ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Suture tape augmentation improves laxity of MCL repair in the ACL reconstructed knee.
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 13 papers.
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Who cites it
13 citing papers in PubMed, 23 citations in OpenAlex.
- [Short-term effectiveness of anterior cruciate ligament reconstruction combined with internal brace augmentation for acute anterior cruciate ligament and medial collateral ligament injuries].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- A clinical practice review: augmentation of meniscoligamentous structures for primary prevention of knee joint deterioration.Annals of joint · 2026Review
- Arthroscopically-Assisted Medial Collateral Ligament Repair of Proximal Tears with Inside-out Suture Technique.Arthroscopy techniques · 2025Article
- Current trends in the medial side of the knee: not only medial collateral ligament (MCL).Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Review
- Outcomes of medial collateral ligament reconstruction with suture-augmented semitendinosus autograft.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Use of Internal Bracing in Multi-ligamentous Knee Injury Reconstruction: A Systematic Review.Indian journal of orthopaedics · 2024Review
- Open Medial Meniscotibial Ligament Repair With Concomitant Open Superficial Medial Collateral Ligament Repair With Internal Brace Augmentation.Arthroscopy techniques · 2024Article
- Acute Percutaneous Repair of Medial Collateral Ligament With Suture Augmentation in the Multiligamentous Injured Knee Results in Good Stability and Low Rates of Postoperative Stiffness.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- MCL internal brace does not fully recapitulate normal MCL function in valgus stress.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Augmenting ACL Repair With Suture Tape Improves Knee Laxity: A Biomechanical Study.Orthopaedic journal of sports medicine · 2023Article
- Clinical Research Progress of Internal Brace Ligament Augmentation Technique in Knee Ligament Injury Repair and Reconstruction: A Narrative Review.Journal of clinical medicine · 2023Review
- Tissue Augmentation Techniques in the Management of Ligamentous Knee Injuries.Orthopedic research and reviews · 2023Review
- Distal Medial Collateral Ligament Repair With Suture Augmentation.Video journal of sports medicineArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMedial collateral ligament (MCL) injury is very common and surgical repair is sometimes necessary. Especially in the setting of simultaneous anterior cruciate ligament reconstruction (ACLR) as the ACL is the secondary restraint against valgus stress. The goal of this study was to evaluate knee biomechanics after suture repair of the MCL augmented with suture tape, as compared to MCL repair alone, in the setting of concomitant ACL reconstruction (ACLR).
methodsFifteen fresh-frozen human cadaveric knees were tested using a six-degrees-of-freedom robotic system under four loadings: (a) an 89.0 N anterior tibial load, (b) a 5.0 Nm internal and external rotation torque, (c) a 10.0 Nm valgus load, (d) a 7.0 Nm valgus load combined with 5.0 Nm internal rotation torque as a static simulated pivot-shift. The tested conditions were ACLR with the following states: (1) MCL intact, (2) MCL deficient, (3) MCL Repair, and (4) MCL repair augmented with suture tape (MCL Repair + ST). Under the different knee loadings, the tibial displacement, and the force in either the intact MCL, suture repaired MCL or repaired MCL-suture tape complex was measured.
resultsWhile neither the MCL Repair nor the MCL Repair + ST restored valgus rotation to the MCL intact state, displacement was significantly smaller after MCL Repair + ST (p < 0.05). The knee rotation under external rotation torque in MCL Repair + ST did not differ MCL intact (n.s.), while with MCL Repair the rotation was significantly greater (p < 0.05). MCL Repair + ST did not cause an over-constraint of the knee in any of the tested loading conditions.
conclusionIn a combined ACL-reconstruction-MCL-repair model, MCL Repair augmented with suture tape improved valgus and external rotation laxity when compared to MCL suture repair alone. Suture tape augmentation may provide this additional means of stabilization and can be added at the time of surgical repair of the MCL. Clinically this may result in lower failure rates and less residual laxity after MCL repair, as well as shorter immobilization times and faster return to play.
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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.