Surgical Treatment of Combined Injury to Anterior Cruciate Ligament, Posterior Cruciate Ligament, and Medial Structures

Klimkiewicz, John J.; Petrie, Russell S.; Harner, Christopher D.

doi:10.1016/s0278-5919(05)70219-2

Cited by 70 publications

(44 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the event of an additional MCL disruption, its repair or reconstruction followed the bicruciate reconstruction. 21 With the combination of ACL, PCL, LCL and posterolateral injuries, the PCL was stabilised first, followed by the LCL and posterolateral corner, before the final fixation of the ACL graft. 22 Postoperative management entailed protection of the knee in a hinged knee brace for eight to 12 weeks.…”

Section: Methodsmentioning

confidence: 99%

Ligament repair and reconstruction in traumatic dislocation of the knee

Liow

McNicholas

Keating

et al. 2003

The Journal of Bone and Joint Surgery. British volume

226

175

View full text Add to dashboard Cite

e treated 21 patients with 22 dislocations of the knee by repair or reconstruction of all injured ligaments. Eight knees were treated in the acute phase (less than two weeks after injury); the remainder were treated more than six months after injury (6 to 72). Reconstructions were carried out with a combination of autograft and allograft tendons and by direct ligament repair where possible. At a mean follow-up of 32 months (11 to 77) the mean Lysholm score was 87 (81 to 91) in the acute group and 75 (53 to 100) in the delayed group. The mean Tegner activity rating was 5 in the acute group and 4.4 in the delayed group.The International Knee Documentation Committee assessment revealed no differences between the two groups. Instrumented testing of knee stability indicated better results for anterior cruciate ligament reconstructions which had been undertaken in the acute phase, but no difference in the outcome of posterior cruciate ligament reconstructions. There was no difference in the loss of knee movement between the two groups. Although the differences were small, the outcome in terms of overall knee function, activity levels and anterior tibial translation were better in those knees which had been reconstructed within two weeks of injury.J Bone Joint Surg [Br] 2003;85-B:845-51.

show abstract

Section: Methodsmentioning

confidence: 99%

Ligament repair and reconstruction in traumatic dislocation of the knee

Liow

McNicholas

Keating

et al. 2003

The Journal of Bone and Joint Surgery. British volume

226

175

View full text Add to dashboard Cite

show abstract

“…Dislocation of the knee is a rare injury and accounts for 0.02% to 0.2% of orthopaedic injuries [12,19,20]. The cause of injury can be high-or low-energy trauma [3].…”

Section: Introductionmentioning

confidence: 99%

Posterior Tibial Tendon Transfer Improves Function for Foot Drop After Knee Dislocation

Molund

Engebretsen

Hvaal

et al. 2014

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…Traumatic dislocation of the tibiofemoral joint is considered to be rare in Europe and western civilized countries[1,2], but when present it often has dramatic social and economic consequences for the patient[3-9]. Spontaneous reduction makes the true frequency of knee dislocation unclear.…”

Section: Introductionmentioning

confidence: 99%

Clinical and radiological outcomes after management of traumatic knee dislocation by open single stage complete reconstruction/repair

Hirschmann

Zimmermann

Rychen

et al. 2010

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundThe purpose of our study was to analyze the clinical and radiological long-term outcomes of surgically treated traumatic knee dislocations and determine prognostic factors for outcome.MethodsRetrospective consecutive series of patients treated surgically for traumatic knee dislocation with reconstruction/refixation of the anterior (ACL) and posterior cruciate ligaments (PCL) and primary complete repair of collaterals and posteromedial and posteromedial corner structures. 68 patients were evaluated clinically (IKDC score, SF36 health survey, Lysholm score, Knee Society score, Tegner score, visual analogue scale - VAS pain and satisfaction, Cooper test) and radiologically (weight bearing and stress radiographs) with a mean follow up of 12 ± 8 years. Instrumented anterior-posterior translation was measured (Rolimeter, KT-1000). Pearson correlation and stepwise regression analysis was used.Results82% of patients (n = 56) returned to their previous work. At final follow-up 6 patients (9%) suffered from pain VAS > 3. The mean side-to-side difference of anterior/posterior translation (KT-1000, 134N) was 1.6 ± 1.6 mm and 2.6 ± 1.4 mm. Valgus and varus stress testing in 30° flexion was <3 mm (normal) in 57 patients (86%). The IKDC score was normal/nearly normal in 38 (58%) patients and the mean Lysholm score 83 ± 17 (intact 98 ± 7). The median Tegner score decreased from 7 preinjury (range 3-10) to 5 at follow-up (range 0-10). The mean Knee Society score was 187 ± 15 (out of maximum 200). In 7 patients (10%) a secondary ligament reconstruction was performed. Three patients (4%) underwent a high tibial osteotomy and four (6%) received a primary unconstrained total knee replacement. According to the Kellgren Lawrence osteoarthritis score only mild degenerative changes were present. The stress radiographs showed stable results for anteroposterior translation. Injury of the lateral collateral ligament, refixation of the ACL/PCL and delayed surgery >40 days were significantly associated with worse outcome (p < 0.05).ConclusionsEarly complete reconstruction can achieve good functional results and patient satisfaction with overall restoration of sports and working capacity. Negative predictive factors for outcome were injury pattern, type of surgical procedure and timing of surgery.

show abstract

Surgical Treatment of Combined Injury to Anterior Cruciate Ligament, Posterior Cruciate Ligament, and Medial Structures

Cited by 70 publications

References 28 publications

Ligament repair and reconstruction in traumatic dislocation of the knee

Ligament repair and reconstruction in traumatic dislocation of the knee

Posterior Tibial Tendon Transfer Improves Function for Foot Drop After Knee Dislocation

Clinical and radiological outcomes after management of traumatic knee dislocation by open single stage complete reconstruction/repair

Contact Info

Product

Resources

About