Evidence map›Paper›PMID 28567427›Full record

ReviewOrthopaedic journal of sports medicine2017

Medial Collateral Ligament Reconstruction in Patients With Medial Knee Instability: A Systematic Review.

Antonios N Varelas, Brandon J Erickson, Gregory L Cvetanovich, Bernard R Bach

Abstract readReview
In one paragraph

Review in Orthopaedic journal of sports medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Trial
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  7. Collateral ligament strain is linearly related to coronal lower limb alignment: A biomechanical study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Article
  8. Outcomes of medial collateral ligament reconstruction with suture-augmented semitendinosus autograft.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
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  14. Review
  15. Article
  16. Article
  17. Current concepts on management of medial and posteromedial knee injuries.Journal of clinical orthopaedics and trauma · 2022
    Review
  18. Article
  19. Anatomic medial knee reconstruction restores stability and function at minimum 2 years follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Antonios N VarelasRush University Medical Center, Chicago, Illinois, USA.
Brandon J EricksonMidwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.
Gregory L CvetanovichMidwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.
Bernard R BachMidwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe medial collateral ligament (MCL) is the most frequently injured ligament of the knee, but it infrequently requires surgical treatment. Current literature on MCL reconstructions is sparse and offers mixed outcome measures. PURPOSE/HYPOTHESIS: The purpose of this study was to compare the outcomes of isolated MCL reconstruction and multiligamentous MCL reconstruction. Our hypothesis was that in selective patients, MCL reconstruction would significantly improve objective and subjective patient knee performance measures, those being baseline valgus laxity, range of motion, objective and subjective International Knee Documentation Committee (IKDC) scores, Tegner score, and Lysholm knee activity scores. STUDY

designSystematic review; Level of evidence, 4.

methodsA systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines and utilizing 3 computer-based databases. Studies reporting clinical outcomes of patients undergoing MCL reconstruction due to chronic instability or injury with mean follow-up of at least 2 years and levels of evidence 1 to 4 were eligible for inclusion. All relevant subject demographics and study data were statistically analyzed using 2-sample and 2-proportion

resultsTen studies involving 275 patients met our inclusion criteria. Of these patients, 46 underwent isolated MCL reconstruction while another 229 underwent reconstruction of the MCL in addition to a variety of concomitant reconstructions. Overall outcomes for all patients were significant for (1) reducing the medial opening of the knee (8.1 ± 1.3 vs 1.4 ± 1.0 mm;

conclusionThe systematic review of 10 studies and 275 knees found that the reported patient outcomes after MCL reconstruction were significantly improved across all measures studied, with no significant difference in outcomes between concomitant reconstructions.

Indexed as

clinical assessmentmedial collateral ligament (MCL) reconstructionmultiple ligament injuriesreviewvalgus instability

Identifiers

PMID28567427
PMCPMC5439653

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.