ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
Short- to mid-term outcomes of anatomic MCL reconstruction with Achilles tendon allograft after multiligament knee injury.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Operative treatment of high-grade medial collateral ligament injury and chronic medial knee instability: a systematic review.Archives of orthopaedic and trauma surgery · 2026Pooled it
- 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
- How do surgically treated multiligamentous knee injuries affect overall complication rate and especially stiffness? A systematic review.Knee surgery & related research · 2025Review
- Clinical Outcome of Bicruciate Ligament Reconstruction in Multiple-Ligament Knee Injuries: Comparison With Bicruciate Reconstruction and Collateral Ligament Surgery.Orthopaedic journal of sports medicine · 2025Article
- Evaluation of Knee Outcomes and Anterior Cruciate Ligament Graft Failure When Comparing Medial Collateral Ligament Reconstruction Versus MCL Repair in Patients With Multiple Ligament Knee Injuries: A Systematic Review.Orthopaedic journal of sports medicine · 2025Review
- Variability in the Spectrum of Reporting on the Schenck KD I Classification in the Orthopaedic Literature: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2024Review
- Peracetic acid sterilized tendon and ligament allografts for knee reconstruction : For anterior cruciate ligament (ACL), posterior cruciate ligament (PCL) and complex knee surgery.Orthopadie (Heidelberg, Germany) · 2024Article
- Long-term Outcomes After Surgical Reconstruction of Multiligamentous Knee Injuries: Results at Minimum 10-Year Follow-up.Orthopaedic journal of sports medicine · 2024Article
- Anatomic medial knee reconstruction restores stability and function at minimum 2 years follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Single-stage versus two-stage reconstruction in chronic multi ligament knee injury.International journal of burns and trauma · 2022Article
- 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
- Outcomes of one-stage reconstruction for chronic multiligament injuries of knee.Knee surgery & related research · 2021Article
- Single-bundle MCL reconstruction with anatomic single-bundle ACL reconstruction does not restore knee kinematics.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- [Biomechanical comparison of single-bundle and anatomical double-bundle reconstructions for gradeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020Article
- [Effect of posterior oblique ligament repair on rotational stability of knee joint].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2019Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMultiple techniques have been described in the literature for reconstruction of the medial collateral ligament. The purpose of this study is to describe functional outcome, range of motion, and knee stability following anatomic MCL reconstruction utilizing an Achilles tendon bone allograft after multiligament knee injury.
methodsA comprehensive search of a single-hospital multiligament knee injury (MLKI) procedural database was conducted to identify all patients that underwent reconstruction of the MCL utilizing an Achilles tendon bone allograft and with 2-year clinical follow-up. Medical charts were retrospectively reviewed to determine each patient's knee dislocation (KD) grade, final range of motion, stability on clinical examination, and the incidence of complications and reoperations. KOOS, IKDC, and Marx scores were also collected.
resultsThirty-two knees in 32 patients (21 males and 11 females) with a mean age of 30 years (range 15-51) were followed for an average of 40 months (range 28-87 months) following MCL reconstruction with Achilles tendon bone allograft. For patients with multiligament knee injuries, there were 14 KD-I (11 ACL/MCL; 3 MCL/PCL; 1 MCL/ACL/LCL; 1 MCL/PCL/LCL), 12 KD 3-M, and 3 KD-IV. One patient underwent isolated revision MCL reconstruction. At final follow-up, clinically significant valgus laxity was observed in only 1 patient (3%). All patients were able to achieve full extension of the knee and the average flexion was 121.1 ± 19.6. The average IKDC score was 67.6 ± 19.9 (range 27.7-98.9), the average KOOS score 77.1 ± 16.8 (range 31-100). The average Marx score was 4.9 (range 0-16, SD 5.2). Thirty-one of 32 (96%) patients reported being satisfied with results of the surgery. Knee dislocation grades were significantly correlated with post-operative outcome measures.
conclusionIn a series utilizing a modified Marx Achilles tendon, MCL reconstruction in the setting of MLKI demonstrated satisfactory clinical and functional outcomes, as well as patient satisfaction at short- to mid-term follow-up. Furthermore, knee dislocation grades were demonstrated to correlate with post-operative IKDC, KOOS, and Marx scores. LEVEL OF EVIDENCE: Type IV.
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