With Isolated Anterior Cruciate Ligament Reconstruction

Surgical management of combined anterior or posterior cruciate ligament and posterolateral corner tears: For what functional results?

“…There was no significant correlation with KOOS score. For PLC + ACL lesions, these results are in agreement with Cartwright-Terry et al [30].…”

KOOS and IKDC scales may be inadequate in evaluating patients with multiple ligament knee injuries: a systematic review

“…Similarly, there was no difference in postoperative scores in patients treated with isolated PCL versus those treated with combined PCL/other ligament reconstructions 26 27. Cartwright-Terry et al 12 reported a lower mean IKDC score in patients treated with combined ACL/PLC reconstructions (80) compared with those treated with isolated ACL reconstruction (87) at 2 years postoperatively, but scores did not differ at the preoperative or other postoperative times (1 and 5 years).…”

“…Patients treated with combined ACL reconstruction reported lower scores in each subscale compared with those treated with isolated ACL reconstruction 12 13. Conversely, there was no difference between scores in patients treated with combined medial collateral ligament (MCL) reconstruction versus those treated with isolated MCL reconstruction 14…”

Combined All-Inside Anterior Cruciate Ligament Reconstruction and Minimally Invasive Posterolateral Corner Reconstruction Using Ipsilateral Semitendinosus and Gracilis Autograft

“…5,13 This is in the context of a recognition that PLC injuries occur concomitantly in a significant proportion of ACL ruptures, 5,6 and that posterolateral laxity affects the outcomes of ACL reconstruction. 8,9,13 Although there is an appreciation that PLC injury should be addressed at the time of ACL reconstruction, 4,8,9,13 no consensus on surgical technique exists. A number of operative approaches have been described.…”

“…2 The primary contributor to graft failure is unrecognized ligamentous laxity. 3,4 Associated posterolateral corner (PLC) injury can be identified in 7.4% to 13.9% of cases. 5,6 The PLC is an anatomically complex region of the knee comprising capsular, ligamentous, and tendinous components.…”