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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Hanley, JM; Anthony, CA; DeMik, D; Glass, N; Amendola, A; Wolf, BR; Bollier, M

Published Date

  • March 2017

Published In

Volume / Issue

  • 5 / 3

Start / End Page

  • 2325967117694818 -

PubMed ID

  • 28357408

Pubmed Central ID

  • PMC5358815

International Standard Serial Number (ISSN)

  • 2325-9671

Digital Object Identifier (DOI)

  • 10.1177/2325967117694818


  • eng

Conference Location

  • United States