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Simultaneous surgical management of chronic grade-2 valgus instability of the knee and anterior cruciate ligament deficiency in athletes

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

We report on 22 patients with chronic grade-2 valgus laxity of the knee combined with chronic anterior cruciate ligament (ACL) insufficiency, in whom the two lesions were addressed at the same surgical setting. At a minimum follow-up of 24 months, clinical and functional variables had improved significantly (P < 0.001), and 20 of the 22 patients (91%) had returned to sport at pre-injury level. There were no operative complications in this series. In selected athletes with chronic symptomatic valgus laxity of the knee combined with ACL insufficiency, surgical repair of the MCL in association with ACL reconstruction is a suitable and reliable option to restore knee stability and allow return to pre-injury activity level.

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Authors and Affiliations

  1. Unit of Arthroscopy and Sports Trauma Surgery, Hesperia Hospital, Via Arquà 80/b, Modena, Italy

    Leonardo Osti

  2. Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, Rome, Italy

    Rocco Papalia, Angelo Del Buono & Vincenzo Denaro

  3. Unit of Orthopaedic, Performance Group, Strada Massetana Romana 58/A, 53100, Siena, Italy

    Franco Merlo

  4. Queen Mary University of London, Centre for Sports and Exercise Medicine, Mile End Hospital, 275 Bancroft Road, London, E1 4DG, UK

    Nicola Maffulli

Authors
  1. Leonardo Osti
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  2. Rocco Papalia
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  3. Angelo Del Buono
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  4. Franco Merlo
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  5. Vincenzo Denaro
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  6. Nicola Maffulli
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Correspondence to Nicola Maffulli.

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Osti, L., Papalia, R., Del Buono, A. et al. Simultaneous surgical management of chronic grade-2 valgus instability of the knee and anterior cruciate ligament deficiency in athletes. Knee Surg Sports Traumatol Arthrosc 18, 312–316 (2010). https://doi.org/10.1007/s00167-009-0966-y

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  • DOI: https://doi.org/10.1007/s00167-009-0966-y

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