2022, Number 5
<< Back Next >>
Acta Ortop Mex 2022; 36 (5)
Functional evaluation with the KSS (Knee Society Score) scale at 3 and 6 months after ligament reconstruction in patients with multi-ligament knee injuries in a third level hospital
Rodales-Trejo D, Rodríguez-García J, Arcia-Guzmán A
Language: Spanish
References: 17
Page: 274-280
PDF size: 166.15 Kb.
ABSTRACT
Multiligament injuries of the knee joint are characterized by the involvement of two or more major ligaments, anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), lateral collateral ligament (LCL), posteromedial corner (PMC) and posterolateral corner (PLC). Statistically, multiligament injuries are rare as they are found in less than 0.02% of all traumatic knee injuries; however, different aggregate injuries are what make this pathology a serious health and functional condition. Taking into account that most of the patients are young people of highly productive age, it is of vital importance to observe their short and long term evolution, as well as their reincorporation to their daily life. It has been reported that vascular lesions are present in approximately 32% of cases, meniscal lesions in 35% and up to 60% with some type of bone lesion. These injuries mainly affect the male sex most commonly between the third and fourth decade of life, which makes this type of injury of great importance, since this group of patients are in their greatest period of labor production. The main objective of the treatment of these injuries, in addition to resolving the aggregate damage that usually aggravates the state of health, is to achieve a speedy recovery and subsequent reincorporation to their work activities and in some cases sports.
REFERENCES
Buyukdogan K, Laidlaw MS, Miller MD. Surgical management of the multiple- ligament knee injury. Arthrosc Tech. 2018; 7(2): e147-64.
Neri T, Myat D, Beach A, Parker DA. Multiligament knee injury: injury patterns, outcomes, and gait analysis. Clin Sports Med. 2019; 38(2): 235-46. doi: 10.1016/j.csm.2018.11.010.
Scheepers W, Khanduja V, Held M. Current concepts in the assessment and management of multiligament injuries of the knee. SICOT J. 2021; 7: 62.
Matthewson G, Kwapisz A, Sasyniuk T, MacDonald P. Vascular injury in the multiligament injured knee. Clin Sports Med. 2019; 38(2): 199-213.
Dosher WB, Maxwell GT, Warth RJ, Harner CD. Multiple ligament knee injuries: current state and proposed classification. Clin Sports Med. 2019; 38(2): 183-92.
Krych AJ, Sousa PL, King AH, Engasser WM, Stuart MJ, Levy BA. Meniscal tears and articular cartilage damage in the dislocated knee. Knee Surg Sports Traumatol Arthrosc. 2015; 23(10): 3019-25.
Medina O, Arom GA, Yeranosian MG, Petrigliano FA, McAllister DR. Vascular and nerve injury after knee dislocation: a systematic review. Clin Orthop Relat Res. 2014; 472(9): 2621-9.
Chowdhry M, Burchette D, Whelan D, Nathens A, Marks P, Wasserstein D. Knee dislocation and associated injuries: an analysis of the American College of Surgeons National Trauma Data Bank. Knee Surg Sports Traumatol Arthrosc. 2020; 28(2): 568-75.
Vega España EA, Rubí Bernal JM, Villegas Esquivel EL. Functional results in patients with knee multiligamentary injury operated in an arthroscopic way in a single surgical time. Acta Sci Orthop. 2019; 2(8): 32-6.
Marder RS, Poonawala H, Pincay JI, Nguyen F, Cleary PF, Persaud CS, et al. Acute versus delayed surgical intervention in multiligament knee injuries: a systematic review. Orthop J Sports Med. 2021; 9(10): 23259671211027855.
Trasolini NA, Lindsay A, Gipsman A, Rick Hatch GF. The biomechanics of multiligament knee injuries: from trauma to treatment. Clin Sports Med. 2019; 38(2): 215-34.
Kim SH, Park YB, Kim BS, Lee DH, Pujol N. Incidence of associated lesions of multiligament knee injuries: a systematic review and meta-analysis. Orthop J Sports Med. 2021; 9(6): 23259671211010409.
Parker S, Handa A, Deakin M, Sideso E. Knee dislocation and vascular injury: 4 year experience at a UK Major Trauma Centre and vascular hub. Injury. 2016; 47(3): 752-6.
Johnson JP, Kleiner J, Klinge SA, McClure PK, Hayda RA, Born CT. Increased Incidence of Vascular Injury in Obese Patients With Knee Dislocations. J Orthop Trauma. 2018; 32(2): 82-7.
Porrino J, Richardson ML, Hovis K, Twaddle B, Gee A. Association of tibial plateau fracture morphology with ligament disruption in the context of multiligament knee injury. Curr Probl Diagn Radiol. 2018; 47(6): 410-6. doi: 10.1067/j.cpradiol.2017.09.001.
Mook WR, Ligh CA, Moorman CT 3rd, Leversedge FJ. Nerve injury complicating multiligament knee injury: current concepts and treatment algorithm. J Am Acad Orthop Surg. 2013; 21(6): 343-54.
Schenck RC. The dislocated knee. Instr Course Lect. 1994; 43: 127-36.
EVIDENCE LEVEL
IV