بخشی از متن فایل (word) مقاله Short to Mid-term outcome of single-stage reconstruction surgery of multiligament knee :
تعداد صفحات :11
Objects: Multiligament knee injury (MLKI) is a complex orthopedic injury leading to the tear of at least two of major knee ligaments. Yet, there is no consensus regarding the optimal management of this debilitating condition. The aim of this study was to evaluate the outcome of MLKI in patients treated with single-stage multiligament reconstruction surgery. Methods: In a retrospective study, consecutive eligible MLKI patients who underwent surgical reconstruction were included. Objective evaluation of the outcome included active extension and flexion. Subjective evaluation of the outcome included the Lysholm score and the International Knee Documentation Committee (IKDC) form in Persian. Post-operative complications were also recorded. Results: A total of 41 patients with the mean age of 31.95±7.82 years and an average follow-up period of 36.9±17.8 months were evaluated. The average time from injury to surgery was 11.5±8.9 months. The mean Lysholm and IKDC score were 86.9±11.5 and 70±18.7, retrospectively. The mean Lysholm and IKDC score were not statistically different in patients who underwent surgery less than 6 months after the injury compared to those who were reconstructed after 6 months (p=0.07 and p=0.3, respectively). Postoperative restricted range of motion was observed in seven patients that were resolved with physiotherapy. The only surgical complication was a popliteal artery injury. Conclusions Single-stage reconstruction surgery of MLKI provides an acceptable outcome. However, several aspects of this reconstruction such as the timing of the surgery still remain to be resolved in future investigations.