ArticleJournal of clinical orthopaedics and trauma2021
Pattern of multiligament knee injuries and their outcomes in a single stage reconstruction: Experience at a tertiary orthopedic care centre.
Article in Journal of clinical orthopaedics and trauma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Repetitive brief ischemia accelerates tibial shaft fracture healing: a 5-years prospective preliminary clinical trial (PCT).BMC musculoskeletal disorders · 2021Trial
- Concomitant Anterior Cruciate Ligament and Medial Collateral Ligament Reconstruction: A Systematic Review.Orthopaedic journal of sports medicine · 2025Review
- Lateral Condyle Impaction Fracture Reduction With Anterior Cruciate Ligament Reconstruction, Medial Collateral Ligament Reconstruction, and Repair of Lateral Meniscus Radial Tear After a High-Grade Pivot-Shift Injury.Arthroscopy techniques · 2025Article
- Medial and Patellofemoral Compartment Chondral Damage Increases With Delayed Surgical Treatment of Multiligament Knee Injuries.Orthopaedic journal of sports medicine · 2025Article
- The effect of surgery for multipleligament knee injuries on patellar position and patellofemoral function: a retrospective study.Journal of orthopaedic surgery and research · 2025Article
- How Stable Do Multiligament Knee Reconstructions Become?: An Objective Stability and PROMs Study.Indian journal of orthopaedics · 2024Article
- Article
- High Levels of Satisfaction and Adequate Patient-Reported Outcomes After Operative Reconstruction of Multiligament Knee Injury With Allograft Among Patients Aged 40 Years and Older.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- Postoperative Rehabilitation and Return to Sport Following Multiligament Knee Reconstruction.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- The management of combined ACL and MCL injuries: A systematic review.Journal of orthopaedicsReview
- Double-Bundle Posterior Cruciate Ligament and Concomitant Medial Collateral Ligament and Posterior Oblique Ligament Reconstruction After a Motor Vehicle Accident.Video journal of sports medicineArticle
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Authors and funding
2 authors.
Funding
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Abstract
introductionMulti-ligamentous knee injuries (MLKI) are rare orthopedic injuries with diverse approaches to its management protocol. The purpose of this study was to determine the epidemiology of MLKI in our centre and its outcome in single stage reconstruction.
methods60 patients who were surgically treated for MLKI between 2014 and 2018 were included in this study, data was collected pre and postoperatively and their Lysholm and IKDC scores were used to evaluate the outcomes.
resultsA male predominance was noted in the present study. Road traffic accidents (RTA) were the most common mode of injury (66.7%). ACL & MCL combination constituted the most common injury pattern (36.7%). 41.7% of our patients were treated within 3 weeks from injury and 58.3% were treated 3 weeks after injury and there was no statistically significant difference in their outcomes with a p value > 0.05 for their post op Lysholm scores and post op IKDC scores. Overall, there was a statistically significant difference in outcomes post surgery with regards to pre-operative and post-operative Lysholm and IKDC scores in our patients with a p value < 0.0001, substantiating the need for surgical management of MLKI. With a mean post-operative Lysholm score of 89.11 and mean post operative IKDC score of 85.25, this study showed functionally good results in the patients treated in a single sitting. 28 of 60 patients could get back to their sports activities after atleast 6 months of rehabilitation.
conclusionMLKI are relatively uncommon injuries eluding a large scale prospective clinical studies and consensus regarding its management. In the present study, a male predominance was noted, high velocity injuries like RTA was the most common mechanism of injury. A combination of ACL & MCL accounted for the most common pattern of injury. We could also conclude that surgical management yields good results irrespective of the time since injury i.e. either early (<3 weeks) or delayed (>3 weeks) surgery. Single stage surgical management of MLKI produce considerably better outcomes compared to staged management. It was also found that surgical management of MLKI with reconstruction could help patients to return to their pre operative level of sports activities with a proper rehabilitation protocol.
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