✦ LIBER ✦

The non operative treatment of isolated complete tears of the medial collateral ligament of the knee

✍ Scribed by P. M. Ballmer; R. P. Jakob

Publisher: Springer
Year: 1988
Tongue: English
Weight: 321 KB
Volume: 107
Category: Article
ISSN: 1434-3916
DOI: 10.1007/bf00451505

No coin nor oath required. For personal study only.

✦ Synopsis

In a prospective randomized study, 20 patients with isolated grade-III injuries to the medial collateral ligament (MCL) of the knee were treated by two different conservative methods: immediate mobilization (group A) or plaster immobilization (group B). All patients were examined while under anesthesia. Valgus-stress radiographs were performed to document a 2+ opening (6-10 mm) on the medial side. Associated damage to other structures (cruciate ligaments, menisci, cartilage) was ruled out arthroscopically. Average follow-up was 1.5 years. All patients rated good or excellent, although a minimal laxity of 3 mm on valgus-stress radiographs was present in 60% of the cases. No significant differences between the two treatment modalities were identified, except that group-A patients returned to work sooner. These results confirm that isolated grade-III MCL tears can be treated successfully by immediate mobilization.

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