80.
Mid-terms clinical and functional outcome following multi-ligaments
reconstruction
Sinan Said, Bjørne Engstrøm, Christina Mikkelsen
Orthopædic Capio Årtro Clinic / Karloniska Institute stockholm; , Capio Årtro
Clinic / Karloniska Institute stockholm; , Capio Årtro Clinic / Karloniska
Institute stockholm
Background:
Multi-ligament lesions are rare and sometimes associated with
high morbidity. Making decision of how to treat these lesions is challenging.
Purpose / Aim of Study:
The aim of the study is to evaluate the midterm
clinical and functional outcome in different groups of patients treated for
ligaments injuries following knee dislocation.
Materials and Methods:
113
Patients with multi-ligament injuries were
reviewed in the period January 2000 to December 2010. Eleven were excluded
and 75 patients were present to follow up (20 by questionnaire). The knee joint
laxity was evaluated by using, Lachman, pivot and reversed pivot shift, the
anterior/posterior drawer, step off sign, dial and valgus-varus tests, KT-1000
and ultra-sound. Knee function was evaluated by using one leg hop, side hop,
square hop tests, Lysholm, Tegner, IKDC2000, KOOS, VAS and SANE
scores.
Findings / Results:
There were 52 males and 23 females. Average follow up
was 78 months and age at that time was 40 yrs. Mean Lysholm was 78, tegner
was 5, objective IKDC 2000 score was 76% nearly normal and 24% abnormal
(
subjective in 20 patients was 37), VAS in rest was 1 and in activity was 3,
SANE was 82 KOOS for pain, symptoms, ADL, sport, QOL was
85,75,87,60,71
respectively. Average knee function (one leg hop, side hop, and
square test) compared to non- injured knee was 95%, 91% and 94%
respectively, the average side to side difference of valgus/varus translation test
in 30° flexion (tested by ultra- sound) was 1,3 mm. Total anterior/ posterior
translation side to side difference (KT-1000,134N) was 3,4 mm.
Conclusions:
The clinical outcome following multi- ligaments reconstruction
show nearly normal results and the operated knees restored more than 90% of
their function compared to non-injured knees at midterm follow-up.
