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Simultaneous surgical management of chronic grade-2 valgus instability of the knee and anterior cruciate ligament deficiency in athletes

Simultaneous surgical management of chronic grade-2 valgus instability of the knee and anterior cruciate ligament deficiency in athletes,10.1007/s0016

Simultaneous surgical management of chronic grade-2 valgus instability of the knee and anterior cruciate ligament deficiency in athletes   (Citations: 4)
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We report on 22 patients with chronic grade-2 valgus laxity of the knee combined with chronic anterior cruciate ligament (ACL) insufficiency, in whom the two lesions were addressed at the same surgical setting. At a minimum follow-up of 24 months, clinical and functional variables had improved significantly (P < 0.001), and 20 of the 22 patients (91%) had returned to sport at pre-injury level. There were no operative complications in this series. In selected athletes with chronic symptomatic valgus laxity of the knee combined with ACL insufficiency, surgical repair of the MCL in association with ACL reconstruction is a suitable and reliable option to restore knee stability and allow return to pre-injury activity level.
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    • ...Diego, USA) is a popular instrument for knee laxity measurements [20, 21, 32, 37, 41] and has been proven to have good clinical validity and reliability [14, 19, 29, 30, 35, 38]...

    Hsiu-Chen Linet al. A new diagnostic approach using regional analysis of anterior knee lax...

    • ...Controversies still exist in the management of combined ACL and MCL injuries: according to some authors, ACL reconstruction is sufficient to restore knee stability [5, 16, 28], whereas others advocate repair of both the ACL and MCL [2, 6, 21]...

    Gian Luigi Canataet al. Surgical Technique: Does Mini-invasive Medial Collateral Ligament and ...

    • ...Osti et al. [56] studied 22 patients with chronic Grade II knee valgus laxity combined with chronic ACL insufficiency with a minimum 24-month follow-up (mean = 36 months, range = 24‐52 months) after ACL reconstruction using a transtibial approach, a soft tissue hamstring graft harvested from the contralateral lower extremity, and MCL primary suture repair...
    • ...They concluded that in select athletes with chronic, symptomatic valgus laxity and ACL insufficiency, MCL surgical repair in combination with ACL reconstruction was an effective treatment option [56]...
    • ...Quantifiable diagnostic imaging and physical examination methods [50, 75] are needed in future longitudinal studies to better determine the clinical efficacy of surgical [56], non-surgical [50], growth factor, or bioscaffold intervention for Grade II MCL lesions when soft tissue graft ACL reconstruction is performed...

    Natasha Anokaet al. Consideration of growth factors and bio-scaffolds for treatment of com...

    • ...Although some reports have recommended simultaneous surgical treatment for both anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries if ACL injury is accompanied by grade 2 MCL injury with valgus laxity [2, 8, 26], it is generally accepted that the majority of patients who sustain incomplete or isolated complete MCL tears can be treated nonoperatively [3, 6, 12, 14, 28]...

    Hideyuki Kogaet al. Surgical management of grade 3 medial knee injuries combined with cruc...

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