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J Knee Surg 2017; 30(07): 652-658
DOI: 10.1055/s-0036-1593873
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Results of a New Treatment Concept for Concomitant Lesion of Medial Collateral Ligament in Patients with Rupture of Anterior Cruciate Ligament

Fabian Blanke
1   Department of Orthopaedic Sports Medicine and Arthroscopic Surgery, Hessing Stiftung Augsburg, Augsburg, Germany
,
Jochen Paul
2   Department of Orthopaedic Sports Medicine and Arthroscopic Surgery, Rennbahnklinik Muttenz, Basel, Germany
,
Maximilian Haenle
1   Department of Orthopaedic Sports Medicine and Arthroscopic Surgery, Hessing Stiftung Augsburg, Augsburg, Germany
,
Jannes Sailer
3   Department of Orthopaedic Surgery, University Hospital Basel, Basel, Switzerland
,
Geert Pagenstert
3   Department of Orthopaedic Surgery, University Hospital Basel, Basel, Switzerland
,
Lutz von Wehren
4   Department of Orthopaedic Surgery, Hospital Oberengadin, Samedan, Switzerland
,
Stephan Vogt
1   Department of Orthopaedic Sports Medicine and Arthroscopic Surgery, Hessing Stiftung Augsburg, Augsburg, Germany
,
Martin Majewski
4   Department of Orthopaedic Surgery, Hospital Oberengadin, Samedan, Switzerland
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Weitere Informationen

Publikationsverlauf

26. Januar 2016

18. September 2016

Publikationsdatum:
23. November 2016 (online)

    Lizenzen und Reprints

Abstract

Anteromedial knee injury with rupture of anterior cruciate ligament (ACL) and concomitant lesion of medial collateral ligament (MCL) is common in athletes. No standardized treatment concept can be found within the literature. This study presents results of a new treatment concept for concomitant MCL lesions in patients with ACL rupture. In this study, 67 recreational athletes with ACL injury and concomitant MCL lesion were treated according to a distinct treatment concept. Patients were classified in six different types of concomitant MCL lesion depending on grade of MCL lesion and presence of anteromedial rotatory instability (AMRI). Final classification and surgical indication were determined 6 weeks posttraumatic. All patients received ACL reconstruction. MCL was treated by surgical or conservative regime due to type of concomitant MCL lesion. International Knee Documentation Committee (IKDC), AMRI, and Lysholm scores were evaluated both preoperatively and after 6 weeks, 16 weeks, 12 months, and 18 months postoperatively. All patients could be uniquely classified and treated according to the introduced treatment concept. AMRI was verifiable in patients with grade II and III MCL lesions. All patients showed good to excellent clinical results at the follow-up examinations. In all 67 patients (100%), the findings were graded as normal or nearly normal according to the IKDC knee examination form. Lysholm score averaged 93.9 at final follow-up. The introduced treatment concept showed good results on short-term outcome and provides a sufficient treatment strategy for concomitant MCL lesions in athletes with ACL rupture.

Keywords

anterior cruciate ligament - medial collateral ligament - AMRI - treatment concept
 

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