Abstract
The purpose of the present study was to describe the longitudinal outcomes of acute
repair of extra-articular structure and anatomical reconstruction of cruciate ligament
for knee dislocations (KDs) III and IV multiligamentous knee injuries. Forty-seven
patients with an acute KD III or IV were treated with one-stage management within
9.2 days. Forty-five KDs III and IV with a follow-up at a mean of 53.2 months were
evaluated. The mean International Knee Documentation Committee (IKDC) score, Lysholm
score, and Tegner score were 81.5 ± 0.7, 89.6 ± 1.2, and 6.8 ± 0.5, respectively.
Comparing preoperative data with those at the latest follow-up, significant improvements
in IKDC score (p < 0.01), Lysholm score (p < 0.01), and Tegner score (p < 0.01) were noted in all groups. Comparing contralateral knee stability, no statistical
differences were found including the varus/valgus (0 degree/30 degrees) and Telos
stress radiography. So, acute repair of extra-articular structure and anatomical reconstruction
of cruciate ligament resulted in satisfactory outcomes for KDs III and IV multiligamentous
knee injuries.
Keywords
knee dislocation - multiligament - complex knee injuries - acute - reconstruction
- mid-term follow-up
