Subscribe to RSS
DOI: 10.1055/s-0041-1731798
Epidemiological Study on Multiligament Knee Injuries[*]
Article in several languages: português | English
Abstract
Objective The present paper aims to describe multiligament knee injuries and to associate their features with the profile of the patients and trauma mechanisms.
Methods This is a cross-sectional study evaluating 82 patients with multiligament knee injuries from September 2016 to September 2018. Evaluated parameters included age, gender, mechanical axis, affected side, range of motion, trauma mechanism, associated injuries, affected ligaments, and absence from work.
Results The sample included patients aged between 16 and 58 years old, with an average age of 29.7 years old; most subjects were males, with 92.7% of cases. The most common trauma mechanism was motorcycle accident (45.1%). The most injured ligament was the anterior cruciate ligament (80.5%), followed by the posterior cruciate ligament (77.1%), the posterolateral corner (61.0%), and the tibial collateral ligament (26.8%). The most frequent type of dislocation was KD IIIL (30.4%). Only 1 patient had a vascular injury, and 13 (15.9%) presented with neurological injuries. Most subjects took medical leave from work (52.4%).
Conclusion There is a big difference between patients with multiligament lesions in Brazil compared with international studies. Thus, it is advisable to carry out more specific studies on the topic with our population to improve the treatment of these patients.
Financial Support
The present study received no financial support from public, commercial, or not-for-profit sources.
* Study developed at the Knee Specialized Care Center, Instituto Nacional de Traumatologia Jammil Haddad -INTO/MS, Rio de Janeiro, RJ, Brazil
Publication History
Received: 11 November 2020
Accepted: 08 March 2021
Article published online:
11 March 2022
© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Referências
- 1 Ferrari MB, Chahla J, Mitchell JJ. et al. Multiligament Reconstruction of the Knee in the Setting of Knee Dislocation With a Medial-Sided Injury. Arthrosc Tech 2017; 6 (02) e341-e350
- 2 Levy BA, Dajani KA, Whelan DB. et al. Decision making in the multiligament-injured knee: an evidence-based systematic review. Arthroscopy 2009; 25 (04) 430-438
- 3 Wilson SM, Mehta N, Do HT, Ghomrawi H, Lyman S, Marx RG. Epidemiology of multiligament knee reconstruction. Clin Orthop Relat Res 2014; 472 (09) 2603-2608
- 4 Schenck Jr RC. The dislocated knee. Instr Course Lect 1994; 43: 127-136
- 5 Arom GA, Yeranosian MG, Petrigliano FA, Terrell RD, McAllister DR. The changing demographics of knee dislocation: a retrospective database review. Clin Orthop Relat Res 2014; 472 (09) 2609-2614
- 6 Hegyes MS, Richardson MW, Miller MD. Knee dislocation. Complications of nonoperative and operative management. Clin Sports Med 2000; 19 (03) 519-543
- 7 Henrichs A. A review of knee dislocations. J Athl Train 2004; 39 (04) 365-369
- 8 Goyal A, Tanwar M, Joshi D, Chaudhary D. Practice Guidelines for the Management of Multiligamentous Injuries of the Knee. Indian J Orthop 2017; 51 (05) 537-544
- 9 Fanelli GC, Stannard JP, Stuart MJ. et al. Management of complex knee ligament injuries. J Bone Joint Surg Am 2010; 92 (12) 2235-2246
- 10 Kupczik F, Shiavon ME, Vieira L, Genius D, Fávaro R. Luxação do joelho: Estudo descritivo das lesões. Rev Bras Ortop 2013; 48 (02) 145-151
- 11 Vaidya R, Roth M, Nanavati D, Prince M, Sethi A. Low-Velocity Knee Dislocations in Obese and Morbidly Obese Patients. Orthop J Sports Med 2015; 3 (04) 2325967115575719
- 12 Medina O, Arom GA, Yeranosian MG, Petrigliano FA, McAllister DR. Vascular and nerve injury after knee dislocation: a systematic review. Clin Orthop Relat Res 2014; 472 (09) 2621-2629
- 13 Engebretsen L, Risberg MA, Robertson B, Ludvigsen TC, Johansen S. Outcome after knee dislocations: a 2-9 years follow-up of 85 consecutive patients. Knee Surg Sports Traumatol Arthrosc 2009; 17 (09) 1013-1026
- 14 Levy BA, Fanelli GC, Whelan DB. et al. Knee Dislocation Study Group. Controversies in the treatment of knee dislocations and multiligament reconstruction. J Am Acad Orthop Surg 2009; 17 (04) 197-206
- 15 Howells NR, Brunton LR, Robinson J, Porteus AJ, Eldridge JD, Murray JR. Acute knee dislocation: an evidence based approach to the management of the multiligament injured knee. Injury 2011; 42 (11) 1198-1204
- 16 LaPrade RF, Muench C, Wentorf F, Lewis JL. The effect of injury to the posterolateral structures of the knee on force in a posterior cruciate ligament graft: a biomechanical study. Am J Sports Med 2002; 30 (02) 233-238
- 17 Medronho R, Bloch KV, Luiz RR, Werneck GL. editores. 2 a. ed.. São Paulo: Atheneu; 2009
- 18 Pagano M, Gauvreau K. Princípios de Bioestatísitca. São Paulo: Pioneira Thomson Learning; 2004