Treating Combined Anterior Cruciate Ligament and Medial Collateral Ligament Injuries Operatively in the Acute Setting Is Potentially Advantageous

Holuba, Kurt; Vermeijden, Harmen D.; Yang, Xiuyi A.; O’Brien, Robert; List, Jelle P. van der; DiFelice, Gregory S.

doi:10.1016/j.arthro.2022.06.023

Cited by 13 publications

(16 citation statements)

References 83 publications

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“…demonstrated that nonoperative management of the MCL tears with an operative reconstruction of the ACL produced poor results due to an increase in valgus laxity, return to play time, and risk of intra-articular damage. The same authors also suggested that treatment algorithms for MCL-ACL injuries need to be revisited based on historical outcomes [ 3 ]. Koga et al.…”

Section: Discussionmentioning

confidence: 99%

Revisiting Anterior Cruciate Ligament Repairs in an Athlete With Combined Grade III Medial Collateral Ligament and High-Grade Posterolateral Anterior Cruciate Ligament Tear: A Case Report

Muir,

McMandon,

Sadowski

et al. 2023

Cureus

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Anterior cruciate ligament tears are primarily treated by reconstruction. The development of novel surgical techniques has led to the reconsideration of this approach. Additionally, Grade III tibial-sided medial collateral ligament tears should be treated surgically due to decreased blood flow and poor healing. We describe the surgical repair of a Grade III tibial-sided tear with partial femoral avulsion of the medial collateral ligament and tear of the posterolateral bundle of the anterior cruciate ligament in a competitive high school athlete. A 17-year-old male presented to the Sports Medicine Clinic after injuring his left knee in a football game. Radiographs suggested normal skeletal anatomical alignment with no acute fractures. Magnetic resonance imaging identified a partial injury of the femoral attachment of the medial collateral ligament and a Grade III medial collateral ligament tear where it attached to the tibia. Arthroscopic evaluation of the knee revealed a posterolateral anterior cruciate ligament tear. Operative management included surgical repair of the Grade III tibial-sided medial collateral ligament tear and the posterolateral anterior cruciate ligament tear. Operative repair of medial collateral ligament and anterior cruciate ligament tears provides an alternative approach to the management of surgical reconstruction.

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Section: Discussionmentioning

confidence: 99%

Revisiting Anterior Cruciate Ligament Repairs in an Athlete With Combined Grade III Medial Collateral Ligament and High-Grade Posterolateral Anterior Cruciate Ligament Tear: A Case Report

Muir,

McMandon,

Sadowski

et al. 2023

Cureus

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“… 13 , 14 , 15 , 16 , 17 As a result, the currently accepted treatment algorithm is nonoperative treatment of the MCL followed by delayed reconstruction of concomitant ligamentous injuries. 12 , 14 , 18 , 19 , 20 …”

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confidence: 99%

“…However, this approach results in a longer time to surgery and therefore an increased risk for residual valgus laxity. 18 , 21 , 22 , 23 Several biomechanical and clinical studies have further shown that residual medial-sided laxity places additional stress on the cruciate ligaments, leading to an increased risk of graft failure. 2 , 3 , 4 , 5 , 6 To address these issues, the concept of acute sMCL repair has been introduced.…”

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confidence: 99%

“… 2 , 3 , 4 , 5 , 6 To address these issues, the concept of acute sMCL repair has been introduced. 18 , 24 , 25 With recent advancements in surgical techniques and rehabilitation protocols, improved clinical outcomes are to be expected. 18 In addition, implementation of suture augmentation (SA) devices provide early knee stability to facilitate anatomic healing of the sMCL and allow for early and safe range of motion (ROM).…”

mentioning

confidence: 99%

“… 18 , 24 , 25 With recent advancements in surgical techniques and rehabilitation protocols, improved clinical outcomes are to be expected. 18 In addition, implementation of suture augmentation (SA) devices provide early knee stability to facilitate anatomic healing of the sMCL and allow for early and safe range of motion (ROM). 25 , 26 , 27 , 28 , 29 , 30 Although promising, a lack of studies addressing acute percutaneous sMCL repair with SA exist.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Acute Percutaneous Repair of Medial Collateral Ligament With Suture Augmentation in the Multiligamentous Injured Knee Results in Good Stability and Low Rates of Postoperative Stiffness

Holuba,

Rilk,

Vermeijden

et al. 2023

Arthroscopy, Sports Medicine, and Rehabilitation

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Location of medial collateral ligament tears: introduction to a magnetic resonance imaging-based classification

von Rehlingen-Prinz,

Krishnan,

Rilk

et al. 2024

Skeletal Radiol

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Treating Combined Anterior Cruciate Ligament and Medial Collateral Ligament Injuries Operatively in the Acute Setting Is Potentially Advantageous

Cited by 13 publications

References 83 publications

Revisiting Anterior Cruciate Ligament Repairs in an Athlete With Combined Grade III Medial Collateral Ligament and High-Grade Posterolateral Anterior Cruciate Ligament Tear: A Case Report

Revisiting Anterior Cruciate Ligament Repairs in an Athlete With Combined Grade III Medial Collateral Ligament and High-Grade Posterolateral Anterior Cruciate Ligament Tear: A Case Report

Acute Percutaneous Repair of Medial Collateral Ligament With Suture Augmentation in the Multiligamentous Injured Knee Results in Good Stability and Low Rates of Postoperative Stiffness

Location of medial collateral ligament tears: introduction to a magnetic resonance imaging-based classification

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