Recovery of knee function in the isolated MCL and combined ACL–MCL deficient knee

Al-Hourani, Khalid; Jefferies, James G.; Will, E.; Keating, J. F.

doi:10.1016/j.jcot.2014.12.009

Cited by 6 publications

(6 citation statements)

References 22 publications

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“…According to the American Medical Association classification [2], MCL injuries can be divided into three categories (grades I–III) according to the level of medial structural injury and valgus laxity. Grade III MCL injuries often present in combination with ACL tears [1, 31]. A recent epidemiological study on knee injuries among 17,397 patients with 19,530 sports‐related injuries over a 10‐year period found 7.9% of isolated MCL lesions [23].…”

Section: Introductionmentioning

confidence: 99%

Medial collateral ligament (MCL) reconstruction results in improved medial stability: results from the Danish knee ligament reconstruction registry (DKRR)

Lind

Nielsen

2019

Knee Surg Sports Traumatol Arthrosc

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Purpose The aim of this study was to compare outcome data after isolated and combined (MCL) plus anterior cruciate ligament (ACL) reconstruction based on objective and subjective measures using data from the (DKRR). There are only a few small-sized case studies on outcomes after MCL reconstruction. MCL reconstruction was hypothesised to improve both objective and subjective outcomes. Methods All patients who were registered in the DKRR between 2005 and 2016 (N = 25,281) and who underwent isolated ACL (n = 24,683), isolated MCL (n = 103) or combined MCL plus ACL (n = 495) reconstructions were retrospectively identified. Objective (valgus knee stability and sagittal knee laxity) and subjective (Knee Injury and Osteoarthritis Outcome Score (KOOS) and Tegner activity scale score) outcomes in these three cohorts were evaluated at the 1-year follow-up by comparing pre-and post-operative values. Results Medial stability improved significantly pre-to post-operatively after both isolated MCL and combined MCL plus ACL reconstruction, with 26 (53%) and 195 (69%) of the patients, respectively, having normal valgus stability (0-2 mm laxity). Sagittal stability was similar after MCL plus ACL reconstruction and isolated ACL reconstruction (1.7 and 1.5 mm, respectively). At the 1-year follow-up, although the KOOS of the patients in the isolated MCL and combined MCL plus ACL reconstruction cohorts improved significantly, they were lower than those of the patients in the isolated ACL reconstruction cohort. Conclusion Both isolated MCL reconstruction and combined MCL plus ACL reconstruction resulted in significant and clinically relevant improvements in the subjective outcomes from pre-operative conditions to the 1-year follow-up. Valgus stability also improved significantly, with two-thirds of patients obtaining normal valgus stability after MCL reconstruction. Subjective outcomes were similar between isolated MCL reconstruction and combined MCL plus ACL reconstructions, but were poorer than isolated ACL reconstructions. Level of evidence Level III.

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Section: Introductionmentioning

confidence: 99%

Medial collateral ligament (MCL) reconstruction results in improved medial stability: results from the Danish knee ligament reconstruction registry (DKRR)

Lind

Nielsen

2019

Knee Surg Sports Traumatol Arthrosc

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“…Clinically, ACL tears can be accompanied by MCL tears. 1,8,16 Treatment of combined injuries has been researched extensively. Many authors differ in how they approach a combined injury.…”

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confidence: 99%

Comparison of ACL Strain in the MCL-Deficient and MCL-Reconstructed Knee During Simulated Landing in a Cadaveric Model

et al. 2017

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“…The limits of this clinical study are the criteria of clinical evaluation that are subjective both by patients and evaluators, who in any case had extensive experience in this type of evaluation. As regards the absence of a control group, we can state that the scientific literature [ 1 , 6 ] has well documented the course of these lesions with various types of treatments. In comparison with the results commonly found in clinical practice, the clinical course of all REAC NPO and TO treated patients was much faster, especially in functional recovery and in pain relief.…”

Section: Discussionmentioning

confidence: 99%

“…The knee joint should be immobilized in 25-degree flexion for about 10–25 days, depending on the severity of the lesion. Rehabilitation treatment sometimes requires several months [ 6 ]. Every type of joint lesion generates both a physical and neuropsychical response.…”

Section: Introductionmentioning

confidence: 99%

REAC neurobiological treatments in acute post-traumatic knee medial collateral ligament lesion

Barcessat

Bittencourt

Pereira

et al. 2020

Heliyon

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Objective Physical traumas can lead to unconscious neuropsychical alterations, which can compromise rehabilitation result and functional recovery. Aim of this interventional study is to verify if neurobiological Radio Electric Asymmetric Conveyer (REAC) treatments Neuro Postural Optimization (NPO) and Tissue Optimization (TO) are able respectively to improve neuro psychomotor strategies and facilitate recovery process in medial collateral ligaments (MCL) lesions of the knee. Patients and methods 45 healthy subjects, 32 males and 13 females, with knee MCL lesion, diagnosed with MRI or ultrasound. Within 4 days after the trauma, subjects were clinically evaluated (T0), both through medical and subjective assessments. Clinical evaluation was repeated after the REAC NPO treatment (T1) and at the end of 18 REAC TO treatments (T2) and at the 30 days follow-up (T3). Results In comparison with the results commonly found in clinical practice, all REAC treated patients recovered much faster. They reported functional recovery, pain relief and joint stability, regardless of the severity of the lesion. Conclusion The combined use of REAC NPO and TO can envisage a new rehabilitative approach, which aims not only at recovering the outcomes of the physical trauma, but also at improving the neuropsychical state that can condition the rehabilitation result.

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Recovery of knee function in the isolated MCL and combined ACL–MCL deficient knee

Abstract: KneeRecovery Deficit a b s t r a c t Background:The MCL is the prime medial stabiliser of the knee and is a commonly injured

Cited by 6 publications

References 22 publications

Medial collateral ligament (MCL) reconstruction results in improved medial stability: results from the Danish knee ligament reconstruction registry (DKRR)

Medial collateral ligament (MCL) reconstruction results in improved medial stability: results from the Danish knee ligament reconstruction registry (DKRR)

Comparison of ACL Strain in the MCL-Deficient and MCL-Reconstructed Knee During Simulated Landing in a Cadaveric Model

REAC neurobiological treatments in acute post-traumatic knee medial collateral ligament lesion

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