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Patient-Reported Outcomes After Multiligament Knee Injury: MCL Repair Versus Reconstruction

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...

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Autores principales: Hanley, Jessica M., Anthony, Christopher A., DeMik, David, Glass, Natalie, Amendola, Annunziato, Wolf, Brian R., Bollier, Matthew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
23
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5358815/
https://www.ncbi.nlm.nih.gov/pubmed/28357408
http://dx.doi.org/10.1177/2325967117694818
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author Hanley, Jessica M.
Anthony, Christopher A.
DeMik, David
Glass, Natalie
Amendola, Annunziato
Wolf, Brian R.
Bollier, Matthew
author_facet Hanley, Jessica M.
Anthony, Christopher A.
DeMik, David
Glass, Natalie
Amendola, Annunziato
Wolf, Brian R.
Bollier, Matthew
author_sort Hanley, Jessica M.
collection PubMed
description 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.
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spelling pubmed-53588152017-03-29 Patient-Reported Outcomes After Multiligament Knee Injury: MCL Repair Versus Reconstruction Hanley, Jessica M. Anthony, Christopher A. DeMik, David Glass, Natalie Amendola, Annunziato Wolf, Brian R. Bollier, Matthew Orthop J Sports Med 23 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. SAGE Publications 2017-03-15 /pmc/articles/PMC5358815/ /pubmed/28357408 http://dx.doi.org/10.1177/2325967117694818 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc-nd/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (http://www.creativecommons.org/licenses/by-nc-nd/3.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle 23
Hanley, Jessica M.
Anthony, Christopher A.
DeMik, David
Glass, Natalie
Amendola, Annunziato
Wolf, Brian R.
Bollier, Matthew
Patient-Reported Outcomes After Multiligament Knee Injury: MCL Repair Versus Reconstruction
title Patient-Reported Outcomes After Multiligament Knee Injury: MCL Repair Versus Reconstruction
title_full Patient-Reported Outcomes After Multiligament Knee Injury: MCL Repair Versus Reconstruction
title_fullStr Patient-Reported Outcomes After Multiligament Knee Injury: MCL Repair Versus Reconstruction
title_full_unstemmed Patient-Reported Outcomes After Multiligament Knee Injury: MCL Repair Versus Reconstruction
title_short Patient-Reported Outcomes After Multiligament Knee Injury: MCL Repair Versus Reconstruction
title_sort patient-reported outcomes after multiligament knee injury: mcl repair versus reconstruction
topic 23
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5358815/
https://www.ncbi.nlm.nih.gov/pubmed/28357408
http://dx.doi.org/10.1177/2325967117694818
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