Accession Number : AD1045098


Title :   Timing of Surgery and Rehabilitation to Optimize Outcome for Patients with Multiple Ligament Knee Injuries: A Multicenter Clinical Trial


Descriptive Note : Technical Report,28 Sep 2015,27 Sep 2016


Corporate Author : University of Pittsburgh Pittsburgh United States


Personal Author(s) : Irrgang, James


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/1045098.pdf


Report Date : 01 Oct 2016


Pagination or Media Count : 15


Abstract : Multiple ligament knee injuries (MLKIs) are complex injuries that represent a spectrum of injury ranging from disruption of two ligaments (one cruciate ligament and one collateral ligament) to all four ligaments (both cruciates and both collateral ligaments). Multiple ligament knee injuries are frequently associated with concomitant injuries to nerves, vessels, tendons, cartilage and menisci. Non-operative management of MLKIs results in poor outcomes; however there is no consensus on the optimal surgical approach for MLKIs. Level III evidence suggests that in comparison to delayed surgery, early surgical management of MLKIs leads to better clinical outcomes, but is associated with a higher risk of loss of motion and joint contracture. Suboptimal outcomes for treatment of MLKIs include persistent pain, stiffness, residual instability and laxity, loss of motion and limited ability to perform demanding activities associated with military training, heavy physical labor and sports.


Descriptors :   LEG INJURIES , knee , ORTHOPEDIC SURGERY , REHABILITATION , clinical trials , LIGAMENTS , Statistical Analysis


Subject Categories : Medicine and Medical Research
      Anatomy and Physiology


Distribution Statement : APPROVED FOR PUBLIC RELEASE