Impact of intraoperative medial collateral ligament injury on outcomes after total knee arthroplasty: a meta-analysis and systematic review

Abstract Background As an uncommon but severe complication, medial collateral ligament (MCL) injury in total knee arthroplasty (TKA) may be significantly under-recognized. We aimed to determine whether MCL injury influences postoperative outcomes of patients undergoing TKA. Methods Two independent r...

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Autores principales:	Jiahao Li, Zijian Yan, Yan Lv, Yijin Li, Pengcheng Ye, Peng Deng, Haitao Zhang, Jinlun Chen, Jie Li, Xinyu Qi, Jianchun Zeng, Yirong Zeng, Wenjun Feng
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Total knee arthroplasty Medial collateral ligament Meta-analysis Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/14cb98286caf4bab93229e89d249a40c
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spelling	oai:doaj.org-article:14cb98286caf4bab93229e89d249a40c2021-11-21T12:29:58ZImpact of intraoperative medial collateral ligament injury on outcomes after total knee arthroplasty: a meta-analysis and systematic review10.1186/s13018-021-02824-51749-799Xhttps://doaj.org/article/14cb98286caf4bab93229e89d249a40c2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13018-021-02824-5https://doaj.org/toc/1749-799XAbstract Background As an uncommon but severe complication, medial collateral ligament (MCL) injury in total knee arthroplasty (TKA) may be significantly under-recognized. We aimed to determine whether MCL injury influences postoperative outcomes of patients undergoing TKA. Methods Two independent reviewers searched PubMed, Cochrane Library, and EMBASE from their inception to July 1, 2021. The main outcomes were postoperative function, and secondary outcomes included the incidences of revision and complications. Results A total of 403 articles yielded 15 studies eligible for inclusion with 10 studies used for meta-analysis. This study found that there was a statistically significant difference in postoperative functional scores, range of motion (ROM), complications, and revision rates, with adverse outcomes occurring more commonly in patients with MCL injury. Conclusions This meta-analysis highlights the complexity of MCL injury during TKA and shows the impact on postoperative function, joint mobility, complications, and revision. Surgeons need to prevent and put more emphasis on MCL injury during TKA.Jiahao LiZijian YanYan LvYijin LiPengcheng YePeng DengHaitao ZhangJinlun ChenJie LiXinyu QiJianchun ZengYirong ZengWenjun FengBMCarticleTotal knee arthroplastyMedial collateral ligamentMeta-analysisOrthopedic surgeryRD701-811Diseases of the musculoskeletal systemRC925-935ENJournal of Orthopaedic Surgery and Research, Vol 16, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Total knee arthroplasty Medial collateral ligament Meta-analysis Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935
spellingShingle	Total knee arthroplasty Medial collateral ligament Meta-analysis Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935 Jiahao Li Zijian Yan Yan Lv Yijin Li Pengcheng Ye Peng Deng Haitao Zhang Jinlun Chen Jie Li Xinyu Qi Jianchun Zeng Yirong Zeng Wenjun Feng Impact of intraoperative medial collateral ligament injury on outcomes after total knee arthroplasty: a meta-analysis and systematic review
description	Abstract Background As an uncommon but severe complication, medial collateral ligament (MCL) injury in total knee arthroplasty (TKA) may be significantly under-recognized. We aimed to determine whether MCL injury influences postoperative outcomes of patients undergoing TKA. Methods Two independent reviewers searched PubMed, Cochrane Library, and EMBASE from their inception to July 1, 2021. The main outcomes were postoperative function, and secondary outcomes included the incidences of revision and complications. Results A total of 403 articles yielded 15 studies eligible for inclusion with 10 studies used for meta-analysis. This study found that there was a statistically significant difference in postoperative functional scores, range of motion (ROM), complications, and revision rates, with adverse outcomes occurring more commonly in patients with MCL injury. Conclusions This meta-analysis highlights the complexity of MCL injury during TKA and shows the impact on postoperative function, joint mobility, complications, and revision. Surgeons need to prevent and put more emphasis on MCL injury during TKA.
format	article
author	Jiahao Li Zijian Yan Yan Lv Yijin Li Pengcheng Ye Peng Deng Haitao Zhang Jinlun Chen Jie Li Xinyu Qi Jianchun Zeng Yirong Zeng Wenjun Feng
author_facet	Jiahao Li Zijian Yan Yan Lv Yijin Li Pengcheng Ye Peng Deng Haitao Zhang Jinlun Chen Jie Li Xinyu Qi Jianchun Zeng Yirong Zeng Wenjun Feng
author_sort	Jiahao Li
title	Impact of intraoperative medial collateral ligament injury on outcomes after total knee arthroplasty: a meta-analysis and systematic review
title_short	Impact of intraoperative medial collateral ligament injury on outcomes after total knee arthroplasty: a meta-analysis and systematic review
title_full	Impact of intraoperative medial collateral ligament injury on outcomes after total knee arthroplasty: a meta-analysis and systematic review
title_fullStr	Impact of intraoperative medial collateral ligament injury on outcomes after total knee arthroplasty: a meta-analysis and systematic review
title_full_unstemmed	Impact of intraoperative medial collateral ligament injury on outcomes after total knee arthroplasty: a meta-analysis and systematic review
title_sort	impact of intraoperative medial collateral ligament injury on outcomes after total knee arthroplasty: a meta-analysis and systematic review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/14cb98286caf4bab93229e89d249a40c
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Impact of intraoperative medial collateral ligament injury on outcomes after total knee arthroplasty: a meta-analysis and systematic review

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