Complex Repair and Cruciate Ligament Reconstruction in KDs III and IV Multiligamentous Knee Injuries—Results of Mid-Term Follow-up

Abstract

The purpose of the present study was to describe the longitudinal outcomes of acute repair of extra-articular structure and anatomical reconstruction of cruciate ligament for knee dislocations (KDs) III and IV multiligamentous knee injuries. Forty-seven patients with an acute KD III or IV were treated with one-stage management within 9.2 days. Forty-five KDs III and IV with a follow-up at a mean of 53.2 months were evaluated. The mean International Knee Documentation Committee (IKDC) score, Lysholm score, and Tegner score were 81.5 ± 0.7, 89.6 ± 1.2, and 6.8 ± 0.5, respectively. Comparing preoperative data with those at the latest follow-up, significant improvements in IKDC score (p < 0.01), Lysholm score (p < 0.01), and Tegner score (p < 0.01) were noted in all groups. Comparing contralateral knee stability, no statistical differences were found including the varus/valgus (0 degree/30 degrees) and Telos stress radiography. So, acute repair of extra-articular structure and anatomical reconstruction of cruciate ligament resulted in satisfactory outcomes for KDs III and IV multiligamentous knee injuries.

Keywords

knee dislocation - multiligament - complex knee injuries - acute - reconstruction - mid-term follow-up

Note

The work described has not been published before; it is not under consideration for publication anywhere else; its publication has been approved by all coauthors; the work has been performed at Qilu Hospital of Shandong University.

Level of Evidence

Therapeutic studies Level IV.

Publication History

Received: 15 April 2021

Accepted: 25 February 2022

Article published online:
01 June 2022

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