Epidemiological Study on Multiligament Knee Injuries
Igor Natário Pinheiro1, Igor Stefano Menescal Pedrinha1, Phelippe Augusto Valente Maia1
1Centro de Atenção Especializada ao Joelho, Instituto Nacional de Traumatologia Jammil Haddad, Rio de Janeiro, RJ, Brasil.
This study describes multiligament knee injuries in Brazil, finding motorcycle accidents are the most common cause. Results highlight frequent anterior and posterior cruciate ligament injuries, differing from international data.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Sports Medicine
Background:
- Multiligament knee injuries are complex orthopedic emergencies.
- Understanding patient demographics and trauma mechanisms is crucial for effective treatment.
- Limited data exists on multiligament knee injuries specific to the Brazilian population.
Purpose of the Study:
- To characterize multiligament knee injuries in a Brazilian cohort.
- To correlate injury patterns with patient profiles and trauma mechanisms.
- To compare findings with international studies.
Main Methods:
- Cross-sectional study of 82 patients with multiligament knee injuries (Sept 2016 - Sept 2018).
- Evaluation of age, gender, mechanical axis, affected side, range of motion, trauma mechanism, associated injuries, affected ligaments, and work absence.
- Analysis of injury types, including ligament involvement and dislocation patterns.
Main Results:
- Average patient age was 29.7 years, with 92.7% males.
- Motorcycle accidents were the most common trauma mechanism (45.1%).
- Most frequent ligament injuries: anterior cruciate ligament (80.5%), posterior cruciate ligament (77.1%), posterolateral corner (61.0%), tibial collateral ligament (26.8%). KD IIIL dislocation occurred in 30.4%.
Conclusions:
- Significant differences exist between Brazilian multiligament knee injury patients and international cohorts.
- Further population-specific research is recommended to optimize treatment strategies.
- Motorcycle accidents and specific ligament patterns characterize this Brazilian patient group.
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