PMID: 8609106Feb 1, 1996Paper

Combined injuries of the anterior cruciate and medial collateral ligaments of the knee. Effect of treatment on stability and function of the joint

The Journal of Bone and Joint Surgery. American Volume
D Hillard-SembellD C Fithian

Abstract

We performed a retrospective study of sixty-six patients (forty-one male and twenty-five female) who had a combined injury of the anterior cruciate and medial collateral ligaments. Our purpose was to determine the prevalence of late valgus instability of the knee. The mean age of the patients was thirty-five years (range, sixteen to sixty-three years). The mean follow-up interval was forty-five months (range, twenty-one to 108 months). Twenty patients had been injured while snow-skiing; twenty-four, during other sports activities; seven, in a motor-vehicle accident; and the remaining fifteen, during activities of daily living. Eleven patients had reconstruction of the anterior cruciate ligament and repair of the medial collateral ligament, thirty-three had reconstruction of only the anterior cruciate ligament, and twenty-two were managed non-operatively. There was no evidence of valgus instability on clinical examination at the most recent follow-up visit. However, there was evidence of instability on stress roentgenograms of the knee in eight (13 per cent) of sixty patients. With the numbers available, we could detect no relationship between the presence of valgus instability and the method of treatment of the ligamentous tear...Continue Reading

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Citations

Oct 31, 1997·The Journal of Bone and Joint Surgery. American Volume·C B Frank, D W Jackson
Apr 8, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Matheus TzurbakisAnastasios Georgoulis
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Mar 5, 2008·La Chirurgia degli organi di movimento·Lamberto FelliLuca Pizzella
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