Document Type

Article

Peer Reviewed

1

Publication Date

3-15-2017

NLM Title Abbreviation

Orthop J Sports Med.

Journal/Book/Conference Title

Orthopaedic Journal of Sports Medicine

DOI of Published Version

10.1177/2325967117694818

Total Pages

5

Abstract

Abstract

Background:

Management of the medial collateral ligament (MCL) in the setting of a multiligamentous knee injury (MLKI) represents an area of great controversy.

Purpose:

Our study was designed to compare long-term patient-reported outcomes (PROs) after MCL repair versus reconstruction in the setting of a multiligamentous injury of the knee.

Study Design:

Cohort study; Level of evidence, 3.

Methods:

At a single institution, 68 patients were identified over a 10-year period as having MCL intervention in the setting of MLKI. Of these patients, 34 (50%) were successfully contacted via telephone to collect Lysholm and International Knee Documentation Committee (IKDC) scores. A retrospective chart review of these subjects was also conducted to identify patient and surgical factors affecting PROs.

Results:

At a mean 6-year follow-up (range, 2-11 years), the mean Lysholm score was 77.4 ± 23.1 and mean IKDC score was 72.6 ± 23.6. Univariate analyses identified time to surgery (P = .005) and MCL reconstruction (P = .001) as risk factors for Lysholm score ≤75. Univariate analyses identified patient age (P = .049), time to surgery (P = .018), and MCL reconstruction (P = .004) as risk factors for IKDC score ≤75. On subsequent multivariate analysis, MCL reconstruction was found to be a predictor of Lysholm or IKDC score of ≤75.

Conclusion:

Patients undergoing MCL repair in the setting of MLKI generally had higher PROs than those undergoing reconstructions at a mean 6 years of follow-up. Further work is needed to elucidate patient and surgical factors that may influence subjective outcomes after multiligament knee injuries.

Keywords

OAfund

Journal Article Version

Version of Record

Published Article/Book Citation

Orthop J Sports Med. 2017 Mar. pp. 1-5

https://doi.org/10.1177/2325967117694818

Rights

Copyright (c) 2017 The Author(s)

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

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Orthopedics Commons

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URL

http://ir.uiowa.edu/orthopedics_pubs/2