Are meniscal tears and articular cartilage injury predictive of inferior patient outcome after surgical reconstruction for the dislocated knee?

Abstract

IV.

Diagnosis and treatment of multiligament knee injury: state of the art

“…Despite good functional scores, several studies report relatively high prevalence of radiographic osteoarthritis ranging from 23% to 87% 9 65 68. Certain factors have been reported to correlate with poor outcomes including high-energy trauma,9 repair of medial side injury,69 age >30 years70 (Moatshe et al 71), concomitant cartilage injury,72 combined medial and lateral meniscal tears 72…”

KOOS and IKDC scales may be inadequate in evaluating patients with multiple ligament knee injuries: a systematic review

“…Maximum postoperative IKDC scores (100) were reported in several other studies involving combined surgical reconstruction of cruciate ligaments/PLC,10 21 ACL/MCL,22 and ≥3 ligaments/PCL-based multiligament injuries,23 but the ceiling effects could not be calculated because individual patient scores were not available.…”

Revision Multiligament Knee Reconstruction Surgery

“…The patient with an unsuccessful multiligament knee reconstruction typically has significant concomitant pathology such as prior neurovascular injury, malalignment, cartilage damage, and/or meniscus deficiency. [14][15][16] Reconstruction is often further complicated by surgical scarring, loss of motion, retained hardware, previous graft harvest, tunnel position, and/or bone loss. The failed MLKI patient may also have unrealistic expectations regarding the level of function attainable following revision reconstruction.…”