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Fahima A. Begum Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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Babar Kayani Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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Justin S. Chang Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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Rosamond J. Tansey Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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Fares S. Haddad Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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high risk of injury recurrence. 1 , 5 However, understanding the optimal management of rectus femoris injuries is challenging, as existing reports on non-operative and operative management of these injures have combined proximal and distal muscle

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Francisco Figueroa Clinica Alemana-Universidad del Desarrollo, Santiago, Chile
Hospital Sotero del Rio, Santiago, Chile

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David Figueroa Clinica Alemana-Universidad del Desarrollo, Santiago, Chile

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Sven Putnis Southmead Hospital, Bristol, UK

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Rodrigo Guiloff Clinica Alemana-Universidad del Desarrollo, Santiago, Chile
Hospital Sotero del Rio, Santiago, Chile

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Patricio Caro Clinica Alemana-Universidad del Desarrollo, Santiago, Chile

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João Espregueira-Mendes Clínica do Dragão, Espregueira-Mendes Sports Centre – FIFA Medical Centre of Excellence, Portugal
Orthopaedics Department of Minho University, Portugal

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the anatomy and biomechanics, coupled with poor patient outcomes with non-operative management, resulted in the PLC often being labelled as the ‘dark side’ of the knee. 5 In the last two decades, extensive research 6 – 9 has resulted in a

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Mahmut Nedim Doral Hacettepe University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Department of Sports Medicine, Ankara, Turkey

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Onur Bilge Konya N.E. University, Meram Faculty of Medicine, Department of Orthopaedics and Traumatology, Department of Sports Medicine, Konya, Turkey

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Gazi Huri Hacettepe University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Ankara, Turkey

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Egemen Turhan Hacettepe University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Ankara, Turkey

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René Verdonk Ghent University, Faculty of Medicine, Department of Orthopaedics and Traumatology, De Pintelaan, Ghent, Belgium

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related to the patient and the lesion. 26 Non-operative management Non-operative management is useful for the initial treatment for acute knee trauma and as a first-line treatment method in degenerative meniscal tears. In the former situation

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Yusuf Omar Qalib Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China
These authors contributed equally to this work

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Yicun Tang Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China
These authors contributed equally to this work

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Dawei Wang Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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Baizhou Xing Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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Xingming Xu Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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Huading Lu Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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management for MRL repair. It was adopted from protocols applied in other types of surgeries. This has led to doctors advocating different post-operative management plans based on their experience, knowledge exchange with other orthopaedicians, etc. Generally

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Nikolaos K. Paschos University of California, Davis, USA

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Stephen M. Howell University of California, Davis, USA

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considered the ‘gold standard’ of care. The non-operative management of ACL-deficient knees has been proposed in the past as an alternative, but has been associated with poor functional outcome. 14 - 18 Specifically, non-operative treatment resulted in

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Michele Boffano CTO Hospital Turin, Italy

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Stefano Mortera CTO Hospital Turin, Italy

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Hazem Wafa Glasgow Royal Infirmary, Glasgow, UK

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Raimondo Piana CTO Hospital Turin, Italy

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-up of 34 months, a significantly better functional outcome following operative compared with non-operative management. 21 Wojtys and Nelson 22 suggest a treatment strategy based on the levels of shoulder strength or endurance, underlying the

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N. Reha Tandogan Çankaya Orthopedics, Ankara, Turkey

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Asim Kayaalp Çankaya Orthopedics, Ankara, Turkey

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. Kovachevich R , Shah JP , Arens AM , Stuart MJ , Dahm DL , Levy BA . Operative management of the medial collateral ligament in the multi-ligament injured knee: an evidence-based systematic review . Knee Surg

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Carlos A. Encinas-Ullán Department of Orthopaedic Surgery, ‘La Paz’ University Hospital-IdiPaz, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, ‘La Paz’ University Hospital-IdiPaz, Spain

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R Shah JP Arens AM Stuart MJ Dahm DL Levy BA . Operative management of the medial collateral ligament in the multi-ligament injured knee: an evidence-based systematic review . Knee Surg Sports Traumatol

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Jimmy Wui Guan Ng Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, UK

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Yulanda Myint Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, UK

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Fazal M. Ali Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, UK

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Arens AM Stuart MJ Dahm DL Levy BA . Operative management of the medial collateral ligament in the multi-ligament injured knee: an evidence-based systematic review . Knee Surg Sports Traumatol Arthrosc 2009 ; 17 : 823

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E. Carlos Rodríguez-Merchán Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain

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Hortensia De la Corte-Rodríguez Department of Physical and Rehabilitation Medicine, La Paz University Hospital, Madrid, Spain

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Carlos A. Encinas-Ullán Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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Primitivo Gómez-Cardero Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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combined with simultaneous arthroscopic anterior cruciate ligament reconstruction . Arthroscopy 1999 ; 15 : 864 – 866 . 26. Hegyes MS Richardson MW Miller MD . Knee dislocation: complications of nonoperative and operative management

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