caa a22 4500 605458502 CHVBK 20210128100229.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00167-015-3671-z doi (NATIONALLICENCE)springer-10.1007/s00167-015-3671-z Are meniscal tears and articular cartilage injury predictive of inferior patient outcome after surgical reconstruction for the dislocated knee? [Elektronische Daten] [Alexander King, Aaron Krych, Matthew Prince, Paul Sousa, Michael Stuart, Bruce Levy] Purpose: A paucity of data exists on the effects of articular cartilage and meniscal injury in the setting of knee dislocations. The purpose of this study is to determine whether concomitant intra-articular injuries at the time of multiligament reconstruction for knee dislocation are associated with inferior outcomes. Methods: The records of patients who underwent surgical treatment for multiligament knee injury between 1992 and 2012 were retrospectively reviewed. Patients included had a PCL-based multiligament knee injury or a minimum of three disrupted ligaments, both indicative of knee dislocation. A logistic regression model was used to determine whether articular cartilage injuries (grade 2 involving ≥50% of the condylar width or greater, or any grade III/IV lesions) and meniscus tears are predictors of IKDC outcome scores collected at a minimum of 2years postoperatively. Results: Of the 121 patients who met inclusion criteria, 2-year minimum follow-up was available on 95 patients (79%). The cohort was 77% male and had a median age of 32years (16-62) at the time of surgery and was followed for an average of 6years. Articular cartilage injury was present in 40% of knees: medial femoral condyle (20%); medial tibial plateau (9%); lateral femoral condyle (5%); lateral tibial plateau (4%); patella (18%); trochlear (5%). Meniscal injury was present in 56% of patients (isolated medial, 22%; isolated lateral, 22%; combined, 12%). IKDC scores were significantly lower for patients with any cartilage damage (p=0.03), combined medial and lateral meniscus tears (p=0.02), medial-sided articular cartilage damage (p=0.03), medial femoral condyle (p=0.04) and trochlear (p=0.03) lesions. Conclusion: Articular cartilage damage and meniscus tears are frequently associated with a knee dislocation. This study showed IKDC scores were significantly lower for patients with cartilage damage or combined medial and lateral meniscus tears at mid-term follow-up of 6years. Level of evidence: IV. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 Knee nationallicence Dislocation nationallicence Multiligament nationallicence Reconstruction nationallicence Outcomes nationallicence King Alexander Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut Krych Aaron Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut Prince Matthew Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut Sousa Paul Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut Stuart Michael Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut Levy Bruce Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 3008-3011 0942-2056 23:10<3008 2015 23 167 https://doi.org/10.1007/s00167-015-3671-z 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/s00167-015-3671-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- King Alexander Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Krych Aaron Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Prince Matthew Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Sousa Paul Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Stuart Michael Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Levy Bruce Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 3008-3011 0942-2056 23:10<3008 2015 23 167