caa a22 4500 60545843X CHVBK 20210128100228.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00167-014-3451-1 doi (NATIONALLICENCE)springer-10.1007/s00167-014-3451-1 Surgical treatment of multiligament knee injuries [Elektronische Daten] [Shane Cook, T. Ridley, Mark McCarthy, Yubo Gao, Brian Wolf, Annunziato Amendola, Matthew Bollier] 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. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 Knee dislocation nationallicence Multiligament knee injury nationallicence Complications nationallicence Treatment nationallicence Cook Shane Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA aut Ridley T. Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA aut McCarthy Mark Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA aut Gao Yubo Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA aut Wolf Brian Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA aut Amendola Annunziato Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA aut Bollier Matthew Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 2983-2991 0942-2056 23:10<2983 2015 23 167 https://doi.org/10.1007/s00167-014-3451-1 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/s00167-014-3451-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cook Shane Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA aut NATIONALLICENCE 700 1- Ridley T. Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA aut NATIONALLICENCE 700 1- McCarthy Mark Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA aut NATIONALLICENCE 700 1- Gao Yubo Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA aut NATIONALLICENCE 700 1- Wolf Brian Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA aut NATIONALLICENCE 700 1- Amendola Annunziato Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA aut NATIONALLICENCE 700 1- Bollier Matthew Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, 52242, Iowa City, IA, USA aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 2983-2991 0942-2056 23:10<2983 2015 23 167