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Related Experiment Videos

Multiple-ligament injured knee.

Lei Sun1, Zhi-jie Ning, Hui Zhang

  • 1Orthopaedic Center of PLA, the 88th Hospital, Taioan 271000, China.

Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi
|November 14, 2006
PubMed
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Multiple-ligament knee injuries often involve other structures, requiring careful assessment and treatment. Arthroscopic reconstruction of anterior and posterior cruciate ligaments, combined with extraarticular repairs, offers minimal trauma and good outcomes.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Traumatology

Background:

  • Multiple-ligament knee injuries present complex challenges in diagnosis and management.
  • These injuries frequently involve concomitant damage to surrounding structures, impacting treatment protocols and patient outcomes.

Purpose of the Study:

  • To characterize the clinical presentation of multiple-ligament knee injuries.
  • To evaluate the efficacy of a specific treatment protocol, including surgical techniques and patient outcomes.

Main Methods:

  • A cohort of 9 patients with combined anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) tears was studied.
  • Surgical interventions included arthroscopic ACL and PCL reconstruction with autografts, alongside repairs or reconstructions of associated posteromedial corner (PMC), medial collateral ligament (MCL), or posterolateral corner (PLC) injuries.

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  • Popliteal vascular and peroneal nerve injuries were also addressed when present.

    • Main Results:

    • No severe early postoperative complications were reported.
    • Follow-up averaged 23 months, with Lysholm scores averaging 85.00 and IKDC scores improving from Grade D to predominantly Grade A or B.
    • Seven out of nine patients returned to their pre-injury activity level.

    Conclusions:

    • Multiple-ligament knee injuries often signify severe instability with associated structural damage.
    • Comprehensive assessment and staged or simultaneous surgical management of all injured structures are crucial.
    • Arthroscopic ACL and PCL reconstruction combined with extraarticular ligament repair/reconstruction provides a minimally invasive approach with favorable functional outcomes.