Evidence map›Paper›PMID 32862240›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

Treatment of medial-sided injuries in patients with early bicruciate ligament reconstruction for knee dislocation.

Mikko A Jokela, Tatu J Mäkinen, Mika P Koivikko, Joonas M Lindahl, Jyrki Halinen, Jan Lindahl

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
1.8field-weighted citation impact, top 14% of its field
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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  3. Outcomes after multiligament knee injury worsen over time: A systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
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  15. 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
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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

6 authors at 2 institutions in 1 country.

Mikko A JokelaDepartment of Orthopaedics and Traumatology, Töölö Hospital, Helsinki University Hospital, Helsinki, Finland. mikko.jokela@helsinki.fi.ORCID http://orcid.org/0000-0003-3675-3824
Tatu J MäkinenDepartment of Orthopaedics and Traumatology, Töölö Hospital, Helsinki University Hospital, Helsinki, Finland.
Mika P KoivikkoDepartment of Radiology, Helsinki Medical Imaging Center, Töölö Hospital, Helsinki University Hospital, Helsinki, Finland.
Joonas M LindahlUniversity of Helsinki, Helsinki, Finland.
Jyrki HalinenTerveystalo Hospital, Helsinki, Finland.
Jan LindahlDepartment of Orthopaedics and Traumatology, Töölö Hospital, Helsinki University Hospital, Helsinki, Finland.
University of Helsinki · FIEtelä-Karjalan sosiaali ja terveyspiiri · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn knee dislocation with bicruciate ligament and medial side injury (KDIIIM), treatment method of medial side injuries is controversial. The purpose of this study was to evaluate the outcomes of non-operative treatment of proximal and midsubstance and operative treatment of distal avulsion medial collateral ligament (MCL) ruptures in patients with early bicruciate reconstruction.

methodsOne-hundred and forty-seven patients with a knee dislocation and bicruciate ligament injury (KDII-KDV) were identified. Sixty-two patients had KDIIIM injury. Of these, 24 patients were excluded and 13 were lost to follow-up. With a minimum of 2 years of follow-up, IKDC2000 (subjective and objective), Lysholm and Tegner scores and stress radiographs were recorded.

resultsTwenty-five patients were available for follow-up: 18 had a proximal or midsubstance grade-III MCL rupture (proximal MCL group) and 7 had a distal MCL avulsion (distal MCL group). In the proximal MCL and distal MCL groups, respectively, median IKDC2000 subjective scores were 80 (range 57-99) and 62 (range 39-87), and median Lysholm scores were 88 (range 57-99) and 75 (range 40-100). The median medial opening (side-to-side difference) was 2.4 mm (range 0.1-9.2) in the proximal MCL group and 2.5 mm (range 0.2-4.8) in the distal MCL group.

conclusionWe found acceptable recorded outcomes in patients who underwent non-operative treatment of proximal and midsubstance grade-III MCL rupture and operative treatment of distal MCL avulsion with early bicruciate ligament reconstruction. LEVEL OF EVIDENCE: Level IV.

Indexed as

ArthroscopyAdultFemaleFollow-Up StudiesHumansKnee DislocationKnee JointMaleMedial Collateral Ligament, KneeMiddle AgedRadiographyRetrospective StudiesRuptureTreatment OutcomeYoung AdultBicruciate ligament injuryKDIIIMKnee dislocationKnee multiligament injuryKnee posteromedial corner injuryMedial side injury

Identifiers

PMID32862240
PMCPMC8126547
OpenAlexW3081576884

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.