{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T05:00:59Z","timestamp":1790139659282,"version":"4.0.1"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T00:00:00Z","timestamp":1613952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T00:00:00Z","timestamp":1613952000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T00:00:00Z","timestamp":1613952000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Chronic grade 3 tears of the medial collateral ligament and posterior oblique ligament may result in valgus laxity and anteromedial rotational instability after an isolated or multiligament injury. The purpose of this study was to prospectively analyze the restoration of physiologic medial laxity as assessed on stress radiography and patient reported subjective functional outcomes in patients who undergo an anatomic medial knee reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a prospective study which included patients with chronic (&gt;\u20096 weeks old) posteromedial corner injury with or without other ligament and meniscus lesions. Pre\u2010 and post\u2010operative valgus stress radiographs were performed in 20\u00b0 knee flexion and functional outcome was recorded as per the International Knee Documentation Committee (IKDC) and Lysholm scores. All patients underwent anatomic medial reconstruction with two femoral and two tibial sockets using ipsilateral hamstring tendon autograft. Simultaneous ligament and meniscus surgery was performed as per the associated injury pattern. All patients were followed up for a minimum of 24\u00a0months post\u2010surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010four patients (23\u00a0males, 11 females) were enrolled in the study and all were available till final follow\u2010up of mean 49.7\u2009\u00b1\u200914.9\u00a0months. The mean age was 30.6\u2009\u00b1\u20097.9 (18\u201352 years). Two patients had isolated medial sided lesions and 23 had associated ligament injuries. The mean follow up was 49.7 (24\u201372) months. The mean IKDC score improved from 58\u2009\u00b1\u20098.3 to 78.2\u2009\u00b1\u20099.5 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Post\u2010operatively there were 15 excellent, 11 good and 8 fair outcomes on Lysholm score. The mean pre\u2010operative valgus side\u2010to\u2010side opening improved from 7.5\u2009\u00b1\u20092.5\u00a0mm to 1.2\u2009\u00b1\u20090.7\u00a0mm on stress radiography (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Anatomic reconstruction of the superficial medial collateral and posterior oblique ligaments restore stability in a consistent manner cases of chronic grade 3\u00a0instability. The objective functional results, subjective outcomes and measures of static medial stability are satisfactory in the short term.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>IV<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06502-1","type":"journal-article","created":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T08:04:14Z","timestamp":1613981054000},"page":"280-287","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Anatomic medial knee reconstruction restores stability and function at minimum 2 years follow\u2010up"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9778-3042","authenticated-orcid":false,"given":"Sachin","family":"Tapasvi","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> The Orthopaedic Speciality Clinic 16 Status Chambers, 1221\/A Wrangler Paranjpe Road 411004 Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anshu","family":"Shekhar","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> The Orthopaedic Speciality Clinic 16 Status Chambers, 1221\/A Wrangler Paranjpe Road 411004 Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shantanu","family":"Patil","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Head, Translational Medicine and Research SRM Medical College and Hospitals, SRM Institute of Science and Technology Kattankulathur Tamilnadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Getgood","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Consultant Orthopaedic Surgeon Fowler Kennedy Sport Medicine Clinic London Ontario Canada"},{"name":"<!--<label>4<\/label>--> Department of Surgery, Division of Orthopaedics University of Western Ontario London Ontario Canada"},{"name":"<!--<label>5<\/label>--> 3M Centre University of Western Ontario N6A 3K7 London ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,22]]},"reference":[{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2017.07.017"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010020\u201006139\u20106"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010020\u201006084\u20104"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20104843\u20104"},{"key":"e_1_2_9_6_2","first-page":"173","article-title":"Treatment of medial and posteromedial knee instability: indications, techniques, and review of the results","volume":"32","author":"Bonasia DE","year":"2012","journal-title":"Iowa Orthop J"},{"key":"e_1_2_9_7_2","first-page":"1","article-title":"The posteromedial corner of the knee: an international expert consensus statement on diagnosis, classification, treatment, and rehabilitation","volume":"26","author":"Chahla J","year":"2020","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.17.00004"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509347996"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.05.011"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS\u2010D\u201016\u201000020"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.03.024"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178\u2010019\u201009549\u20103"},{"key":"e_1_2_9_14_2","doi-asserted-by":"publisher","DOI":"10.1302\/2058\u20105241.3.170035"},{"key":"e_1_2_9_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050008"},{"key":"e_1_2_9_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.03.007"},{"key":"e_1_2_9_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290051301"},{"key":"e_1_2_9_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506288855"},{"key":"e_1_2_9_19_2","unstructured":"JokelaMA M\u00e4kinenTJ KoivikkoMP LindahlJM HalinenJ LindahlJTreatment of medial\u2010sided injuries in patients with early bicruciate ligament reconstruction for knee dislocation.Knee Surg Sports Traumatol Arthrosc(2020)10.1007\/s00167\u2010020\u201006207\u2010x32862240"},{"key":"e_1_2_9_20_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.90B10.20781"},{"key":"e_1_2_9_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513485716"},{"key":"e_1_2_9_22_2","unstructured":"KittlC RobinsonJ RaschkeMJ OlbrichA FrankA GlasbrennerJet al. 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All disclosures are outside the submitted work. Anshu Shekhar and Shantanu Patil: None. Alan Getgood: Dr. Getgood reports personal fees from Smith and Nephew and Olympus; research support from Smith and Nephew and Ossur; and royalties from Smith and Nephew and Graymont. All disclosures are outside the submitted work.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"None.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Funding"}},{"value":"Institutional Review Board approval from Sahyadri Clinical Research and Development Center obtained prior patient recruitment. Final study results also submitted to the board.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed written consent for participation in the study obtained from all patients.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}}]}}