Cartilage damage determines intermediate outcome in the late multiple ligament and posterolateral corner-reconstructed knee: a 5- to 10-year follow-up study

The American Journal of Sports Medicine
Kristoff Corten, Johan Bellemans

Abstract

Patients with chronic ruptures of 1 or both cruciate ligaments in combination with posterolateral rotatory instability of the knee often have some degree of cartilage damage at the time of surgery. Chondrosis at the time of reconstruction does not influence early and intermediate functional outcome of the multiple ligament reconstructed knee. Case series; Level of evidence, 4. Twenty-one patients were available from an original 27 treated between 1995 and 2000. All patients were assessed preoperatively and postoperatively by physical examination and by applying 4 different knee rating scores. All patients were assessed at a mean follow-up of 39 months (range, 14-75 months) and 87 months (range, 62-123 months). At the first follow-up, all knee rating scores had improved significantly (P < .0003) compared with preoperatively; 84% of the reconstructed knees had normal to nearly normal laxities according to the International Knee Documentation Committee 2000 score. At the second follow-up, the functional scores remained significantly (P < .0089) better than preoperatively. Patients with chondrosis at the time of surgery did not have significantly different knee rating scores at the first follow-up compared with patients without car...Continue Reading

References

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Citations

Dec 3, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·G RochecongarUNKNOWN French Society for Arthroscopy (Société française d’arthroscopie, SFA)
Sep 18, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Nathan A MallBrian J Cole
Aug 13, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tommaso BonanzingaHua Feng
Jul 18, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tommaso BonanzingaMaurilio Marcacci
Nov 14, 2013·The American Journal of Sports Medicine·Tommaso BonanzingaMaurilio Marcacci
May 7, 2010·The American Journal of Sports Medicine·Clifford G RiosRobert A Arciero

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