Evidence map›Paper›PMID 42591890›Full record

ArticleCureus2026

Medial Collateral Ligament Rupture in Medial-Pivot Total Knee Arthroplasty.

Hassan Zmerly, Silvio Caravelli, Andrea Vescio, Massimiliano Mosca, Luigi Di Lorenzo

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Hassan Zmerly1st Unit of Orthopaedics, Villa Erbosa, Bologna, ITA.
Silvio CaravelliDepartment of Orthopaedics, Istituto Ortopedico Rizzoli, Bologna, ITA.
Andrea VescioDepartment of Life Sciences, Health, and Health Professions, Link Campus University, Rome, ITA.
Massimiliano MoscaDepartment of Orthopaedics, Istituto Ortopedico Rizzoli, Bologna, ITA.
Luigi Di LorenzoDepartment of Life Sciences, Health, and Health Professions, Link Campus University, Rome, ITA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A medial collateral ligament (MCL) rupture is an uncommon yet significant complication following total knee arthroplasty (TKA), potentially resulting in instability and accelerated prosthetic wear, particularly after medial-pivot total knee arthroplasty (MP-TKA). Complete ruptures are typically managed with direct repair, ligament reconstruction, or revision to a more constrained prosthetic implant. The primary objective is to restore knee stability while maintaining implant durability. We report the case of a 72-year-old woman with sarcopenic obesity who sustained an MCL rupture following MP-TKA performed for valgus knee osteoarthritis. The patient was successfully treated with revision to a more constrained prosthesis. MP-TKA relies on medial compartment congruency and soft-tissue integrity, particularly that of the MCL, to ensure joint stability and restore normal knee kinematics. This case highlights the management of MCL failure after MP-TKA in a patient with sarcopenic obesity. Revision to a constrained prosthesis may represent the most appropriate treatment option.

Indexed as

medial collateral ligament injurymedial pivotrevision knee arthroplastysarcopenic obesitytotal knee arthroplasty (tka)

Identifiers

PMID42591890
PMCPMC13463174

What OpenQuestion holds

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Registered trials

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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.