Surgical treatment of multiligament knee injuries
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| 024 | 7 | 0 | |a 10.1007/s00167-014-3451-1 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-3451-1 | ||
| 245 | 0 | 0 | |a Surgical treatment of multiligament knee injuries |h [Elektronische Daten] |c [Shane Cook, T. Ridley, Mark McCarthy, Yubo Gao, Brian Wolf, Annunziato Amendola, Matthew Bollier] |
| 520 | 3 | |a Purpose: To analyse one institution's experience with multiligament knee injuries. Methods: Over 10years, 133 multiligament knee injuries including 130 patients were included in the study. Inclusion criteria included: (1) injury to two or more knee ligaments (2) multiligament knee repair/reconstructive surgery. Results: The average age at time of injury was 26years old, and 76% were male. Fifty-one (38%) multiligament knee injuries had >2 ligaments injured. Peroneal injuries occurred in 26 patients (20%), and four (3%) had associated vascular injuries. A high energy mechanism of injury was noted in 39%. Twenty-five per cent of patients had an additional orthopaedic injury and, 11.5% suffered additional non-orthopaedic injuries. Definitive surgical intervention was performed acutely (<3weeks) in 47%. Ninety-one per cent of multiligament knee injuries underwent reconstruction with or without repair. Forty-three complications occurred in 37 patients. Patients who suffered >2 ligament injury or had surgery acutely were at an increased risk of knee stiffness requiring manipulation under anaesthesia (MUA) (p=0.016 and p=0.047, respectively). Knees with >2 ligaments injured were associated with higher post-operative complications (p=0.007). Knee dislocation IV knees were at increased risk to undergo revision surgery (p=0.041). Obese patients were more likely to have a post-operative infection (p=0.038). Repair, reconstruction or type of graft used had no impact on need for revision surgery. Conclusions: Multiligament knee injured patients undergoing surgical intervention are a highly complex patient population. This study outlines the patient population, treatment, and complications of one academic institution over 10years. Overall complications were higher in patients with >2 ligaments injured. Knee stiffness requiring MUA was more common in patients who had >2 ligaments ruptured and those treated acutely. Knees with all four ligaments injured were more likely to undergo revision surgery. Level of evidence: Retrospective case series, Level IV. | |
| 540 | |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 | ||
| 690 | 7 | |a Knee dislocation |2 nationallicence | |
| 690 | 7 | |a Multiligament knee injury |2 nationallicence | |
| 690 | 7 | |a Complications |2 nationallicence | |
| 690 | 7 | |a Treatment |2 nationallicence | |
| 700 | 1 | |a Cook |D Shane |u Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA |4 aut | |
| 700 | 1 | |a Ridley |D T. |u Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA |4 aut | |
| 700 | 1 | |a McCarthy |D Mark |u Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA |4 aut | |
| 700 | 1 | |a Gao |D Yubo |u Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA |4 aut | |
| 700 | 1 | |a Wolf |D Brian |u Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA |4 aut | |
| 700 | 1 | |a Amendola |D Annunziato |u Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA |4 aut | |
| 700 | 1 | |a Bollier |D Matthew |u Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/10(2015-10-01), 2983-2991 |x 0942-2056 |q 23:10<2983 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3451-1 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-3451-1 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Cook |D Shane |u Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Ridley |D T. |u Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a McCarthy |D Mark |u Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Gao |D Yubo |u Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Wolf |D Brian |u Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Amendola |D Annunziato |u Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Bollier |D Matthew |u Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/10(2015-10-01), 2983-2991 |x 0942-2056 |q 23:10<2983 |1 2015 |2 23 |o 167 | ||