Surgical management of knee dislocations with ligament reconstruction associated with a hinged external fixator

Angelini, Fábio Janson; Helito, Camilo Partezani; Bonadio, Marcelo Batista; Albuquerque, Roberto Freire da Mota e; Pécora, José Ricardo; Camanho, Gilberto Luís

doi:10.1016/j.otsr.2014.11.001

Cited by 25 publications

(33 citation statements)

References 26 publications

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“…The ACL was not reconstructed with the other ligaments because during the initial period of this study design, this was the standard protocol for knee dislocations at our institution. The same reconstruction techniques were used to treat all patients based on our previous experience [2] ( Fig. 1).…”

Section: Methodsmentioning

confidence: 99%

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External fixator for treatment of the sub-acute and chronic multi-ligament-injured knee

Angelini

Helito

Bonadio

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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Section: Methodsmentioning

confidence: 99%

“…If this procedure was associated with MCL reconstruction, a long Achilles tendon graft with a bone plug was chosen, and combined reconstruction with a single femoral tunnel was performed [2,32]. In these cases, the femoral tunnel was performed entering in the isometric point for MCL reconstruction, close to the medial epicondyle.…”

Section: Methodsmentioning

confidence: 99%

External fixator for treatment of the sub-acute and chronic multi-ligament-injured knee

Angelini

Helito

Bonadio

et al. 2015

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

show abstract

“…Acredita-se que isso se deva tanto às características dos acidentes como à evolução de sua definição (16) .…”

Section: Listasunclassified

“…O uso de um fixador externo articulado é uma alternativa para a reabilitação das cirurgias de lesões complexas do joelho (16,23,28,42,43,44) . Neste modelo, após a reconstrução ou reparo multiligamentar, é utilizado um fixador externo articulado do joelho que permite a mobilidade precoce e agressiva da articulação apenas no plano sagital, ou seja, a flexo extensão é permitida, mas não as rotações, translações no plano anteroposterior nem a abertura medial ou lateral em varo e valgo.…”

Section: Listasunclassified

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Uso do fixador externo articulado no tratamento cirúrgico da instabilidade multiligamentar crônica do joelho

Angelini¹

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Outcomes after multiligament knee injury worsen over time: A systematic review and meta‐analysis

Klasan,

Maerz,

Putnis

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeMultiligament knee injuries (MLKIs) are devastating injuries that can have life‐long consequences. A management plan requires the decision to perform surgery or not, timing of surgery, consideration of repair versus reconstruction, reconstruction technique and reconstruction graft choice. The purpose of this study was to analyze development of clinical outcomes of MLKIs over time at a minimum of 2 years of follow‐up.MethodsFour databases were queried for surgical outcome‐based studies of MLKIs published from 01/2000 through 09/2022 with a minimum 2‐year follow‐up. Technique articles, nonoperative treatment, arthroplasty, pediatric and review articles were excluded. Study characteristics including design, number of patients, age, follow‐up period, anatomical region and posterior‐cruciate ligament (PCL)‐based injury were collected. Primary outcomes were Lysholm, International Knee Documentation Committee (IKDC) outcome scores and Tegner activity score. Random‐effects model analysis was performed.ResultsAfter the application of inclusion and exclusion criteria, 3571 patients in 79 studies were included in the analysis. The mean age at surgery was 35.6 years. The mean follow‐up was 4.06 years (range 2–12.7). The mean Lysholm score at 2‐year follow‐up was 86.09 [95% confidence interval [CI]: 82.90–89.28], with a yearly decrease of −0.80 [95% CI: −1.47 −0.13], (p = 0.0199). The mean IKDC at 2 years was 81.35 [95% CI: 76.56–86.14], with a yearly decrease of −1.99 [95% CI: −3.14 −0.84] (p < 0.001). Non‐PCL‐based injuries had a higher IKDC 83.69 [75.55–91.82] vs. 75.00 [70.75–79.26] (p = 0.03) and Lysholm score 90.84 [87.10–94.58] versus 84.35 [82.18–86.52] (p < 0.01) than PCL‐based injuries, respectively.ConclusionAccording to the present systematic review and meta‐analysis of MLKIs with minimum 2‐year follow‐ups, the patients who suffered an MLKI can expect to retain around 80‐85% of knee function at 2 years and can expect a yearly deterioration of knee function, depending on the score used. Inferior outcomes can be expected for PCL‐based injuries at 2 years postoperative.Level of EvidenceLevel IV meta‐analysis.

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Surgical management of knee dislocations with ligament reconstruction associated with a hinged external fixator

Abstract: Level IV, retrospective therapeutic case series.

Cited by 25 publications

References 26 publications

External fixator for treatment of the sub-acute and chronic multi-ligament-injured knee

External fixator for treatment of the sub-acute and chronic multi-ligament-injured knee

Uso do fixador externo articulado no tratamento cirúrgico da instabilidade multiligamentar crônica do joelho

Outcomes after multiligament knee injury worsen over time: A systematic review and meta‐analysis

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