The optimal management of combined anterior cruciate ligament–medial collateral ligament (ACL-MCL) injuries is controversial. Recent studies have shown good results with operative management of the ACL tear in conjunction with nonoperative management of the MCL tear. Individuals who underwent ACL reconstruction and conservative management of the MCL had superior range of motion and quicker strength gains in the short-term compared to those who underwent repair of both ligaments. In addition, long-term results show excellent stability and functional outcome in individuals treated conservatively.
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