Single-Stage Multiple-Ligament Knee Reconstructions for Sports-Related Injuries: Outcomes in 194 Patients

The American Journal of Sports Medicine
Robert F LaPradeGilbert Moatshe

Abstract

Outcomes after sports-related multiple-ligament knee reconstructions are limited. To evaluate outcomes after single-stage surgical treatment of sports-related multiple-ligament knee injuries and to compare outcomes after anterior cruciate ligament (ACL)-based and posterior cruciate ligament (PCL)-based multiple-ligament knee reconstructions. Case series; Level of evidence, 4. Skeletally mature patients with at least 2 major knee ligaments torn during a sporting activity that required surgery with a minimum of 2 years' follow-up were included. The Lysholm score, Tegner activity scale, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and 12-Item Short Form Health Survey Physical Component Summary were collected preoperatively and at a minimum of 2 years' follow-up. Clinical data, including range of motion and knee stability, were also recorded at final follow-up. A total of 276 patients with multiple-ligament knee injuries incurred during sport participation from 2010 to 2016 were identified. Of the 276 patients, 194 (70.5%) had complete follow-up at a mean 3.5 years (range, 2-8 years). There was a significant improvement in all outcome scores as compared with the preoperative scores (P < .001 for all score...Continue Reading

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Citations

Apr 28, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Weimin ZhuFreddie H Fu
Aug 31, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Mikko A JokelaJan Lindahl
Jul 25, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Aly M FayedVolker Musahl
Oct 8, 2020·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Yasuyuki IshibashiEiichi Tsuda
Jan 9, 2021·Knee Surgery & Related Research·Tarun GoyalLakshmana Das
Feb 28, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jonathan D HughesJames J Irrgang
Apr 27, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Edward R FloydRobert F LaPrade
Jun 1, 2021·Case Reports in Orthopedics·Casey ImbergamoKenneth G Swan
Jun 19, 2021·Arthroscopy Techniques·Edward R FloydRobert F LaPrade

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