ArticleOrthopaedic journal of sports medicine2021
Risk Factors Associated With Complications After Operative Treatment of Multiligament Knee Injury.
Article in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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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.
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
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Early surgery and number of injured ligaments are associated with postoperative stiffness following multi-ligament knee injury surgery: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Arthrofibrosis is a common but poorly defined complication in multiligament knee injuries: a systematic review.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Clinical results after arthroscopic reconstruction of the posterolateral corner of the knee: A prospective randomized trial comparing two different surgical techniques.Archives of orthopaedic and trauma surgery · 2023Trial
- Two-year outcomes following concomitant ACL and extra-articular ligament reconstruction: a nationwide analysis of over 5,000 patients.Archives of orthopaedic and trauma surgery · 2026Article
- Surgical Management of Multi-Ligamentous Knee Injuries: Current Concepts and Case Report of a Complex KD-IV Case.Reports (MDPI) · 2026Article
- Contraindications to Lateral Extra-Articular Tenodesis: A Systematic Review.Journal of clinical medicine · 2026Review
- No Difference in Clinical Outcomes Between Concomitant Anterior and Posterior Cruciate Ligament Reconstruction With and Without Independent Suture Tape Augmentation.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Outcomes of acute versus delayed multi-ligament knee injury reconstruction: A retrospective analysis with mean 3.6-year follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- How do surgically treated multiligamentous knee injuries affect overall complication rate and especially stiffness? A systematic review.Knee surgery & related research · 2025Review
- External Fixator Application, 2-Stage Procedures, and Postoperative Infection Risk Are Higher in Multiligamentous Knee Injuries After Frank Knee Dislocations.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Timing of Surgery & Rehabilitation After Multiligamentous Knee Reconstruction.Current reviews in musculoskeletal 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
- 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
- Outcomes of Surgical Treatment for Multiligament Knee Injuries in a Cohort Including Competitive Athletes With Long-Term Follow-Up.Orthopaedic journal of sports medicine · 2024Article
- PCL injury following high energy trauma: associated injuries and postoperative complications "insights from a national registry study".Journal of orthopaedic surgery and research · 2024Article
- Surgical approach on combined chronic patellar tendon and bicruciate knee ligament injury.Journal of orthopaedic surgery and research · 2024Article
- Multiligament knee injuries. Ten years' experience at a public university, level I Trauma Center.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Risk Factors Associated With Poor Outcomes After Quadriceps Tendon Repair.Orthopaedic journal of sports medicine · 2024Article
- Surgical Management of Complex Multiligament Knee Injury: Case Report.Case reports in orthopedics · 2024Article
- Delayed multiligament PCL reconstruction is associated with a higher prevalence of intraarticular injury and may influence treatment.BMC musculoskeletal disorders · 2023Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany factors can affect clinical outcomes and complications after a complex multiligament knee injury (MLKI). Certain aspects of the treatment algorithm for MLKI, such as the timing of surgery, remain controversial. PURPOSE: To determine the risk factors for common complications after MLKI reconstruction. STUDY
designCase-control study; Level of evidence, 3.
methodsA retrospective review was conducted on 134 patients with MLKI who underwent reconstruction between 2011 and 2018 at a single academic center. Patients included in the review had a planned surgical reconstruction of >1 ligament based on clinical examination and magnetic resonance imaging. Complications were categorized as (1) wound infection requiring irrigation and debridement, (2) arthrofibrosis requiring manipulation under anesthesia and/or lysis of adhesions, (3) deep venous thrombosis, (4) need for removal of hardware, and (5) revision ligament surgery. The potential risk factors for complications included patient characteristics, injury pattern categorized according to Schenck classification (knee dislocation [KD] I-KD IV), and timing of surgery. Significant risk factors for complications were analyzed by
resultsA total of 108 patients met the inclusion criteria; of these, 29.6% experienced at least 1 complication. Smoking (odds ratio [OR], 3.20 [95% CI, 1.28-8.02];
conclusionThe study findings suggest that smoking, decreased time from injury to initial surgery, and planned staged procedures may increase the rate of complications. Further studies are needed to determine which changes in the treatment algorithm are most effective to reduce the complication rate in patients.
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Registered trials
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