Systematic review for approach of management of multi-ligamentous knee injuries
Mohamed Fathi Mohamed Ibrahim;
Abstract
Background: There is a paucity of outcome data to guide the surgical treatment of multi-ligamentous knee injuries.
Purpose: To systematically review the literature to compare clinical outcomes of the treatment multi-ligamentous knee injuries .
Study Design: Systematic review; Level of evidence, 4.
Methods: A systematic review of the literature including PubMed was performed. The following search terms were used: “knee dislocation”, “multiple ligamentous” and “acute injury”. Inclusion criteria were: Human examinations and treatment, measures of functional and clinical outcome included, exclusion criteria were: Non English papers, Non-human trials, ,vascular and nerve injuries, Associated fractures, Open injuries ,other systems injures, Non English papers, Non-human trials, articles with no clinical data.
Results: Seven studies were included. When time to surgery was performed within 3 weeks it is considered acute injury while on the other hand more than that was considered chronic injury. Surgical treatment varied between repair and reconstruction, 46 patients with PCL and PLC injury .22 cases where reconstruction of PLC has been done without reconstruction of PCL , 24 cases with PCL and PLC reconstruction , final lysholm and IKDC are 77.27 and 83 respectively and IKDC 64 and 72 . 110 cases treated early with mean lysholm 88 and 80 cases treated after 3 weeks with mean lysholm 82. 18 cases of PLC repair and 63 reconstruction with lysholm 80 and 84 respectively.
Conclusion: functional and clinical outcomes improve with operative treatment compared with nonoperative treatment and with early compared to delayed surgery. Repair of the ligaments may have
Purpose: To systematically review the literature to compare clinical outcomes of the treatment multi-ligamentous knee injuries .
Study Design: Systematic review; Level of evidence, 4.
Methods: A systematic review of the literature including PubMed was performed. The following search terms were used: “knee dislocation”, “multiple ligamentous” and “acute injury”. Inclusion criteria were: Human examinations and treatment, measures of functional and clinical outcome included, exclusion criteria were: Non English papers, Non-human trials, ,vascular and nerve injuries, Associated fractures, Open injuries ,other systems injures, Non English papers, Non-human trials, articles with no clinical data.
Results: Seven studies were included. When time to surgery was performed within 3 weeks it is considered acute injury while on the other hand more than that was considered chronic injury. Surgical treatment varied between repair and reconstruction, 46 patients with PCL and PLC injury .22 cases where reconstruction of PLC has been done without reconstruction of PCL , 24 cases with PCL and PLC reconstruction , final lysholm and IKDC are 77.27 and 83 respectively and IKDC 64 and 72 . 110 cases treated early with mean lysholm 88 and 80 cases treated after 3 weeks with mean lysholm 82. 18 cases of PLC repair and 63 reconstruction with lysholm 80 and 84 respectively.
Conclusion: functional and clinical outcomes improve with operative treatment compared with nonoperative treatment and with early compared to delayed surgery. Repair of the ligaments may have
Other data
| Title | Systematic review for approach of management of multi-ligamentous knee injuries | Other Titles | دراسة منهجية لطرق معالجة اﻹصابة متعددة الأربطة للركبة | Authors | Mohamed Fathi Mohamed Ibrahim | Issue Date | 2017 |
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