caa a22 4500 605458189 CHVBK 20210128100227.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00167-015-3720-7 doi (NATIONALLICENCE)springer-10.1007/s00167-015-3720-7 Simultaneous bilateral multiligamentous knee injuries are associated with more severe multisystem trauma compared to unilateral injuries [Elektronische Daten] [M. Burrus, Brian Werner, Jourdan Cancienne, Mark Miller] Purpose: To compare the knee ligamentous injury patterns and associated multisystem trauma in patients who have sustained simultaneous bilateral knee multiligamentous injuries (MLI) to patients with unilateral MLIs. Methods: Patients with simultaneous bilateral and unilateral knee MLIs after motor vehicle accidents were identified from 2007 to 2014 at a single institution. Chart and radiographic reviews were performed to identify patient demographics, extremity fractures and associated head, thoracic, abdominal and spine injuries. The MLIs were characterized by ligamentous injury pattern and associated neurovascular deficits. Injury Severity Score (ISS) and New ISS (NISS) were calculated. Results: Seven bilateral MLIs and 32 unilateral MLIs were identified. Between the cohorts, there were no significant differences in ligamentous injury pattern or associated neurovascular injuries. For the bilateral MLI cohorts, 71.4% of patients sustained chest trauma, 57.1% abdominal trauma, 57.1% at least a single-level spine injury and 28.6% head trauma. The ISS was 33.4±23.4 with patients spending an average of 12.4days in the intensive care unit. Other than the number of days in the ICU, these values were all significantly higher than those of the unilateral knee MLI cohort. Additionally, there was a significantly higher post-operative complication rate in the bilateral MLI cohort (71.4 vs. 6.3%, P<0.0001). Conclusion: Compared to unilateral MLIs with similar mechanisms, patients with traumatic simultaneous bilateral knee multiligamentous knee injuries are at high risk of concomitant head, chest and abdominal injuries. Although the ligament injury profile is similar, the post-operative complication rate is higher for simultaneous bilateral injuries. Level of evidence: Case control study, Level III. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 Multiligamentous nationallicence Knee nationallicence Dislocation nationallicence Reconstruction nationallicence Trauma nationallicence Burrus M. Department of Orthopaedic Surgery, University of Virginia Health System, HSC, PO Box 800159, 22908, Charlottesville, VA, USA aut Werner Brian Department of Orthopaedic Surgery, University of Virginia Health System, HSC, PO Box 800159, 22908, Charlottesville, VA, USA aut Cancienne Jourdan Department of Orthopaedic Surgery, University of Virginia Health System, HSC, PO Box 800159, 22908, Charlottesville, VA, USA aut Miller Mark Department of Orthopaedic Surgery, University of Virginia Health System, HSC, PO Box 800159, 22908, Charlottesville, VA, USA aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 3038-3043 0942-2056 23:10<3038 2015 23 167 https://doi.org/10.1007/s00167-015-3720-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-015-3720-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Burrus M. Department of Orthopaedic Surgery, University of Virginia Health System, HSC, PO Box 800159, 22908, Charlottesville, VA, USA aut NATIONALLICENCE 700 1- Werner Brian Department of Orthopaedic Surgery, University of Virginia Health System, HSC, PO Box 800159, 22908, Charlottesville, VA, USA aut NATIONALLICENCE 700 1- Cancienne Jourdan Department of Orthopaedic Surgery, University of Virginia Health System, HSC, PO Box 800159, 22908, Charlottesville, VA, USA aut NATIONALLICENCE 700 1- Miller Mark Department of Orthopaedic Surgery, University of Virginia Health System, HSC, PO Box 800159, 22908, Charlottesville, VA, USA aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 3038-3043 0942-2056 23:10<3038 2015 23 167