Long-term outcome of patients treated surgically for traumatic knee dislocation: does the injury pattern matter?

The Physician and Sportsmedicine
Michael T HirschmannNiklaus F Friederich

Abstract

To examine the difference in outcomes of patients treated surgically for traumatic knee dislocation with regard to different injury patterns. All patients who underwent reconstruction/repair of the cruciates and primary complete repair of collaterals, posterolateral, and posteromedial corner structures were allocated to 3 groups (group A: bicruciate injury with associated medial side injury [n = 31]; group B: bicruciate injury with associated lateral injury [n = 20]; group C: bicruciate injury with associated medial and lateral injury [n = 23]). Outcome was assessed at a mean of 12 years postoperatively using the International Knee Documentation Committee (IKDC) score, Short Form-36 (SF-36) health survey, Lysholm score, Tegner score, visual analog scale (VAS) pain score, and Knee Society score. Anterior-posterior laxity was also measured (KT1000 arthrometer; Medmetric Corp., San Diego, CA), and Pearson's correlation was used to compute associations between variables (P < 0.05) RESULTS: The mean time to return to work was 6 +/- 4 months in group A, 13 +/- 19 months in group B, and 11 +/- 12 months in group C. At final follow-up, 7 patients had a pain VAS of > 3 (group A: 6 patients; group B: 0 patients; group C: 1 patient). Seve...Continue Reading

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Citations

Dec 15, 2010·The Physician and Sportsmedicine·Christopher J PeskunDaniel B Whelan
May 1, 2014·Orthopaedic Journal of Sports Medicine·Robert C SchenckDaniel C Wascher
Dec 7, 2018·Journal of Medical Imaging and Radiation Oncology·Thi My Anh TranPatricia L Robertson

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