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Clinical outcomes after multiligament injured knees: medial versus lateral reconstructions

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The purpose of this study was to analyse the clinical outcomes of multiligament injured knees with respect to the medial collateral ligament and posteromedial corner (PMC) repair or reconstruction versus the posterolateral corner (PLC) reconstruction in patients operated according to a codified surgical protocol.

Methods

Patients were divided into two groups depending on whether PMC or PLC was injured. Cruciate ligaments as well as PMC or PLC were reconstructed/repaired in a one-stage procedure. At minimum of 1-year follow-up, objective and subjective International Knee Documentation Committee (IKDC) forms, Lysholm score and sports activity level were recorded.

Results

Thirty-nine patients with a median follow-up time of 57 months (range 12–129) were reviewed. No significant difference was found for functional scores between acute PMC and PLC subgroups. In Group PLC, subjective outcomes tend to be better in the acute than in chronic reconstruction subgroup.

Conclusions

A one-stage protocol with early surgery rather than delayed reconstruction produced better clinical outcomes whatever the injured collateral ligament, medial or lateral. In the future, early and chronic reconstructions as well as each injury pattern should be considered as separate entities in studies on multiple ligament injured knees to reach a better level of evidence.

Level of evidence

IV.

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Authors and Affiliations

  1. Orthopaedic Department, Centre Hospitalier de Versailles, Versailles-Saint Quentin University, 177, rue de Versailles, 78157, Le Chesnay, France

    N. Tardy, P. Boisrenoult, P. Teissier, C. Steltzlen, P. Beaufils & N. Pujol

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  1. N. Tardy
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  2. P. Boisrenoult
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  3. P. Teissier
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  4. C. Steltzlen
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  5. P. Beaufils
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Correspondence to N. Tardy.

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Conflict of interest

N. Tardy, P. Teissier, C. Steltzlen declare that they have no conflict of interest. P. Beaufils is occasional educational consultant for Zimmer and Smith and Nephew, and chief editor of Orthopaedics and Traumatology: Surgery and Research. P. Boisrenoult is occasional educational consultant for Smith and Nephew. N. Pujol is occasional educational consultant for Zimmer and Smith and Nephew.

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Tardy, N., Boisrenoult, P., Teissier, P. et al. Clinical outcomes after multiligament injured knees: medial versus lateral reconstructions. Knee Surg Sports Traumatol Arthrosc 25, 524–531 (2017). https://doi.org/10.1007/s00167-016-4067-4

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  • DOI: https://doi.org/10.1007/s00167-016-4067-4

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