ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Anatomic medial knee reconstruction restores stability and function at minimum 2 years follow-up.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. 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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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 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
- 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
- Diagnosis, Treatment, and Current Controversies in Multiligament Knee Injuries: A Narrative Review.Cureus · 2026Review
- [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
- 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
- A Flat Reconstruction of the Medial Collateral Ligament and Anteromedial Structures Restores Native Knee Kinematics: A Biomechanical Robotic Investigation.The American journal of sports medicine · 2024Article
- Clinical Results of Isolated MCL Grade III Injury in Acute and Chronic Setting: Systematic Review and Meta-analysis.Indian journal of orthopaedics · 2024Article
- A novel minimally invasive nonanatomical single-bundle medial collateral ligament reconstruction technique with a short isometric construct Achilles tendon allograft: A surgical description with clinical and radiological outcomes in multiligament knee injury patients.Journal of experimental orthopaedics · 2024Article
- Diagnostic Musculoskeletal Ultrasound for Medial Collateral Ligament Injuries: Applications in Rehabilitation.International journal of sports physical therapy · 2024Article
- Anatomic Flat Double-Bundle Medial Collateral Ligament Reconstruction.Arthroscopy techniques · 2023Article
- Dynamic Ultrasound Can Accurately Quantify Severity of Medial Knee Injury: A Cadaveric Study.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Medial Collateral Ligament Reconstruction: A Gracilis Tenodesis for Anteromedial Knee Instability.Arthroscopy techniques · 2022Article
- The Control of Anteromedial Rotatory Instability Is Improved With Combined Flat sMCL and Anteromedial Reconstruction.The American journal of sports medicine · 2022Article
- A Triple-Strand Anatomic Medial Collateral Ligament Reconstruction Restores Knee Stability More Completely Than a Double-Strand Reconstruction: A Biomechanical Study In Vitro.The American journal of sports medicine · 2022Article
- Current concepts on management of medial and posteromedial knee injuries.Journal of clinical orthopaedics and trauma · 2022Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeChronic grade 3 tears of the medial collateral ligament and posterior oblique ligament may result in valgus laxity and anteromedial rotational instability after an isolated or multiligament injury. The purpose of this study was to prospectively analyze the restoration of physiologic medial laxity as assessed on stress radiography and patient reported subjective functional outcomes in patients who undergo an anatomic medial knee reconstruction.
methodsThis was a prospective study which included patients with chronic (> 6 weeks old) posteromedial corner injury with or without other ligament and meniscus lesions. Pre- and post-operative valgus stress radiographs were performed in 20° knee flexion and functional outcome was recorded as per the International Knee Documentation Committee (IKDC) and Lysholm scores. All patients underwent anatomic medial reconstruction with two femoral and two tibial sockets using ipsilateral hamstring tendon autograft. Simultaneous ligament and meniscus surgery was performed as per the associated injury pattern. All patients were followed up for a minimum of 24 months post-surgery.
resultsThirty-four patients (23 males, 11 females) were enrolled in the study and all were available till final follow-up of mean 49.7 ± 14.9 months. The mean age was 30.6 ± 7.9 (18-52 years). Two patients had isolated medial sided lesions and 23 had associated ligament injuries. The mean follow up was 49.7 (24-72) months. The mean IKDC score improved from 58 ± 8.3 to 78.2 ± 9.5 (p < 0.001). Post-operatively there were 15 excellent, 11 good and 8 fair outcomes on Lysholm score. The mean pre-operative valgus side-to-side opening improved from 7.5 ± 2.5 mm to 1.2 ± 0.7 mm on stress radiography (p < 0.001).
conclusionAnatomic reconstruction of the superficial medial collateral and posterior oblique ligaments restore stability in a consistent manner cases of chronic grade 3 instability. The objective functional results, subjective outcomes and measures of static medial stability are satisfactory in the short term. LEVEL OF EVIDENCE: IV.
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