Multiligament Knee Injuries

2022 ◽  
pp. 135-143
Author(s):  
Gilbert Moatshe ◽  
Alan Getgood ◽  
Lars Engebretsen
Keyword(s):  
Knee Injuries ◽  
Multiligament Knee Injuries

Multiligament Knee Injuries and Their Treatment

2010 ◽  
Vol 18 (4) ◽  
pp. 219-226 ◽  
Author(s):  
Demetris Delos ◽  
Russell F. Warren ◽  
Robert G. Marx
Keyword(s):  
Knee Injuries ◽  
Multiligament Knee Injuries

scholarly journals Low-Energy Multiligament Knee Injuries Are Associated With Higher Postoperative Activity Scores Compared With High-Energy Multiligament Knee Injuries: A Systematic Review and Meta-analysis of the Literature

2020 ◽  
pp. 036354652096208
Author(s):  
Robert S. Dean ◽  
Nicholas N. DePhillipo ◽  
David H. Kahat ◽  
Nathan R. Graden ◽  
Christopher M. Larson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Motor Vehicle ◽  
Meta Analysis ◽  
Knee Injuries ◽  
High Energy ◽  
Low Energy ◽  
Vehicle Accidents ◽  
Injury Mechanisms ◽  
Outcome Scores ◽  
Multiligament Knee Injuries

Background: Multiligament knee injuries (MLKIs) can result from high-energy injury mechanisms such as motor vehicle accidents or low-energy injury mechanisms such as activities of daily living or sports. Purpose/Hypothesis: The purpose was to conduct a systematic review on postoperative patient-reported outcomes after MLKIs and to conduct a meta-analysis of comparable outcome variables based upon high- versus low-energy injury mechanisms. It was hypothesized that MLKIs with low-energy injury mechanisms would demonstrate significantly improved subjective clinical outcome scores compared with high-energy injuries. Study design: Meta-analysis and systematic review. Methods: A systematic review was performed with the inclusion criteria of postoperative MLKI outcomes based upon high-versus low-energy mechanisms of injury with a minimum 2-year follow-up. Outcome scores included were the Lysholm knee scoring scale, Tegner activity scale, and the International Knee Documentation Committee (IKDC) score. High-energy mechanisms included motor vehicle accidents or falls from a height >5 feet; low-energy mechanisms included sports-related injuries, activities of daily living, or falls from <5 feet. A meta-analysis was performed comparing the outcome scores of high- versus low-energy mechanisms of MLKIs. Results: Overall, 1214 studies were identified, 15 of which were included in the systematic review and meta-analysis. Thirteen studies included surgical reconstructions of all injured ligaments. A total of 641 patients with 275 high-energy and 366 low-energy injuries were grouped for comparison in the meta-analysis. No significant differences in Lysholm scale (78.6 vs 78.0) or IKDC scores (69.0 vs 68.4) were found between high- and low-energy groups at a minimum of 2 years (range, 2-10 years) postoperatively ( P > .05). The low-energy injury group demonstrated significantly higher Tegner activity scale scores (5.0 vs 3.9; P = .03). There was no significant difference in failure rates between groups (3.5% vs 2.0%; P = .23). Conclusion: We found in this systematic review and meta-analysis that patients with low-energy mechanisms of MLKI surgery had improved postoperative Tegner activity scores compared with those patients with high-energy mechanisms after MLKI surgery. However, there were no differences in Lysholm score, IKDC score, or failure rates between high- and low-energy MLKI patients at an average of 5.3 years postoperatively.

Medial Patellofemoral Ligament Tears in the Setting of Multiligament Knee Injuries Rarely Cause Patellar Instability

2015 ◽  
Vol 43 (6) ◽  
pp. 1386-1390 ◽  
Author(s):  
Benjamin J. Allen ◽  
Aaron J. Krych ◽  
William Engasser ◽  
Bruce A. Levy ◽  
Michael J. Stuart ◽  
...  
Keyword(s):  
Patellar Instability ◽  
Medial Patellofemoral Ligament ◽  
Knee Injuries ◽  
Multiligament Knee Injuries

Varus mechanism is associated with high incidence of popliteal artery lesions in multiligament knee injuries

2020 ◽  
Vol 44 (6) ◽  
pp. 1195-1200
Author(s):  
Maximiliano Scheu ◽  
Gonzalo F. Espinoza ◽  
Carolina A. Mellado ◽  
Pedro A. Díaz ◽  
Alan F. Garín ◽  
...  
Keyword(s):  
Popliteal Artery ◽  
Knee Injuries ◽  
High Incidence ◽  
Multiligament Knee Injuries

scholarly journals Multiligament Knee Injuries in Older Adolescents: A 2-Year Minimum Follow-up Study

2017 ◽  
Vol 5 (9) ◽  
pp. 232596711772771 ◽  
Author(s):  
Jonathan A. Godin ◽  
Mark E. Cinque ◽  
Jonas Pogorzelski ◽  
Gilbert Moatshe ◽  
Jorge Chahla ◽  
...  
Keyword(s):  
Knee Injuries ◽  
Follow Up Study ◽  
Older Adolescents ◽  
Multiligament Knee Injuries

Injury patterns to the posteromedial corner of the knee in high-grade multiligament knee injuries: a MRI study

2009 ◽  
Vol 18 (8) ◽  
pp. 1098-1104 ◽  
Author(s):  
Jaskarndip Chahal ◽  
Muhyeddine Al-Taki ◽  
Dawn Pearce ◽  
Anthea Leibenberg ◽  
Daniel B. Whelan
Keyword(s):  
Knee Injuries ◽  
High Grade ◽  
Injury Patterns ◽  
Posteromedial Corner ◽  
Mri Study ◽  
Multiligament Knee Injuries

Incidence of Concurrent Peroneal Nerve Injury in Multiligament Knee Injuries and Outcomes after Knee Reconstruction

2018 ◽  
Vol 32 (06) ◽  
pp. 560-564 ◽  
Author(s):  
John R. Worley ◽  
Olubusola Brimmo ◽  
Clayton W. Nuelle ◽  
James L. Cook ◽  
James P. Stannard
Keyword(s):  
Return To Work ◽  
Nerve Injury ◽  
Peroneal Nerve ◽  
Knee Injuries ◽  
Knee Reconstruction ◽  
Level Of Activity ◽  
Previous Level ◽  
Peroneal Nerve Injury ◽  
Multiligament Knee Injuries

AbstractThe purpose of this study was to determine incidence of concurrent peroneal nerve injury and to compare outcomes in patients with and without peroneal nerve injury after surgical treatment for multiligament knee injuries (MLKIs). A retrospective study of 357 MLKIs was conducted. Patients with two or more knee ligaments requiring surgical reconstruction were included. Mean follow-up was 35 months (0–117). Incidence of concurrent peroneal nerve injury was noted and patients with and without nerve injury were evaluated for outcomes. Concurrent peroneal nerve injury occurred in 68 patients (19%). In patients with nerve injury, 45 (73%) returned to full duty at work; 193 (81%) patients without nerve injury returned to full duty (p = 0.06). In patients with nerve injury, 37 (60%) returned to their previous level of activity; 148 (62%) patients without nerve injury returned to their previous level of activity (p = 0.41). At final follow-up, there were no significant differences in level of pain (mean visual analog scale 1.6 vs. 2; p = 0.17), Lysholm score (mean 88.6 vs. 88.8; p = 0.94), or International Knee Documentation Committee score (mean 46.2 vs. 47.8; p = 0.67) for patients with or without peroneal nerve injury, respectively. Postoperative range of motion (ROM) (mean 121 degrees) was significantly lower (p = 0.02) for patients with nerve injury compared with patients without nerve injury (mean 127 degrees). Concurrent peroneal nerve injury occurred in 19% of patients in this large cohort suffering MLKIs. After knee reconstruction surgery, patients with concurrent peroneal nerve injuries had significantly lower knee ROM and trended toward a lower rate of return to work. However, outcomes with respect to activity level, pain, and function were not significantly different between the two groups. This study contributes to our understanding of patient outcomes in patients with concurrent MLKI and peroneal nerve injury, with a focus on the patient's ability to return to work and sporting activity.

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