Evidence map›Paper›PMID 33413666›Full record

ArticleKnee surgery & related research2021

Outcomes of one-stage reconstruction for chronic multiligament injuries of knee.

Tarun Goyal, Souvik Paul, Sushovan Banerjee, Lakshmana Das

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Article in Knee surgery & related research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

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8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Tarun GoyalDepartment of Orthopaedics, All India Institute of Medical Sciences, Bathinda, Punjab, 151001, India. goyal.tarun@gmail.com.ORCID http://orcid.org/0000-0002-1428-9947
Souvik PaulDepartment of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India.ORCID https://orcid.org/0000-0002-1172-3664
Sushovan BanerjeeDepartment of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India.ORCID https://orcid.org/0000-0001-9721-8230
Lakshmana DasDepartment of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India.ORCID https://orcid.org/0000-0002-2720-6389

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis article aims to evaluate patterns of chronic multiligament injuries and outcomes of treatment with single-stage reconstruction using autografts.

methodsAll patients with clinicoradiologically diagnosed multiligament knee injury (MKI) were included in this prospective observational study. As the time since injury was more than 6 weeks in all of the patients, they were categorized as having chronic MKI. Patients were assessed clinically for laxity, and the diagnosis was confirmed radiologically. Ipsilateral hamstring tendons were used for medial collateral ligament (MCL) or posterolateral corner reconstruction in a patient with Schenck knee dislocation (KD) type III. In these cases, the posterior cruciate ligament (PCL) and anterior cruciate ligament (ACL) were reconstructed by using the peroneus longus and contralateral hamstring tendons respectively. Ipsilateral hamstring tendons were used for ACL reconstruction and an ipsilateral peroneus longus tendon graft was used for reconstruction of the PCL in a KD type II injury. In two cases of KD type IV injury, the lateral laxity was only grade II and was managed conservatively; the rest of the ligaments were addressed like a KD type III injury. Outcome evaluation was done using a visual analogue scale (VAS) for pain, International Knee Documentation Committee (IKDC) score, Lysholm score, and Tegner activity level, preoperatively and postoperatively at 2 years' follow-up.

resultsA total of 27 patients of mean age 33.48 ± 9.9 years with MKI were included in the study. The patients were classified as eight KD type II, 17 KD type III, and two KD type IV. The majority of the patients had associated meniscal (59.2%) or chondral (40.7%) injuries. At the 2 years' follow-up visit, there were significant improvements in VAS score (p = 0.0001) IKDC score (p = 0.0001), Lysholm score (p = 0.0001), and range of motion (p = 0.001). None of the patients had residual laxity on clinical examination of the knee joint at the 2 years' follow-up. All but two of the patients went back to their previous activity level. These two patients had progressive knee arthritis and needed knee arthroplasty.

conclusionSingle-stage surgical reconstruction for chronic MKI has favourable functional outcomes. LEVEL OF EVIDENCE: Level IV, case series.

Indexed as

Anterior cruciate ligamentKnee dislocationMedial collateral ligamentMultiligamentPosterior cruciate ligament

Identifiers

PMID33413666
PMCPMC7792069

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