The First Clinical Medical School, Guangzhou University of Chinese Medicine, Jichang Road 12#, District Baiyun, Guangzhou, Guangdong, China.
The First Affiliated Hospital of Nanchang University, 17 Yongwai Street, Nanchang, 330006, China.
J Orthop Surg Res. 2021 Nov 20;16(1):686. doi: 10.1186/s13018-021-02824-5.
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.
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.
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.
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.
作为一种罕见但严重的并发症，全膝关节置换术（TKA）中的内侧副韧带（MCL）损伤可能被严重低估。我们旨在确定 MCL 损伤是否会影响 TKA 患者的术后结果。
两位独立的审查员从成立到 2021 年 7 月 1 日，在 PubMed、Cochrane 图书馆和 EMBASE 中进行了搜索。主要结果是术后功能，次要结果包括翻修和并发症的发生率。
共产生 403 篇文章，其中有 15 项研究符合纳入标准，其中 10 项研究进行了荟萃分析。本研究发现，术后功能评分、关节活动度（ROM）、并发症和翻修率存在统计学显著差异，MCL 损伤患者更常出现不良结果。
这项荟萃分析强调了 TKA 期间 MCL 损伤的复杂性，并显示了其对术后功能、关节活动度、并发症和翻修的影响。外科医生在 TKA 期间需要预防和更加重视 MCL 损伤。
