ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Combined reconstruction of the posterior cruciate ligament and medial collateral ligament using a single femoral tunnel.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Outcomes after multiligament knee injury worsen over time: A systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled it
- Combined anterior cruciate ligament revision with reconstruction of the antero-lateral ligament does not improve outcome at 2-year follow-up compared to isolated acl revision; a randomized controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Trial
- Evaluation and Management of Knee Dislocations in Low-income Settings: Evidence-based Strategies and Practical Considerations.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Review
- How do surgically treated multiligamentous knee injuries affect overall complication rate and especially stiffness? A systematic review.Knee surgery & related research · 2025Review
- Cost Mitigation Using Implant-Minimizing Techniques in Multiligamentous Injuries of Knee.Indian journal of orthopaedics · 2025Article
- Maximum outcome with minimal resources: report of a multiligamentous knee injury managed with 'modified confluent tunnel technique'.BMJ case reports · 2024Article
- Treatment of medial-sided injuries in patients with early bicruciate ligament reconstruction for knee dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Short- to mid-term outcomes of anatomic MCL reconstruction with Achilles tendon allograft after multiligament knee injury.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Medial Collateral Ligament Reconstruction in Patients With Medial Knee Instability: A Systematic Review.Orthopaedic journal of sports medicine · 2017Review
- Avulsion of the Femoral Attachment of the Medial Collateral Ligament of the Knee Associated to Complete Tear of the Posterior Cruciate Ligament: A Case Report.Surgery journal (New York, N.Y.) · 2017Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLesions of the medial collateral ligament (MCL) are the most common knee ligament injuries, and lesions associated with the anterior cruciate ligament or the posterior cruciate ligament (PCL) in knee dislocations should be reconstructed to prevent failure of the central pivot reconstruction. The purpose of this study was to evaluate the outcomes of combined PCL/MCL reconstruction using a single femoral tunnel with a minimum 2-year follow-up.
methodA retrospective study of thirteen patients with combined PCL/MCL injuries was conducted. The patients underwent PCL and MCL reconstruction using an Achilles tendon allograft with a single tunnel in the medial femoral condyle, thereby avoiding tunnel conversion.
resultsAll patients achieved a range of motion of at least 100°. The mean loss of extension and flexion values compared to the contralateral side was 1° ± 2° and 9° ± 10°, respectively. Our results included 26 reconstructions with three (11.5 %) failures, two in the PCL (15.3 %) and one in the MCL (7.6 %), in three different patients. In the final evaluation, the mean IKDC subjective score was 71.63 ± 16.23, the mean Lysholm score was 80.08 ± 13.87, and the median Tegner score was 6 (range = 2-7).
conclusionThe PCL/MCL reconstruction technique using a single femoral tunnel and an Achilles tendon allograft is safe, avoids the convergence of tunnels in the medial femoral condyle, has excellent results, and is reproducible. LEVEL OF EVIDENCE: IV.
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