Comparison of Management of Multiple Knee Ligaments Injury: A Clinical Study
Background: Multiple ligament knee injuries (MLKI) are usually the result of knee dislocations following either high energy motor vehicle accidents or low velocity sport injuries. Hence; we planned the present study to assess and compare two different management protocols for treating patients with multiple knee ligament injuries.
Methods: The present study involved comparison of two different methods of management of multiple knee ligament injuries. A total of 20 patients with multiple ligament injured knee were included in the present study. All the patients were broadly divided into two study groups as follows: Group 1: Included patients who were treated with one-stage process .i.e. all ruptured ligaments were repaired or reconstructed at a single stage of operation. Group 2: Included patients who were treated with staged processes .i.e. the entire surgical procedure was carried out in multiple stages Complete follow-up details of all the subjects were obtained. Knee injury and osteoarthritis outcome score during follow-up was used for assessment of results.
Results: Mean age of the subjects of group 1 and group 2 was 39.5 years and 36.4 years respectively. While comparing the sports and knee symptoms of the knee injury and osteoarthritis outcome score during follow-up, significant results were obtained.
Conclusion: Surgical treatment protocol is reliable mode of treatment for treating multiple ligament injury patients.
2. Meyers M, Harvey JP. Traumatic dislocation of the knee joint. J Bone Joint Surg. 1971;53A:16–29.
3. Stannard J.P., Brown S.L., Farris R.C., McGwin G., Jr., Volgas D.A. The posterolateral corner of the knee: repair versus reconstruction. Am J Sports Med. 2005;33:881–888.
4. LaPrade R.F., Johansen S., Wentorf F.A., Engebretsen L., Esterberg J.L., Tso A. An analysis of an anatomical posterolateral knee reconstruction: an in vitro biomechanical study and development of a surgical technique. Am J Sports Med. 2004;32:1405–1414.
5. Angelini F.J., Helito C.P., Tozi M.R. Combined reconstruction of the anterior cruciate ligament and posterolateral corner with a single femoral tunnel. Arthrosc Tech. 2013;2:e285–288.
6. Lee K.H., Jung Y.B., Jung H.J. Combined posterolateral corner reconstruction with remnant tensioning and augmentation in chronic posterior cruciate ligament injuries: minimum 2-year follow-up. Arthroscopy. 2011;27:507–515.
7. Shields I, Mital M, Cave EF. Complete dislocation of the knee. Experience at the Massachusetts General Hospital. J Trauma. 1969;9:192–215
8. Wright DG, Covey DC, Born CT, Sadasivan KK. Open dislocation of the
knee. J Orthop Trauma. 1995;9:135–140.
9. Sun L, Wu B, Tian M, Luo YZ. Results of multiple ligament injured knees
operated by three different strategies. Indian J Orthop 2016;50:43-8
10. Lai Z, Liu ZX, Yang JL, Zhang ZF, Chang YL. Clinical effect of staged repair and reconstruction of multiple ligament injuries in knee joints.
Zhongguo Gu Shang. 2016 May;29(5):404-7.
11. Subbiah M1, Pandey V, Rao SK, Rao S. Staged arthroscopic
reconstructive surgery for multiple ligament injuries of the knee. J Orthop Surg (Hong Kong). 2011 Dec;19(3):297-302.
Copyright (c) 2018 International Archives of BioMedical and Clinical Research
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.