Conservative Treatment for the Intraoperative Detachment of Medial Collateral Ligament from the Tibial Attachment Site during Primary Total Knee Arthroplasty

Min Hoi Koo, Choong Hyeok Choi

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

For intraoperative injuries of the medial collateral ligament (MCL) during primary total knee arthroplasty (TKA), many authors recommended complex reconstructive procedures or conversion to the constrained prosthesis in previous literature. However, it is well known that medial collateral ligament has good healing potential after injuries. This retrospective study evaluated the clinical and radiological results of 15 primary TKAs complicated with intraoperative complete detachment of the MCL from tibial attachment site, which were all treated solely by nonoperative conservative treatment without any other additive procedures or braces. Compared to the MCL-intact contralateral knees, there was no significant difference in terms of clinical and radiological outcome at minimum of 2 postoperative year. There was no case showing clinical instability, either. Solely, the nonoperative conservative treatment for intraoperative injuries of the MCL during primary TKAs is expected not only to be effective with satisfactory results but also to decrease complications derived from other sophisticated reparative or reconstructive procedures.

Original languageEnglish
Pages (from-to)1249-1253
Number of pages5
JournalJournal of Arthroplasty
Volume24
Issue number8
DOIs
StatePublished - 2009 Dec 1

Fingerprint

Knee Medial Collateral Ligament
Collateral Ligaments
Knee Replacement Arthroplasties
Wounds and Injuries
Braces
Prostheses and Implants
Knee
Retrospective Studies
Conservative Treatment

Keywords

  • conservative treatment
  • intraoperative MCL injury
  • total knee arthroplasty

Cite this

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