[article] 
inActa Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.442-446

Titre :	Surgical technique for treatment of concomitant grade II MCL lesion in patients with ACL rupture
Type de document :	texte imprimé
Auteurs :	Fabian BLANKE, Auteur ; Lutz VONWEHREN, Auteur ; Geert PAGENSTERT, Auteur
Année de publication :	2015
Article en page(s) :	p.442-446
Langues :	Anglais (eng)
Mots-clés :	MCL  ACL  reconstruction  surgical technique  grade II.
Résumé :	Combined lesions of anterior cruciate ligament (ACL) and medial collateral ligament (MCL) are frequent in athletes. While surgical treatment of ACL injury is mandatory treatment regime of concomitant grade II MCL lesions remains unclear with tendency to surgical intervention. Standardized surgical technique is lacking. Present study wants to introduce surgical technique for treatment of concomitant grade II MCL lesion and report short term outcome results. 5 Patients with acute ACL rupture and grade II MCLlesion were included. All patients received surgical treatment of concomitant MCL lesion by distinct surgical technique and ACL reconstruction. We evaluated valgus instability, anterior instability and range of motion (ROM) according to international knee documentation commitee (IKDC) and Lysholm-Score both preoperative and after 6, 16 weeks and 9 months postoperative. All Patients showed excellent clinical results at final follow-up. Valgus and anterior stability could be restored in all patients. 1 patient (20%) lost 15° in flexion of ROM at final follow up. However in all 5 patients (100%) the findings were graded as normal or nearly nor-mal according to IKDC knee examination form. Lysholm-Score averaged 94,6. Therefore presented surgical technique improved both, valgus and anterior stability, and led to excellent short term results at final follow up.
Permalink :	./index.php?lvl=notice_display&id=40919

[article] Surgical technique for treatment of concomitant grade II MCL lesion in patients with ACL rupture [texte imprimé] / Fabian BLANKE, Auteur ; Lutz VONWEHREN, Auteur ; Geert PAGENSTERT, Auteur . - 2015 . - p.442-446.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.442-446

Mots-clés :	MCL  ACL  reconstruction  surgical technique  grade II.
Résumé :	Combined lesions of anterior cruciate ligament (ACL) and medial collateral ligament (MCL) are frequent in athletes. While surgical treatment of ACL injury is mandatory treatment regime of concomitant grade II MCL lesions remains unclear with tendency to surgical intervention. Standardized surgical technique is lacking. Present study wants to introduce surgical technique for treatment of concomitant grade II MCL lesion and report short term outcome results. 5 Patients with acute ACL rupture and grade II MCLlesion were included. All patients received surgical treatment of concomitant MCL lesion by distinct surgical technique and ACL reconstruction. We evaluated valgus instability, anterior instability and range of motion (ROM) according to international knee documentation commitee (IKDC) and Lysholm-Score both preoperative and after 6, 16 weeks and 9 months postoperative. All Patients showed excellent clinical results at final follow-up. Valgus and anterior stability could be restored in all patients. 1 patient (20%) lost 15° in flexion of ROM at final follow up. However in all 5 patients (100%) the findings were graded as normal or nearly nor-mal according to IKDC knee examination form. Lysholm-Score averaged 94,6. Therefore presented surgical technique improved both, valgus and anterior stability, and led to excellent short term results at final follow up.
Permalink :	./index.php?lvl=notice_display&id=40919