Higher graft failure rates following primary ACL reconstruction and conservative MCL treatment compared to simultaneous primary ACL and MCL reconstruction: a retrospective cohort study

ACL-R and MCL reconstruction resulted in similar knee ROM, pain intensity, functional outcomes, time to return to work and sports, and activity level to ACL-R and conservative MCL treatment in patients with combined ACL and MCL injury. However, ACL-R and MCL reconstruction significantly reduced graft failure rates, suggesting the potential benefit of surgical MCL management in conjunction with ACL reconstruction.