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- W2064804854 abstract "In our experience, combined injuries of the anterior cruciate ligament (ACL) and the medial collateral ligament (MCL) or lateral side knee structures can occur in noncontact as well as contact sports. The MCL usually heals without surgical intervention. Repair of the ACL should be delayed (4 to 8 weeks) until the acute inflammatory phase subsides, motion is restored, the MCL heals, and quadriceps strength is relatively the same as that of the noninvolved leg. Decisions for total management depend on the patient's age, activities, demands, and desires. We recommend ACL reconstruction for those patients at high risk for recurrent instability and subsequent injury and modification of activities and/or brace use for low-risk patients. For patients with associated lateral side injuries, we test for varus laxity at 30° and the presence of anterior laxity. Varus laxity in extension and posterior laxity are absent. We perform a magnetic resonance imaging scan routinely for defining the lateral side injuries. Because lateral side injuries do not heal well with conservative treatment, we do not have the luxury of significantly delaying surgical management of ACL/lateral side injuries as we do for ACL/MCL injuries; hence, we perform reconstruction of the ACL and lateral direct repair of structures 7 to 10 days after injury. These patients, treated in the manner described and rehabilitated by our program, which emphasizes knee motion and early weight bearing, are able to predictably return to full activities with a stable functional knee." @default.
- W2064804854 created "2016-06-24" @default.
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- W2064804854 date "1993-01-01" @default.
- W2064804854 modified "2023-09-24" @default.
- W2064804854 title "Management of combined instabilities: Anterior cruciate ligament/medial collateral ligament and anterior cruciate ligament/lateral side" @default.
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- W2064804854 doi "https://doi.org/10.1016/s1060-1872(10)80031-0" @default.
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