title: The management of medial ligament tears in patients with combined anterior cruciate and medial ligament lesions.
abstract: The management of patients with combined medial collateral (MCL) and anterior cruciate (ACL) rupture remains controversial. We studied 25 such patients who elected to have the ACL lesion treated conservatively; 14 underwent MCL repair with early mobilization and 11 were treated with immobilization for two weeks. The mean follow up was 5.9 years (2 to 11). There was no difference in the clinical assessment of ligamentous laxity, KT-1000 measurements or Tegner activity scores between the two groups but there were significantly higher Lysholm function scores in the operated group.
authors.affiliation: Department of Orthopaedic Surgery, Gunma University Faculty of Medicine, Japan. kshiraku@akagi.sb.gunma-u.ac.jp
authors.forename: K
authors.initials: K
authors.lastname: Shirakura
authors.forename: M
authors.initials: M
authors.lastname: Terauchi
authors.forename: M
authors.initials: M
authors.lastname: Katayama
authors.forename: H
authors.initials: H
authors.lastname: Watanabe
authors.forename: T
authors.initials: T
authors.lastname: Yamaji
authors.forename: K
authors.initials: K
authors.lastname: Takagishi
mesh_terms: D000328:Adult; D000070598:Anterior Cruciate Ligament Injuries; D004434:Early Ambulation; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000534:rehabilitation / Q000601:surgery / Q000628:therapy*; D008297:Male; D017888:Medial Collateral Ligament, Knee / Q000293:injuries*; D012189:Retrospective Studies; D012421:Rupture; D016896:Treatment Outcome