ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Clinical outcomes after multiligament injured knees: medial versus lateral reconstructions.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical studies of single-stage combined ACL and PCL reconstruction variably report graft tensioning, fixation sequence, and knee flexion angle at time of fixation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- Single-Stage vs. Multi-Stage Reconstruction in Multi-Ligament Knee Injuries: A Systematic Review and Meta-Analysis of Outcomes and Complications.Journal of clinical medicine · 2025Review
- Clinical outcomes after surgery for knee multiligament injuries were comparable between patients with and without medial patellofemoral ligament injuries.BMC musculoskeletal disorders · 2025Article
- New algorithm for management of multiligament knee injuries: A tertiary level trauma center experience.Journal of experimental orthopaedics · 2025Article
- How do surgically treated multiligamentous knee injuries affect overall complication rate and especially stiffness? A systematic review.Knee surgery & related research · 2025Review
- Patients undergoing multiligament knee reconstruction injured during pivoting sports demonstrate similar clinical, functional and return to sport outcomes by 2 years compared with those undergoing anterior cruciate ligament reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Clinical Outcome of Bicruciate Ligament Reconstruction in Multiple-Ligament Knee Injuries: Comparison With Bicruciate Reconstruction and Collateral Ligament Surgery.Orthopaedic journal of sports medicine · 2025Article
- Variability in the Spectrum of Reporting on the Schenck KD I Classification in the Orthopaedic Literature: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2024Review
- Effect of Timing of Surgery on the Outcomes and Complications in Multi-ligament Knee Injuries: An Overview of Systematic Reviews and A Meta-analysis.Indian journal of orthopaedics · 2024Review
- [Multiligament instabilities of the knee in sports injuries : An update of the Hamburg concept].Orthopadie (Heidelberg, Germany) · 2023Review
- One-Stage Arthroscopic Multiple Ligament Reconstruction for Schenck IV Knee Dislocation.Orthopaedic surgery · 2023Article
- [Anatomical posterolateral complex reconstruction in treating severe posterolateral knee instability using Y-shaped allogeneic Achilles tendon].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- Multi-ligament reconstructions as a risk factor for adverse outcomes in arthroscopic surgery.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Incidence of Associated Lesions of Multiligament Knee Injuries: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2021Review
- Treatment of medial-sided injuries in patients with early bicruciate ligament reconstruction for knee dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- A systematic review comparing the results of early vs delayed ligament surgeries in single anterior cruciate ligament and multiligament knee injuries.Knee surgery & related research · 2021Review
- Management of acute knee dislocations: anatomic repair and ligament bracing as a new treatment option-results of a multicentre study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Effect of Activity at Time of Injury and Concomitant Ligament Injuries on Patient-Reported Outcome After Posterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2018Article
- Knee Dislocations in Sports Injuries.Indian journal of orthopaedicsArticle
- Surgical Timing and Rehabilitation (STaR) for Multiple Ligament Knee Injuries: Study Protocol for a Multicenter Integrated Clinical Trial.JB & JS open accessArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to analyse the clinical outcomes of multiligament injured knees with respect to the medial collateral ligament and posteromedial corner (PMC) repair or reconstruction versus the posterolateral corner (PLC) reconstruction in patients operated according to a codified surgical protocol.
methodsPatients were divided into two groups depending on whether PMC or PLC was injured. Cruciate ligaments as well as PMC or PLC were reconstructed/repaired in a one-stage procedure. At minimum of 1-year follow-up, objective and subjective International Knee Documentation Committee (IKDC) forms, Lysholm score and sports activity level were recorded.
resultsThirty-nine patients with a median follow-up time of 57 months (range 12-129) were reviewed. No significant difference was found for functional scores between acute PMC and PLC subgroups. In Group PLC, subjective outcomes tend to be better in the acute than in chronic reconstruction subgroup.
conclusionsA one-stage protocol with early surgery rather than delayed reconstruction produced better clinical outcomes whatever the injured collateral ligament, medial or lateral. In the future, early and chronic reconstructions as well as each injury pattern should be considered as separate entities in studies on multiple ligament injured knees to reach a better level of evidence. LEVEL OF EVIDENCE: IV.
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Registered trials
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