Surgical Management of Knee Dislocations

Chhabra, Anikar; Peter, S.; Rihn, Jeffrey A.; Cole, Brian J.; Bennett, Craig; Waltrip, Robert L.; Harner, Christopher D.

doi:10.2106/00004623-200503001-00001

Cited by 44 publications

(29 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To achieve this, guide pins are placed at least 2 cm apart on the tibia. 5,12 This is not a consideration for isolated ACL reconstruction, where only one tunnel is created on the anteromedial tibial cortex. It is also essential to leave room for tibial fixation of the medial collateral ligament (MCL) on the tibia to avoid overcrowding on the proximal medial tibia when doing ACL reconstruction in conjunction with PCL and MCL.…”

Section: Surgical Techniquementioning

confidence: 99%

ACL Reconstruction in the Multiple Ligament Injured Knee

Marx

Wolfe

2019

J Knee Surg

View full text Add to dashboard Cite

Multiple ligament knee injuries are complex and can result from sports injuries or high energy trauma. The proper diagnosis and treatment of multiple ligament knee injuries are essential, and careful evaluation and planning are required to achieve successful outcomes. Anterior cruciate ligament (ACL) reconstruction in the multiple ligament injured knee is complicated by several factors, necessitating additional technical considerations. Patient selection, surgical timing, graft selection, and surgical technique require consideration specific to the ACL component of these injuries. We present a summary of the current knowledge with respect to the treatment of ACL injuries in the context of the multiple ligament injured knee.

show abstract

Section: Surgical Techniquementioning

confidence: 99%

ACL Reconstruction in the Multiple Ligament Injured Knee

Marx

Wolfe

2019

J Knee Surg

View full text Add to dashboard Cite

show abstract

“…This particular set-up allowed the surgical team to move the knee through full range of motion and allowed for easy access for a mini or standard fluoroscopic unit. 15,16 Prophylactic intravenous antibiotics were then administered. Prior to the start of the procedure, pedal pulses were verified via Doppler ultrasound and documented.…”

Section: Surgical Reconstructionmentioning

confidence: 99%

Quality of Life and Functional Outcomes after Multiligament Knee Reconstruction

et al. 2018

View full text Add to dashboard Cite

Objectives: Although dislocation of the knee is rare, the high-energy nature of most injuries often results in high morbidity and sometimes limb-threatening injury. Literature regarding knee dislocations tends to focus upon management. There is a lack of research investigating quality of life for patients having undergone multi-ligament knee reconstruction. The purpose of our study was to review quality of life and functional outcomes as well as examine preoperative variables that may affect these outcomes for patients having undergone multi-ligament knee reconstruction. Methods: Retrospectively, we identified a total of 31 patients who underwent a standardized method of surgical reconstruction for multi-ligament knee injuries since 2006 at a single institution. A single surgeon performed all operations. A total of 28 knees (26 patients) were included in the final analysis. We contacted patients at a minimum of 12 months postoperatively (mean: 40.5 months; range: 12-111 months) and administered the Multi-ligament Quality of Life Questionnaire (ML-QOL), 2000 International Knee Documentation Committee Subjective Knee Form (IKDC), and Lysholm Knee Scoring Scale. We performed independent two-sample t-tests to examine the difference in quality of life and functional measures for the following factors: age (≤ 40 vs. > 40), sex, mechanism of injury, time to surgery ( 3 weeks), vascular injury, nerve injury, concomitant fracture, other injuries, Schenk classification for knee dislocation, manipulation, surgical release, previous knee ligament surgery, and subsequent revision. We then performed ageadjusted multivariable linear regression analysis, including factors that we found to be statistically significant in univariate analysis. A p-value of 0.05 was used for statistical significance and all analysis was performed using STATA (College Station, TX). Results: For ML-QOL, we found that patients who had undergone previous knee ligament surgery had significantly worse mean scores relative to patients who had not undergo previous knee ligament surgery (122.9 vs. 80.2; p = 0.001) (higher score indicates worse quality of life). All other differences in ML-QOL scores were not statistically significant. IKDC and Lysholm scores did not differ significantly with regards to the studied variables. After stratifying patients by history of previous knee ligament surgery (7 vs. 21), we found that patients with Schenk classifications of III or IV had significantly worse mean ML-QOL scores relative to patients with Schenk classifications of I or II (91.3 vs. 62.1; p = 0.0152). Conclusion: To our knowledge, our study is the first to investigate both quality of life and functional outcome measures for patients undergoing multi-ligament reconstruction after knee dislocation. We found that patients with a previous history of knee ligament surgery had a significantly worse quality of life relative to those with no history of knee ligament surgery. Among patients with no history of knee ligament surgery, higher Schenk classification was ass...

show abstract

“…The ACL was reconstructed with a BPTB allograft, and the PCL was reconstructed with a single-bundle, transtibial Achilles allograft. 8 When possible, primary repair of the posterolateral corner was undertaken. If posterolateral corner reconstruction was required, then the procedure was individualized depending on the involved structures.…”

Section: Clinical Outcomesmentioning

confidence: 99%