Management of Multiligamentous Injuries of the Knee: A Systematic review | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 3, March 2025, Pages 27-33 | ||
| DOI: 10.58675/2682-339X.2886 | ||
| Authors | ||
| Ahmed Shamma; Mohamed Ibrahim; Mohammed Elbayoumi | ||
| Orthopedic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: The knee joint has a sophisticated anatomy allowing for stability and mobility through the coordinated action of ligaments, menisci, cartilage, and bony architecture. Aim: To evaluate the outcomes of surgical management for multi-ligament knee injuries through a systematic review. Subjects and methods: We systematically searched the literature using various databases, including EKB, PubMed, Embase, Cochrane Central Register of Controlled Trials, and Google Scholar from database inception through July 2023, using terms like "knee dislocation", "multi-ligament knee", "knee instability", surgery, reconstruction, repair, nonoperative, and outcomes, and hand-searching reference lists for additional relevant studies. Results: Postoperative complications included arthrofibrosis, infection, and hardware-related issues, while less common ones included vascular injuries, nerve injuries, deep vein thrombosis, and pulmonary embolism. However, the 1ry success rate was eighty-eight percent and the RTW rate was ninety-four percent%. Significant enhancements in VAS scores, International Knee Documentation Committee scores, Lysholm scores, and range of movement were observed at two years' follow-up. Combined surgical treatment of posterior or anterior cruciate ligament and posterolateral corner tears showed functional efficacy, usually allowing return to work. No significant difference was found between single-stage and two-stage operational fixation in chronic multi-ligament knee damage. Conclusion: Surgical management of MLKIs demonstrated improvements in functional outcomes across the studies, but with notable complication rates. However, considering the high risk of bias in our findings. | ||
| Keywords | ||
| Management; Multiligamentous; injuries; knee | ||
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