Pre- and postoperative functional status of patients subjected to anterior cruciate ligament reconstruction associated with knee dislocation

Vadillo-Carstensen L; Luna-Pizarro D; Cruz-Álvarez D; Hernández-Cuevas V

2010, Number 6

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Acta Ortop Mex 2010; 24 (6)

Pre- and postoperative functional status of patients subjected to anterior cruciate ligament reconstruction associated with knee dislocation

Vadillo-Carstensen L, Luna-Pizarro D, Cruz-Álvarez D, Hernández-Cuevas V

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Language: Spanish
References: 12
Page: 400-403
PDF size: 56.12 Kb.

ABSTRACT

Introduction: The injury of the cruciate ligaments secondary to knee dislocation is caused by high energy trauma; its incidence rate is less than 0.02%; there are multiple treatments, with surgery being the most common one. Objective: To determine the functional characteristics of patients who underwent cruciate ligament plasty and sustained knee dislocation. Material and methods: An observational, prospective, cross-sectional study was conducted including all adult patients with a diagnosis of cruciate ligament injury resulting from knee dislocation who were surgically treated from January 2006 to December 2007. Two knee functional assessment scales were used. Results: A total of 16 patients were included, 12 males and 4 females; mean age was 32.1 years. The Knee Society Clinical Rating Scale had a positive correlation with the Lysholm Knee Scoring Scale (r = 0.836) with p = 0.001. Discussion: The functional results of patients treated surgically are diverse. This study was not conducted as a controlled clinical trial due to the absence of randomization, which was not possible due to the infrequency of the condition. Conclusions: It will be necessary to confirm the results after a longer follow-up and in a comparative, double-blind study of patients undergoing surgery.

REFERENCES

Rihn JA, Cha PS, Groff YJ, Harner CD: The acutely dislocated knee: Evaluation and management. J Am Acad Orthop Surg 2004; 12(5): 334-46.
Robertson A, Nutton RW, Keating JF: Dislocation of the knee. J Bone Joint Surg Br 2006; 88(6): 706-11.
Henrichs A: A review of the knee dislocations. J Athl Train 2004; 39(4): 365-9.
Heigeson MD, Lehman RA, Murphy KP: Initial evaluation of the acute and chronic multiple ligament injuried knee. J Knee Surg 2005; 18(3): 213-9.
Stannard JP, Sheils TM, López-Benz RR, McGwin JR, Robinson JT: Vascular injuries in knee dislocations: The role of physical examination in determining the need for arteriography. J Bone Joint Surg Am 2004; 86(5): 910-5.
Giannovlias CS, Freedman KB: Knee dislocations: management of the multiligament-injuried knee. Am J Orthop 2004; 33(11): 533-9.
Wong CH, Tan JL, Chang HC, Khin LW: Knee dislocations a retrospective study comparing operative versus closed immobilization treatment outcomes. Knee Surg Sports Traumatol 2004; 12(6): 540-4.
Wascher DC, Becker JR, Dexter JG: Reconstruction of the anterior and posterior cruciate ligaments after knee dislocation. Am J Sports Med 1999; 27: 189.
Richter M, Bosch U, Wippermann B, Hofmann A, Kretter C: Comparisons of Surgical Repair or Reconstruction of the Cruciate Ligament versus nonsurgical treatment in patients with knee dislocations. Am J Sports Med 2004; 30: 718-27.
Chuang TY, Ho WP, Hsieh PH, Yu SW, Chen YJ: One-stage posterior cruciate ligament inlay reconstruction combining anterior cruciate ligament reconstruction following knee dislocation. Arthroscopy 2006; 22(3): 339.
Scheid DK: Treatment of the multiple ligament injuried knee and knee dislocations: a trauma perspective. Inst Course Lect 2003; 52: 409-11.
Liow RY, McNicholas MJ, Keating JF, Nutton RW: Ligament repair and reconstruction in traumatic dislocation of the knee. J Bone Joint Surg Br 2003; 85(6): 845-51.