scholarly journals Editorial Commentary: Is Medial-Side Repair Indicated in the Treatment of Multiligament Knee Injuries?

2016 ◽  
Vol 32 (9) ◽  
pp. 1820-1821
Author(s):  
Robert G. Marx
Keyword(s):  
Knee Injuries ◽  
Editorial Commentary ◽  
Medial Side ◽  
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

Medial-Sided Injuries in the Multiple Ligament Knee Injury

2020 ◽  
Vol 33 (05) ◽  
pp. 431-439
Author(s):  
Gilbert Moatshe ◽  
Alexander R. Vap ◽  
Alan Getgood ◽  
Robert F. LaPrade ◽  
Lars Engebretsen
Keyword(s):  
Surgical Treatment ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Treatment Method ◽  
Systematic Evaluation ◽  
Functional Rehabilitation ◽  
Medial Side ◽  
Good Healing ◽  
Posteromedial Corner ◽  
Valgus Instability

AbstractMultiligament knee injuries (MLKI) are complex and challenging to treat. The posteromedial corner (PMC) structures are commonly torn in MLKI. A thorough and systematic evaluation is imperative to avoid a missed diagnosis and for planning treatment. With several structures injured, the treatment method (operative vs. nonoperative, repair vs. reconstruction), availability of allografts, timing of surgery, and rehabilitation are some of the factors that have to be considered in the decision-making. Persistent valgus instability because of untreated or not healed medial collateral ligament (MCL) tears will increase graft forces on the cruciate ligament grafts, thus increasing the risk of reconstruction graft failure. In recent years, there has been a growing body of literature on the anatomy and biomechanics of the medial structures that has aided in the development of biomechanically and clinically validated anatomic PMC reconstructions. Despite good healing potential of the MCL, in MLKI, surgical treatment is recommended for grade III PMC injuries to aid early rehabilitation and reduce the risk of surgical failure. Several studies have reported satisfactory outcomes after surgical treatment of MLKI involving the medial side. Early functional rehabilitation is imperative to reduce the risk of arthrofibrosis.

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
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