Repair of Medial Collateral Ligament Injury During Total Knee Arthoplasty

被引:26
|
作者
Stephens, Scott [1 ]
Politi, Joel [1 ]
Backes, Jeffrey [1 ]
Czaplicki, Tony [1 ]
机构
[1] Mt Carmel Hosp Syst, Columbus, OH 43219 USA
关键词
TOTAL CONDYLAR-III; ARTHROPLASTY; PROSTHESIS; MANAGEMENT; FOLLOW;
D O I
10.3928/01477447-20120123-01
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Intraoperative midsubstance lacerations of the medial collateral ligament (MCL) must be addressed during surgery, and failure to obtain coronal plane stability could affect patient outcomes and satisfaction. This article reports our results of a series of patients who sustained an intraoperative MCL injury during a primary total knee arthroplasty and were treated by direct primary repair and no change in implant constraint or postoperative protocol. Over a 5-year period, 9 patients sustained this complication. We reviewed their subjective satisfaction and stability, as well as objective measures such as functional scores, physical examinations, and radiographs. Average patient age was 58 years, and mean patient body mass index was 43.3. All patients were satisfied with the procedure and demonstrated no instability on physical examination. Average Knee Society pain score was 91.5 and functional score was 73.3. No radiographic changes or signs of loosening were noted. This novel approach for intraoperative midsubstance lacerations of the MCL does not involve altering implants or postoperative protocols and has encouraging results.
引用
收藏
页码:E154 / E159
页数:6
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