[Surgical treatment of medial collateral ligament laxity complicated by old cruciate ligament injury of the knee].
OBJECTIVE
To investigate the therapeutic effect of transposition of semitendinosus tendon combined with femur insertion of medial collateral ligament (MCL) and reconstruction of anterior cruciate ligament (ACL) with autograft bone-patellar tendon-bone in treatment of MCL laxity complicated by ACL injury of the knee.


METHODS
Twenty patients (20 knees), 14 male and 6 female, aged 32.6 (16-64), 1 case at grade II and 19 cases at grade III according to X ray classification, all cases at grade III by MRI evaluation, and with preoperative Lysholm knee joint score of 48.9 (35-65), underwent transposition of semitendinosus tendon combined with femur insertion of medial collateral ligament (MCL) and reconstruction of anterior cruciate ligament (ACL) with autograft bone-patellar tendon-bone. Followed up was conducted for 19.2 (6-59) months.


RESULTS
The postoperative Lysholm score was 83.9 (50-96). Eighteen of the 20 patients obtained an excellent result with good function of the knee joint except one case with osteoarthritis and one case with limited range of motion of the knee (90 degree), and the good-to-excellent rate was 90%.


CONCLUSIONS
Reconstruction with autograft of the bone-patellar tendon-bone and transposition of semitendinosus tendon combined with femur insertion of MCL proximal transfer is a reliable treatment method for MCL laxity complicated by old ACL injury of the knee.
Sun
Qiang
Q
Department of Orthopedics, Zhangshan Hospital affiliated to Dalian University, Dalian, China.
Zhao
De-wei
DW
Tian
Hui
H
D000293:Adolescent; D000328:Adult; D000070598:Anterior Cruciate Ligament Injuries; D050376:Bone-Patellar Tendon-Bone Grafting / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017888:Medial Collateral Ligament, Knee / Q000473:pathology* / Q000503:physiopathology; D008875:Middle Aged; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures; D017695:Soft Tissue Injuries / Q000601:surgery*; D013709:Tendon Transfer / Q000379:methods; D014182:Transplantation, Autologous; D016896:Treatment Outcome