Journal of Orthopaedic Surgery and Research (Nov 2021)

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

  • 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

DOI
https://doi.org/10.1186/s13018-021-02824-5
Journal volume & issue
Vol. 16, no. 1
pp. 1 – 10

Abstract

Read online

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.

Keywords