Major concern in the multiligament-injured knee treatment: A systematic review

Injury
Giovanni VicentiBiagio Moretti

Abstract

The purpose of this systematic review was to address the treatment of multiligament knee injuries in three major aspects, specifically (1) surgical versus nonoperative treatment, (2) repair versus reconstruction of injured ligamentous structures, and (3) early versus late surgery of damaged ligaments. Two independent reviewers performed a search on PubMed from 1966 to March 2016 using Levy's review as a starting-point, and the same terms "knee dislocation," "multiple ligament-injured knee," and "multiligament knee reconstruction." Study inclusion criteria were (1) levels I to IV evidence, (2) "multiligament" defined as disruption of at least 2 of the 4 major knee ligaments, (3) measures of functional and clinical outcomes, and (4) minimum of 12 months' follow-up, with a mean of at least 24 months. Two high-level studies compared surgical treatment with nonoperative treatment. There was a higher Lyshom scores (85 v 67) in surgically treated patients, as well as higher excellent/good IKDC scores (69% v 64%) and return to sport (41% v 18%). There were four studies comparing repair with reconstruction of damaged structures, with similar mean Lysholm scores (84 v 84) and excellent/good IKDC scores (63% v 63%). Nevertheless, repair o...Continue Reading

Citations

Jul 28, 2020·Journal of Experimental Orthopaedics·Manuel F MosqueraYessica Gonzalez
Feb 28, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jonathan D HughesJames J Irrgang
Nov 13, 2019·The Journal of Emergency Medicine·Michael GottliebBrit Long
Feb 2, 2022·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Hung-Kai LiaoYi-Sheng Chan

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