ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
Good long-term patients reported outcomes, return-to-work and return-to-sport rate and survivorship after posterior cruciate ligament (PCL)-based multiligament knee injuries (MLKI) with posteromedial corner tears as significant risk factor for failure.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Outcomes after multiligament knee injury worsen over time: A systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled it
- Diagnosis, Treatment, and Current Controversies in Multiligament Knee Injuries: A Narrative Review.Cureus · 2026Review
- Postoperative stiffness requiring fibroarthrolysis does not impair long-term outcomes after multiligament knee reconstruction.Journal of experimental orthopaedics · 2026Article
- Outcomes Following Multiligament Knee Injuries: A Systematic Review of Studies With a Minimum 7-Year Follow-up.Orthopaedic journal of sports medicine · 2026Review
- 3D-Printed Patient-Specific Guides Reduce Femoral Tunnel Convergence in Anatomic Knee Multiligament Reconstruction: Controlled Laboratory Study.Orthopaedic journal of sports medicine · 2026Article
- [Augmented reconstruction of the posterior cruciate ligament for acute and chronic posterior instability].Operative Orthopadie und Traumatologie · 2025Review
- 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
- 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
- Clinical outcomes after surgery for knee multiligament injuries were comparable between patients with and without medial patellofemoral ligament injuries.BMC musculoskeletal disorders · 2025Article
- Single-bundle vs. double-bundle isolated posterior cruciate ligament reconstruction: a retrospective cohort study on time to work and functional outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Specific fibre areas in the femoral footprint of the posterior cruciate ligament act as a major contributor in resisting posterior tibial displacement: A biomechanical robotic investigation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Combined PCL instabilities cannot be identified using posterior stress radiographs in external or internal rotation: A cadaveric study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Distinct patterns of ligament and meniscal injuries in multiligamentous knee injuries with and without dislocation: a 15-year retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- 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
- Return to Sport After Multiligament Knee Injury: A Systematic Review of the Literature.Indian journal of orthopaedics · 2024Review
- Posteromedial corner injuries result in the same posterior translation as posterolateral corner injuries in PCL ruptures.Journal of experimental orthopaedics · 2024Article
- Do Age and Timing Influence the Outcomes of Single-stage Reconstruction of Multiple Ligament Knee Injuries? 5-10 Years Follow Up.Orthopaedic surgery · 2024Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess the survival rate and associated risk factors of a wide cohort of patient's underwent surgical treatment for posterior cruciate ligament (PCL)-based multiligament knee injury (MLKI) at long-term follow-up and to investigate the long-term patient's reported outcomes (PROMS) and functional activity.
methodsAll cases of PCL-based MLKI performed at one single sport-medicine institution were extracted and patient's with a minimum 2 years of follow-up included. VAS, Lysholm, KOOS, Tegner Activity level scores, the incidence and time of return to sport (RTS) and return to work (RTW) were collected before, after surgery and at final follow-up. A multivariate logistic regression was performed to investigate the outcomes associated with the patient's acceptable symptoms state (PASS) for each sub-score of the KOOS. The Kaplan-Meier method with surgical failure (re-operation to one of the reconstructed ligaments) as endpoint was used to perform the survivorship analysis for the entire cohort.
resultsForty-two patients were included and evaluated at an average of 10 years. All PROMS significantly improved from pre- to post-surgery (range η
conclusionGood-to-excellent PROMS could be obtained and maintained at long-term follow-up after surgery, with the higher number of surgeries and meniscal lesions as significant negative predictors of the PASS. Moreover, the presence of a PMC lesion significantly increases the risk of the PCL reconstruction failure. LEVEL OF EVIDENCE: III.
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