ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Single-bundle MCL reconstruction with anatomic single-bundle ACL reconstruction does not restore knee kinematics.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. 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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10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Combined medial collateral ligament and posterior oblique ligament reconstruction demonstrates favourable patient-reported outcomes and medial knee stability in Grade III injuries: A systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- Is the Lind or LaPrade Technique Able to Control Anterior and Rotational Laxity in Medial-Side Knee Injuries? A Controlled Laboratory Study of 18 Knees.Orthopaedic journal of sports medicine · 2025Article
- Double-Bundle Femoral-Based Reconstruction of the Deep and Superficial Medial Collateral Ligament for Anteromedial Rotatory Instability: The MAVERIK Technique.Arthroscopy techniques · 2025Article
- MCL augmentation using a peroneus longus split tendon autograft satisfactorily restores knee stability with no impairment in foot function and with a low failure rate for concurrent ACL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Double-Bundle Medial Collateral Ligament Reconstruction Improves Anteromedial Rotatory Instability.The American journal of sports medicine · 2024Article
- A Comparative Biomechanical Study of Alternative Medial Collateral Ligament Reconstruction Techniques.The American journal of sports medicine · 2024Article
- Development and Validation of a Novel In Vitro Joint Testing System for Reproduction of In Vivo Dynamic Muscle Force.Bioengineering (Basel, Switzerland) · 2023Article
- Anatomic Flat Double-Bundle Medial Collateral Ligament Reconstruction.Arthroscopy techniques · 2023Article
- The Control of Anteromedial Rotatory Instability Is Improved With Combined Flat sMCL and Anteromedial Reconstruction.The American journal of sports medicine · 2022Article
- 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
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to evaluate and compare knee kinematics and kinetics following either single bundle, modified triangular or double-bundle reconstruction of the superficial medial collateral ligament (sMCL) with single bundle anatomic ACL reconstruction.
methodsUsing a cadaveric model (n = 10), the knee kinematics and kinetics following three MCL reconstructions (single-bundle (SB), double-bundle (DB), modified triangular) with single bundle anatomic ACL reconstruction were compared with the intact and deficient knee state. The knees were tested under (1) an 89-N anterior tibial load, (2) 5 N-m internal and external rotational tibial torques, and (3) a 7 N-m valgus torque.
resultsAnatomic ACL reconstruction with SB MCL reconstruction was able to restore anterior tibial translation and external rotation to intact knee values but failed to the internal and valgus rotatory stability. Anatomical DB MCL reconstruction (with SB ACL reconstruction) and the modified triangular MCL reconstruction (with SB ACL reconstruction) restored all knee kinematics to the intact value.
conclusionThis study shows that clinical presentation with combined ACL and severe sMCL injury, single-bundle MCL with single-bundle ACL reconstruction does not restore knee kinematics. Anatomical double-bundle MCL reconstruction may produce slightly better biomechanical stability than the modified triangular MCL reconstruction, but the modified triangular reconstruction might be more clinically practical with the advantages of being less invasive and technically simpler while at the same time can restore a nearly normal knee joint.
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